1. Placement of Patients in Self-/Home- Care Setting
2. Transplantation
3. Vocational Rehabilitation
4. Adequacy of Hemodialysis
5. Adequacy of Hemodialysis: Performance of Delivery of Care Audits - Revised 2010
6. Anemia Management in Chronic Renal Failure
7. Vascular Access
1. Catheters
2. Arteriovenous Fistula (AVF’s)
3. Monitoring for Access Dysfunction
8. Mineral Metabolism in Chronic Renal Failure
9. Peritoneal Dialysis (PD) Adequacy
10. Nutrition in Chronic Renal Failure
11. Disaster Preparedness
12. Nephrologist as Dialysis Facility Medical Director
13. Facility Status Notification
14. Involuntary Discharge

1. Continuing Education Credits in Renal Health Care
2. Management of Hyperkalemia
3. Fluid Management for Hemodialsyis (New in 2011)
4. Fluid Managment for Peritoneal Dialysis (New in 2011)
5. Advance Directives
6. CMS Criteria to Determine Eligibility For the ESRD Program
7. 2008 CAHPS Survey
8. Patient Education Awareness
9. Assessment of Health-Related Quality of Life

1. Grievance Policy
2. Grievance Poster Arkansas, Louisiana, and Oklahoma (11” X 17” Poster available per request)

1. Hemodialysis
2. Peritoneal Dialysis

1. Guidance for Industry - Medical Device Tracking; Guidance for Industry and FDA Staff
2. Guidance for Reporting Dialysis Reactions: FDA Adverse Event Reporting
1. To Report Online
2. Voluntary Reporting Form
3. Mandatory Reporting Form

1. General Resources (Associations/Organizations)
2. Acute Myocardial Infarction Web sites
3. Diabetes Web sites
4. Heart Failure Web sites
5. Reduce Disparities Web sites—also see SDPS Intranet links
6. Quality Improvement with Medicare+Choice Plans Web sites
7. End Stage Renal Disease (ESRD) Web sites

1. Kidney School
2. Life Options
3. How to Have a Good Future with Kidney Disease
4. Home Dialysis Central

• Adequacy of Dialysis
• Anemia Management
• Nutrition Management
• Mineral Metabolism
• Vascular Access Management
• Immunizations
• Infection Control
• Patient Safety

1. Measures of Morbidity and Mortality

1. Quality Assessment and Performace Improvement Tools
1. Quality Improvement Project
2. QI Sample – sample “Action Plans”
3. CQI Trend Tool – (Aggregate collection tool with review and prioritization)
4. Facility Quality Indicators
5. Sample Fishbone Templates (Word™ and Excel™)
6. Cause and Effect Diagram
7. Run Chart
8. Interdisciplinary Team Agenda Template
9. Interdisciplinary Team Meeting Minutes Template
10. QAPI Facility Checklist
2. Adequacy of Dialysis
1. Hemodialysis
   1. Self-Study: Adequacy of Hemodialysis (Prescription & Delivery)
   2. Prescription and Delivery Audit Tool and Instructions
   3. Adequacy of Hemodialysis Tools – (Prescription delivery tool quantifies root cause)
   4. Pre- and Post-Dialysis Blood Sampling Validation Forms
   5. Frequent Hemodialysis Adequacy of Hemodialysis – (conversion formula)
   6. Illustrative Conversions: G-Codes/URR to stdKt/V
   7. Hemodialysis Adequacy and Kinetic Modeling Channel: Hypertension, Dialysis and Clinical Nephrology (HDCN)
   8. The Nephron Information Center
2. Peritoneal Dialysis (PD)
   1. PD Adequacy Flow Sheet
   2. Educational Website of Interest for PD
3. Anemia Management
   1. Anemia Management Worksheet (with medication adjustment)
   2. Anemia Management Barrier Worksheet – (Root Cause Analysis Assistance)
4. Dialysis-Specific Infection Control Issues
   1. Prevention of Bloodstream Infections
   2. Competencies and Ideas for Patient Education
   3. Catheter Care
   4. Hand Hygiene
   5. Infection Control Logs / Tracking Tools
   6. Immunizations
   7. Educational Website Links
5. Nutrition Management
   1. Malnutrition in ESRD Patients – (Algorithm)
   2. Management of Hypoalbuminemia In Adult Dialysis Patients Algorithm
   3. Patient Facility Percent Albumin – (Trending tool creates graphs)
   4. Subjective Global Assessment Rating Form – (Patient assessment form)
6. Vascular Access Tools (See Section 5 for AVF Functionality Tool and Catheter Reduction Worksheet)
   1. Fistula First Bruit Audio Clips Available for Patient and Staff Education Located at the bottom of the "What's New" Column "Listen to the Bruit"
7. Self-/Home- Care Training Materials
1. Hemodialysis Home Training Checklist – (Patient competency checklist)
8. Water Treatment
1. Water Quality Chart
9. Hemolysis
   
10. Patient Assessment and Plan of Care
    
11. Diabetic Foot Screening
1. Diabetic Foot Examination Risk Categories
2. Basic Foot Assessment Check List – (With foot diagram & Referral Action Plan)
3. Prevention of Serious Complications from Diabetes (NIH) – (Patient education sheet)
4. Preventing Foot Ulcers and Amputation – (Professional education sheet)
12. Automated External Defibrillator (AED)
1. SAMPLE Procedure: AED
2. SAMPLE Policy (supplied from Medtronic)
3. Emergency Cardiovascular Care (ECC) Class Connector
13. Patient Safety
1. Medication Error/Reconciliation
2. Institute for Safe Medication Practices
14. Fluid Management
1. Dry Weight Algorithm
2. Dry Weight Monitoring Tool
   

1. An Introduction to the Model for Improvement
2. Building Skills in Data Collection and Understanding Variation
3. Using Run and Control Charts to Understand Variation

• Table of Contents
• Website http://www.cms.gov/GuidanceforLawsAndRegulations/05_Dialysis.asp

1. ESRD Program Interpretive Guidelines
2. ESRD Freqently Asked Questions (FAQs) - Version 1.3
3. Tools and Resources (e.g, Measures Assessment Tool, etc.)
4. Optional Surveyor Worksheets and Tools
5. Survey and Certification Letters

1. TOOL: National Vascular Access Quality Improvement Initiative: Implementation Tracking
2. TOOL: Monthly Vascular Access Monitoring & Surveillance: Referral / Intervention Tracking Log
3. TOOL: Network 13 Vascular Access Monthly Summary - Data Trends
4. PROTOCOL: AV Fistula Roadmap for Nephrologists
5. JOB DESCRIPTION: Vascular Access Coordinator Role
6. POWERPOINT: Role of a Dialysis Access Coordinator (Vascular Access Manager) (Carolyn Barclay, RN, CNN)
7. POWERPOINT: Vascular Access Management Resource for Medical Directors
8. SAMPLE AGREEMENT: Nephrology Clinician Agreement

1. DRAFT LETTER: “To PCP from Nephrologist” Pre-ESRD Vascular Access/AVF Plan
2. SAMPLE POLICY AND PROCEDURE: Fistula Preservation, Development and Maintenance
3. POWERPOINT: Fistulas for Dialysis Access: The Challenge of Preservation, Creation, Maturation, and Cannulation (Lesley C. Dinwiddie MSN, RN, FNP, CNN and William Marston MD)
4. ALGORITHM: Pre-ESRD Vascular Access/AVF Plan
5. SAMPLE GUIDELINES: Venous Access in Patients with Chronic Kidney Disease

1. ALGORITHM: Pathway to Autologous AVF
2. TOOL: Hemodialysis Access Referral Form for New Access
3. TOOL: Request form for Surgical Evaluation/Consultation
4. TOOL: AV Access Checklist/Form
5. TOOL: Vascular Access Diagram (Sample FAX Form to Dialysis Facility and/or Nephrologist)
6. BEST PRACTICE RESOURCE: “A Practitioner’s Resource Guide to Hemodialysis Arteriovenous Fistulas” (Gerald A. Beathard, MD, PhD, FACP, FCAP)
7. BEST PRACTICE RESOURCE : “A Practitioner’s Resource Guide to Physical Examination of Dialysis Vascular Access” (Gerald A. Beathard, MD, PhD, FACP, FCAP)
8. REFERENCE ARTICLE: Surgical Anatomy of Upper Arm: What is Needed for AVF Planning (Surendra Shenoy M.D., Ph.D.)
9. REFERENCE ARTICLE: Ultrasound in Vascular Access (Jason Wellen, and Surendra Shenoy M.D., Ph.D.)
10. SAMPLE GUIDELINES: Upper Extremity Vein Mapping for Placement of a Dialysis Access

1. Local Surgeon Questionnaire
2. National Surgeon Questionnaire

1. POLICY: Duplex of Upper Extremity Vessels prior to AVF Surgery
2. POWERPOINT: AVF in Most (All?) Patients (William Jennings, MD, FACS)
3. POWERPOINT: Wrist (Cimino) and Brachial AVF’s (William Jennings, MD, FACS)
4. POWERPOINT: Exploiting the Proximal Radial Artery (William Jennings, MD, FACS)
5. POWERPOINT: Vein Transpositions (Lawrence M. Spergel, MD, FACS)
6. POWERPOINT: The Difficult Access Patient (William Jennings, MD, FACS)
7. SURGICAL CD/DVD SERIES: “Creating AV Fistulae in All Eligible Hemodialysis Patients” (Drs. Spergel, Jennings, and Arnold) (Available Upon Request at Network Office – Limited Supply)

1. SLEEVES UP: “Checking Upper Arm for Developing Veins in Patients With a Forearm AV Graft”
• Procedure
• Protocol
• Checklist
2. TOOL: Referral Form for Existing Access
3. POWERPOINT: A-V Fistula construction: Secondary AVF’s (Lawrence M. Spergel, MD, FACS)
4. TOOL: AVG to AVF Conversion Checklist
5. PROTOCOL: Conversion to Secondary AVF
6. TOOL: AVG Intervention Rate Worksheet (Provided by NW14)
7. TOOL: AVG Thrombosis Rate Worksheet (Provided by NW14)

1. ALGORITHM: Management of Patient with Central Venous Catheter
2. TOOL: Indications for Hemodialysis Catheter Use Checklist
3. TOOL: Facility Monthly Catheter Tracking
4. TOOL: Root Cause Analysis for Patients with Continuing CVC's
5. TOOL: Reducing Central Venous Catheter Infections (fishbone diagram)
6. TOOL: Catheter to AVF Vascular Access Checklist
7. TOOL: Network 13 Catheter Reduction QI Activity (Inclusive of Data Collection, Root Cause Analysis, Trending/Tracking, with Reporting Capability)

1. REFERENCE ARTICLE: Cannulation Camp: Basic Needle Cannulation Training for Dialysis Staff (Deborah J. Brouwer, RN, CNN)
2. REFERENCE ARTICLE: Improving AVF Cannulation Skills (Lynda K. Ball, BS, BSN, RN, CNN)
3. POLICY AND PROCEDURE: Cannulation of New AVF
4. REFERENCE ARTICLE: Determining Maturity of New AVF (Lynda K. Ball, BS, BSN, RN, CNN)
5. REFERENCE ARTICLE: Determining AVF Blood Flow (Linda Duval, William Jennings, and Lynda Ball)
6. TOOL: Arm Diagram to Document Flow Direction
7. POLICY AND PROCEDURE: Clamp Usage
8. SAMPLE GUIDELINES: Rating & Improving Dialysis Staff Cannulation Competency
9. POWERPOINT: Network 13 Vascular Access Evaluation and Cannulation Training Session (Cheryl George, RN)
10. BUTTONHOLE TECHNIQUE:
1. SAMPLE CRITERIA: Buttonhole Creation
2. REFERENCE ARTICLE: “The Buttonhole Technique for AVF Cannulation” (Lynda K. Ball, BS, BSN, RN, CNN)
3. SAMPLE PROCEDURE: Buttonhole Technique
4. TOOL: Buttonhole Cannulation Log
5. FACT SHEET: Buttonhole Technique
6. REFERENCE ARTICLE: Buttonhole Technique for AVF needle insertion (Dr. Zbylut J. Twardowski and Mr. George Harper)
7. REFERENCE ARTICLE: Buttonhole Chair side Perspective (Cate Lewis, RN, BSN, CNN)
8. REFERENCE ARTICLE: A Multi-Center Perspective of the Buttonhole Technique (Lynda K. Ball, Lynne Treat, Virginia Riffle, Dennis Scherting, and Liz Swift)
9. POWERPOINT: Buttonhole Damage Education Slides (Deb Brouwer, Kay Bregel, Janet Holland and Patt Ryder)
10. TOOL: Buttonhole Cannulation Skills Checklist
11. POWERPOINT: Network 13 Buttonhole Technique Training (Cheryl George, RN)
12. REFERENCE ARTICLE: Buttonhole Cannulation – An Unexpected Outcome (Ball, Doss, Schiller, and Moran)
13. BROCHURE: Network 16 Patient Education on Buttonhole Technique
11. SELF CANNULATION TRAINING RESOURCES:
1. PROCEDURE: Self-Cannulation of Vascular Access Procedure
2. POWERPOINT: Self Cannulation of Hemodialysis Vascular Access (Lynda K. Ball, BS, BSN, RN, CNN)
3. REFERENCE ARTICLE: Using ‘Tandem Hand’ Technique to Facilitate Self-Cannulation in Hemodialysis (Stuart Mott, BS, BA. LPN and Harold Moore, MA, Ed, BS, Ed, BS)
4. REFERENCE ARTICLE: The Art of Teaching Buttonhole Self-Cannulation (Stuart Mott, Vascular Access Nurse)

1. TOOL: VAMP© – Vascular Access Monitoring and Surveillance Flow Chart/Algorithm
2. ALGORITHM: Permanent Vascular Access Surveillance/Intervention
3. TOOLS: (Word™)
1. Monthly Surveillance for Complications Record
2. Current History
3. Prior History
4. Referral Summary
4. TOOLS: (Excel™): History and Tracking
5. TOOL: Vascular Access Clotting Fishbone
6. ALGORITHM: Dynamic Venous Pressure
7. TOOL: Infection Tracking
8. POLICY AND PROCEDURE: Monitoring, Surveillance, and the Failing AVF
9. TOOL: Network 13 AVF Utilization QI Activity (Inclusive of Data Collection, Root Cause Analysis, Trending/Tracking, with Reporting Capability)
10. ALGORITHM: Monitoring the Newly Placed AV Fistula for Maturation
11. POLICY AND PROCEDURE: Assessment and Monitoring of the Newly Placed AV Fistula for Maturation

1. STAFF
1. FACT SHEET: Frequently Asked Questions for Professionals about AVF’s
2. POWERPOINT: Best Access Procedures Dialysis Unit Viewpoint (Lesley C. Dinwiddie MSN, RN, FNP, CNN)
3. REFERENCE LIST: Articles by Fistula First Change Concepts
4. CONTACT INFORMATION: Provider Resources
5. TOOL: Fistula First Bruit Audio Clips Available for Patient and Staff Education Located at the bottom of the “What’s New” Column “Listen to the Bruit”
2. PATIENTS
1. CONTACT INFORMATION : Patient Resources
2. FACT SHEET: Frequently Asked Questions for Patients about AVF’s
3. BROCHURE: Doppler & Vessel Mapping
4. BROCHURE: Network 16 Patient Education on Buttonhole Technique (English/Spanish)
5. BROCHURE: Hemodialysis Vascular Access Options (English / Spanish)
6. FACT SHEET: Caring for your Fistula after surgery – (English/Spanish)
7. POSTER: Network 2 Poster - Vascular Access for Hemodialysis (English/Spanish)
8. ARTICLE: The Importance of Washing your Access (Lynda K. Ball, BS, BSN, RN, CNN)

1. PROCEDURES: What Professionals Can DO to Maximize AVF as Primary Access
2. RECOMENDATION: Network 13 Best Practice Messages – “Sharing What Works”

1. POSITION PAPER: Comprehensive Plan of Care for Hospitals
2. POSITION PAPER: Vein Preservation and Hemodialysis Fistula Protection
3. POSITION PAPER: Recommendations for the Minimal Use of PICC Lines
4. ALGORITHM: Reducing the Use of PICC Lines in CKD Algorithm
5. POSITION PAPER: What Hospital Professionals Can Do
6. PROCEDURE: Assessment of Interventions/Hospital Discharge Planning
7. PROCEDURE: Discharge Planning Check List
8. PROCEDURE: CKD Care Plan
9. ALGORITHM: CKD Stage 4 Vascular Access Plan
10. WEB LINK: Kidney Disease Progression and Stages

1. POSITION PAPER: Patient Quality of Life Self Management
2. LINKS: Quality of Life Resources

1. REIMBURSEMENT: Fact Sheet on Vascular Access Surgery Change in Physician Reimbursement 2009
2. CODING RESOURCE: ASDIN Coding of Procedures in Interventional Nephrology 2009
3. CODING RESOURCE: Commonly Used Permanent Vascular Access Codes
4. TEMPLATE: Introducing Fistula First for Payers
5. RECOMMENDATIONS: Concrete Measures for Payers to Improve AVF Placement
6. CMS POSITION PAPER: Pay for Performance Payer Information
7. COST REFERENCES: Slides

1. AVF “Did You Know?”
2. Catheter Reduction
3. Patient Perspective on AVF’s

1. Network 13 Website
2. Fistula First National Website
3. The Endovascular Forum
4. American Society of Diagnostic and Interventional Nephrology
5. American Nephrology Nurses’ Association
6. National Kidney Foundation KDOQI™ Vascular Access Guidelines

1. PRELIMINARY 2011-2012 TASK 1 QI WORK PLAN (QIWP)

1. Overview
2. Article – CROWNWEB – A Phased in Approach – description of the program
3. Training Modules (Power Point Presentations) LINK TO INTERACTIVE ONLINE TRAINING
   1. Facility Module - Facility Personnel
   2. Facility Module - Intro and Facility Info
   3. Facility Module - Managing Role and Scope
   4. Patient Admit Module - Admit and Discharge
   5. Patient Admit Module - Completing a CMS-2728 Form
   6. Patient Admit Module - Viewing and Editing Patient Attributes
   7. Patient Treatment Module - Entering Clinical Values
   8. Patient Treatment Module - Viewing and Verifying PART
   9. Patient Treatment Module - Completing a CMS-2746 Form

1. Copy of QIPS Registration Form
2. Role Selection for CROWNWeb Users
3. Hard Copy Instructions:
   1. Instruction for completing QIPS registration form for Facility Security Administrator (FA) (must be mailed to Network office for entry into QIPS system)
   2. Instructions for completing QIPS registration form for User-Editor and User-Viewer (must be entered into QIPS system by FSA and mailed directly to CMS designee)
4. Instructions for QIPS Editor/Viewer registration forms entry into QIPS system by FA

1. QualityNet Registration Form – Secure method for electronic transfer of PHI (not CROWNWeb)
2. HIPAA Acknowledgement Form

1. CMS-2728 (Medical Evidence Report) Overview
   1. Form with Instructions
   2. CMS–2728 Form Mandatory Fields
   3. Most Common 2728 Errors
   4. CMS-2728 Forms Completion Training Tool
2. CMS-2746 (Death Notification) Overview
   1. Form with Instructions
   2. Most Common 2746 Errors
   3. CMS-2746 Forms Completion Training Tool

1. Monthly Activity Reports
   1. Network Patient Activity Report (NPAR) and Instructions
      
   2. Patient Event Definitions and Business Rules for Facilities
      
   3. Helpful Hints for Completing NPAR
   4. Transplant Activity Report and Instructions
      
   5. Disaster Patient Activity Report

1. Universal Precautions
2. Hand Hygiene Fact Sheet
3. CDC Web site in Spanish
4. National Healthcare Safety Network (NHSN)
5. Pandemic Planning Update VI
6. Complying with OSHA’s Bloodborne Pathogens Standard
7. Measuring Hand Hygiene Adherence

1. CDC's Division of Viral Hepatitis
   • Guidelines for Viral Hepatitis Surveillance and Case Management
   • Hepatitis A, B, and C: Learn the Differences
   • Hepatitis B / C Frequently Asked Questions
   • Hepatitis B / C Patient Education materials
   • Testing and Public Health Management of Persons with Chronic Hepatitis B Virus Infection
2. CDC Study: Failures to Follow Infection Practices Have Placed More than 60,000 Patients at Risk for Hepatitis B and C
3. NIH Consensus Development Conference: Management of Hepatitis B
4. Immunization Action Coalition, Specific to Hepatitis
   • Hepatitis B "What You Need to Know" (English/Spanish)
   • Hepatitis C "What Vaccinations are Needed?"
5. Hepatitis/HIV Resources Newsletter

1. Recommendations for Prevention of HIV Transmission in Health-Care Settings
2. Sterilization or Disinfection of Patient Equipment HIV Related
3. Advancing HIV Prevention: Fact Sheet
4. HIV Fact Sheets

1. Guidelines for the Prevention of Intravascular Catheter-Related Infections
2. Examples of Clinical Definitions for Catheter-Related Infections
3. Infectious and Thrombotic Complications of Central Venous Catheters

1. Prevent Antimicrobial Resistance in Healthcare Setting Fact Sheet
2. Multi-Resistant Organisms in Non-Hospital Healthcare-Settings FAQ: MRSA-VRE-ESBLS-PRSP
3. Amino glycoside Resistance in Enterobacteriaceae and Pseudomonas aeruginosa
4. Vancomycin-resistant Enterococci (VRE) and the Clinical Laboratory
5. Recommendations for Preventing the Spread of Vancomycin Resistance - US Department of Health & Human Services - September 1995
6. Methicillin-resistant Staphylococcus aureus – MRSA

1. Tuberculosis CDC Homepage
   • Tuberculosis Q and A
   • Tuberculosis Fact Sheets
   • Tuberculosis Surveillance Information/Management
2. Tuberculosis Glossary of Terms
3. OSHA Enforcement Policy for Occupational Exposure to Tuberculosis

1. Immunizations CDC Home Page
   • Adult Immunization Recommendations (Schedule USA 2010 version)
   • 2010 Childhood & Adolescent Immunization Schedules
   • Summary of Recommendations Immunizations
   • Infection Control Measures for Prevention and Control of Influenza in Long-Term care Facilities
2. Adult Vaccination Screening Forms (English and Spanish)
3. Influenza CDC Home
   • Updated Influenza Information
4. Immunization Action Coalition Home Page
   • Adult Shingles Immunization Information
   • Vaccine Information Statements English/Spanish
   • Immunization Action Coalition: State Info
   • Immunization Action Coalition: Coodinator Info
   • Immunization Action Coalition: Laws Info
   • Immunization Action Coalition: Indian Health Services (IHS) Info
   • How to Administer Intramuscular (IM) Injections
   • Administering Vaccines to Adults: Dose, Route, Site, Needle Size, and Preparation
5. Prevent Influenza Now Web site
6. Influenza Vaccine Availability Tracking System (IVATS)
7. Prevention of Herpes Zoster
8. eDispense™ Information
9. CDC Statement on Oseltamivir (Tamiflu®) Resistance and Antiviral Recommendations
10. Dosing Recommendations for Anti-Virals
11. New Emergency Storage Issues
12. Pneumococcal Vaccination Recommended to Help Prevent Secondary Infections
13. H1N1 Flu and Season Flu: Caring for Someone Sick at Home

1. INFLUENZA
   1. H5N1 [Avian (Bird) Influenza and Avian Influenza A Virus Information]
   2. H1N1 [Swine Influenza Information]
2. Anthrax: What you Need to Know
3. Severe Acute Respiratory Syndrome (SARS): Preparedness and Response in Healthcare Facilities
4. Responding to Detection of Aerosolized Bacillus anthracis by Autonomous Detection Systems in the Workplace

1. ARKANSAS: Arkansas Disease Information
2. LOUISIANA: Louisiana Disease Information
3. OKLAHOMA: Oklahoma Disease Information

1. Patient Education Web Links
2. Dialysis Facility Compare
3. Network 13 Patient Rights & Patient Responsibilities Poster (11” x 17” Poster available upon request)

1. Patient Centered Web Links
2. Patient Centeredness In the Dialysis Unit (PowerPoint Presentation)

1. Decreasing Dialysis Patient/Provider Conflict (DPC) Toolkit
2. Difficult Situations Behavioral Management Web Links
3. Behavioral Agreement (SAMPLE)
4. Guidelines for Behavioral Agreements
5. Violence Policy (SAMPLE)
6. Involuntary Discharge (IVD) Requirements /Checklist
7. CMS Conditions for Coverage Requirements for IVD
8. Network 13 Documentation Requirement for IVD
9. Unstable Patients: Conditions for Coverage Interpretive Guidelines

1. QOL Web Links
2. Measurement of Physical Functioning In Older Adult Populations (May Require Log-in)

1. End of Life Web Links
2. Kidney End of Life Coalition
3. Advance Care Planning in Dialysis Facilities
4. USDHHS: Advanced Literature Review on Advance Directives
5. FAQ About End of Life Care for Renal Patients
6. End of Life Issues and Care
7. Guidelines for Terminating Treatment (University of Michigan)
8. Hospice Payment System: Fact Sheet Series

1. Rehabilitation Web Links
2. Vocational Rehabilitation Services (Arkansas, Louisiana, Oklahoma): Includes Eligibility for Services Criteria

1. Social Worker Resources Web Links
2. Arkansas
   1. State Medical Assistance Program
   2. DMERC-Durable Medical Equipment Regional Carrier
   3. Fiscal Intermediary-Medicare Part A and Medicare Part B
3. Louisiana
   1. State Medical Assistance Program
   2. DMERC-Durable Medical Equipment Regional Carrier
   3. Fiscal Intermediary-Medicare Part A and Medicare Part B
4. Oklahoma
   1. Oklahoma State Medical Assistance Program
   2. DMERC-Durable Medical Equipment Regional Carrier
   3. Fiscal Intermediary-Medicare Part A and Medicare Part B
5. Multi-Language Medicare Publications
6. New Help with Employment Services - Assessment Tool
7. New Help with Services/Resources - Assessment Tool
8. State NKF - Contact Information

1. Disaster Plan Template

1. Disaster Information
   1. Kidney Community Emergency Response (KCER) Coalition
   2. Patient ID Card: Dialysis and Transplant
   3. Patient and Staff Placards for Vehicles/Checkpoints
   4. Needs Assessment
   5. Mutual Aid Agreement (Sample)
   6. Communication Templates: Emergency Operations Center, Electric Co., Water Co.
   7. Earthquake Safety for Dialysis Providers
   8. Disaster Poster for Patient Waiting Areas Dialysis and Transplant (Posters available upon request)
2. Evacuation Resources (During Disaster) (Located in State Specific Tools Listed Above)
   1. Region
   2. Dialysis Facility and Patient Counts by Parish/County
   3. Emergency Contact Information by City
   4. Evacuation Routes and Potential Dialysis Units
3. Post Disaster
   1. Triage Information for Shelters as Needed
   2. ESRD Fact Sheet for General Public
   3. Public Service Announcement (Sample)
   4. American Red Cross Safe and Well List Website

1. Family Supply Kit
2. Workplace Disaster Supply Kit
3. Disaster Services - Disaster Supplies Kit

1. Emergency Meal Planning for Diabetics
2. Disaster Preparedness For People With Disabilities
3. Assisting People With Disabilities In A Disaster

1. Hurricanes: Key Facts About Hurricane Readiness
2. Tornadoes: Being Prepared
3. Winter Weather: Winter Storm Facts
4. Earthquakes: During an Earthquake

1. Bioterrorism Agents/Diseases
2. Bioterrorism and Public Health Preparedness
3. Chemical Agents: Facts About Sheltering in Place
4. Chemical Agents: Facts About Evacuation
5. Chemical Agents: Facts About Personal Cleaning and Disposal of Contaminated Clothing
6. General Information About Terrorism (Red Cross PowerPoint Presentation)
7. Guide For All-Hazard Emergency Operations Planning – Terrorism

1. Medical office Influenza checklist
2. Business Pandemic Influenza Planning Checklist “Modified for ESRD Providers”
3. Influenza General Information
4. Pandemic Preparedness tools
5. Guidance on Allocating and Targeting Pandemic Influenza Vaccine (Large File)

1. CDC Emergency Preparedness and Response
2. Kidney Community Emergency Response (KCER) Coalition
3. Emergency Preparedness Tools & Disaster Solutions for Organizations Families
4. FCC Public Safety and Homeland Security Bureau
5. Small Business Administration (SBA) Agility Recovery Solutions
6. SBA Disaster Preparedness

1. MEDICARE PART D COVERAGE DETERMINATION REQUEST FORM: ENROLLEE
2. MEDICARE PART D COVERAGE DETERMINATION REQUEST FORM: PHYSICIAN

UNITED NETWORK FOR ORGAN SHARING (UNOS)

1. What every Patient Should Know
2. Transplant Living
3. Living Donation Guidelines
4. Q & A’s about Multiple Listing & Waiting Time Transfer
   1. English – (Large File)
   2. Spanish – (Large File)

1. Adult Shingles Immunization Information
2. Prevention of Herpes Zoster

1. NEW NPR ORIENTATION PACKET
1. NPR Brochure
2. NPR Role Fact Sheet
3. HIPAA and Confidentiality Information
4. Facility/NPR Agreement (Must be completed to participate in the program)
5. NPR Activity Suggestion List
6. NPR Index Card (“Business Card”) Information Sheet
7. NPR Index Card Sample
8. NPR Photo and Information Release
9. NPR Orientation Packet Evaluation
10. Website Educational Resources for NPRs