ESRD SURVEY AND CERTIFICATION MATERIALS TOC

1. ESRD Program Interpretive Guidelines

a. ESRD Basic Technical Surveyor Training: Interpretive Guidance

2. ESRD Frequently Asked Questions (FAQs) – Version 1.3

a. ESRD Basic Technical Surveyor Training: FAQs

3. Tools and Resources (e.g., Measures Assessment Tool, etc.)

a. Measures Assessment Tool (MAT)

b. Helpful Web Sites for ESRD Surveyors

c. Outline of the Basic ESRD Survey Process

d. ESRD Facilities V-Tags and Identifiers

e. Infection Control isolation

f. Monitoring guidelines for water purification equipment and distribution systems and dialysate

g. Chemical Contaminant Levels in Water Used to Prepare Dialysate

h. Correlation Grid for Patient Assessment & Plan of Care

i. Personnel Requirements and Certification Organizations

j. Principles of Documentation Overview

k. Dialysis Lab Tests at a Glance

4. Optional Surveyor Worksheets and Tools

a. Statement of Deficiencies and Plan of Correction

b. Entrance Conference Questions

c. Reference Materials List: Entrance Conference

d. Interview and Observation: Water and Dialysate Technician

e. Reuse Technician Observation/Interview, Review of Logs & QA (Task 7)

f. Interview: Home Training Nurse

g. Patient Roster

h. In-Center Hemodialysis Patient

i. Home Hemodialysis Patient

j. Peritoneal Dialysis Patient

k. Medical Record Review: In-Center Hemodialysis

l. Medical Record Review: Home Hemodialysis (HHD)

m. Medical Record Review: Peritoneal Dialysis

n. Interview: Social Worker

o. Interview: Dietitian

p. Personnel File Review

q. Verification of Dialysis Patient Care Technician Certification

5. Survey and Certification Letters

a. Clarification of Certification Requirements and Coordination of Care for Residents of Long-Term Care (LTC) Facilities Who Receive End Stage Renal Disease (ESRD) Services.

b. Addendum I to S&C Letter 04-24 on the Care for Residents of Long-Term Care (LTC) Facilities Who Receive End Stage Renal Disease (ESRD) Services

c. Survey Guidance for a New Home Hemodialysis Water Treatment Device, the “NxStage PureFlow™ SL Water Purification System (PureFlow™)”

d. Survey & Certification Emergency Preparedness Initiative: Provider Survey & Certification Declared Public Health Emergency FAQs – All Hazards

e. Initial Surveys for New Medicare Providers

f. Initial Surveys of Rural Health Clinics (RHCs) and Skilled Nursing Facilities (SNFs) - Raised to Tier 3 Priority - And Continued Encouragement for Dialysis Facility Priority Within Tier 3

g. Alert: Food and Drug Administration (FDA) Heparin Recall For All Provider Types

h. Advance Copy – End Stage Renal Disease (ESRD) Program Interpretive Guidance Version 1.1

i. Waivers and Phase-In Time Extensions for the Implementation of the New End Stage Renal Disease (ESRD) Conditions for Coverage

j. Implementation of the Life Safety Code (LSC) Component for the New End Stage Renal Disease (ESRD) Conditions for Coverage

k. Surveying Facilities That Use Electronic Health Records (EHR)

l. Frequently Asked Questions (FAQs) Related to the New End Stage Renal Disease (ESRD) Conditions for Coverage (CfCs): Wave One

m. Centers for Medicare & Medicaid Services (CMS) Approval of State and National Certification Programs for Patient Care Dialysis Technicians (PCTs) under the new End Stage Renal Disease (ESRD) Conditions for Coverage\

n. Phasing Implementation of Life Safety Code (LSC) Surveys in End Stage Renal Disease (ESRD) Facilities for Calendar Year (CY) 2010

o. End Stage Renal Disease (ESRD) Program Survey Guidance on Patient Care Dialysis Technicians (PCTs) Certification

p. Questions Related to State Agency (SA) Records Management Policy for Paper and Electronic Formats

q. End Stage Renal Disease (ESRD) Program Information and Communication: Keeping Informed about Survey and Certification Areas Related to the ESRD Program

r. Interior Finish Documentation Requirements for Multiple Providers

s. End Stage Renal Disease (ESRD) Update of Frequently Asked Questions (FAQs)