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Western Pacific Renal Network, LLC

505 San Marin Dr. Bldg. A, Suite 300, Novato, CA  94945
Phone: 415-897-2400
Administration Fax: 415-897-2422
Data Fax: 415-897-2443
Toll-free for Patients: 1-800-232-3773
Serving: AS, Guam, HI, Mariana Islands, and Northern CA as ESRD Network #17   

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ESRD Conditions for Coverage (CfCs)

Overview | Infection Control | Water Treatment | Patient Safety | Patient Care | Patient Assessment | Plan of Care |

CfC Overview

On April 15, 2008 CMS published updated ESRD Conditions for Coverage. CMS develops CfCs that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs. These minimum health and safety standards are the foundation for improving quality and protecting the health and safety of beneficiaries. You may read the full CfC from the CMS Web site.  

General CfC Information

Complete Conditions for Coverage - From the CMS Web site.  
ESRD Program Interpretive Guidance - (pdf - 304 pgs - may be slow to download)
CfC Frequently Asked Questions - (pdf - 11pgs)
CfC Overview & Training - (Powerpoint Presentation)
Network #17 Newsletter - Special CFC Edition

Crosswalk: Former Conditions vs. Revised Conditions - (pdf - 186 pgs)

Outline of the Basic ESRD Survey Process
Emergency Preparedness Rules and Regulations from CFC - (pdf - 1pg)
Personnel Requirements - Technician Certification Organizations
Psychosocial Considerations of New CfC - (Powerpoint presentation)
CfC: Effects on Social Worker Practice - (Powerpoint presentation)
Procedures for ESRD Request for Waivers or Time-Extensions for Certain Conditions for Coverage

Model ESRD Waiver Letter: Isolation Room for Hepatitis B+ Patients

Model ESRD Waiver Letter: Life Safety Code Requirements for a New ESRD Facility Based Upon “Unreasonable Hardship"
Model ESRD Waiver Letter: Qualifications for Medical Director

V-tags-conditions-list

Webex on Updated Conditions for Coverage - presented by Network #15

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Patient Safety

Infection Control Resources

Infection Control Requirements for Dialysis Facilities and Clarification Regarding Guidance on Parenteral Medication Vials
Infection Control Requirements for Isolation Room/Area for Dialysis Facilities (pdf)
Recommendations for Preventing Transmission of Infections Among Chronic Hemodialysis Patients - from CDC MMWR

Water Treatment Resources

Water Treatment EBCT Calculator (MS Excel)
Contaminate Levels-Water Flow Diagram
Monitoring Guidelines for Water Treatment Systems and Dialysate (pdf)

Life Safety Codes

Implementation of the Life Safety Code Component of New CfCs - (pdf - 5 pgs)

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Patient Care

Patient Assessment Resources

CMPA Example Questions (interactive pdf - 35 pgs) - Developed by ANNA and NKF
MEASURES ASSESSMENT TOOL (MAT) - (MS Word)
Initial Nursing Assessment - (MS Word)
Initial Nutrition Assessment - (MS Word)
Initial Psychosocial Assessment - (MS Word)
Nursing Physical Assessment - (MS Word)
Patient Health History Questionnaire - (MS Word)
Re-Assessment Nursing - (MS Word)
Re-Assessment Nutrition - (MS Word)
Re-Assessment Social - (MS Word)
Dialysis Lab Tests at a Glance - (pdf)

Plan of Care Resources

Advance Beneficiary Notice (pdf)
Plan of Care (POC) - (MS Word)
Comprehensive Multidisciplinary Patient Assessment (CMPA) & Plan of Care Overview - (MS Word)

Patients' Rights

Patients' Rights Document
Patients' Rights Document - Spanish version

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Western Pacific Renal Network, LLC
505 San Marin Dr. Bldg. A, Suite 300, Novato, CA  94945
Phone: 415-897-2400
Administration Fax: 415-897-2422
Data Fax: 415-897-2443
Toll-free for Patients: 1-800-232-3773

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