These can be very interesting...
From:
http://www.cms.gov/GuidanceforLawsAndRegulations/05_Dialysis.aspThe Survey and Certification Program certifies ESRD facilities for inclusion in the Medicare Program by validating that the care and services of each facility meet specified safety and quality standards, called "Conditions for Coverage." The Survey and Certification Program provides initial certification of each dialysis facility and ongoing monitoring to ensure that these facilities continue to meet these basic requirements.
This page provides basic information related to survey and certification of dialysis facilities for ESRD surveyors and dialysis providers. It includes links to applicable laws and regulations, and provides resources to support and assess compliance with Federal regulations.
A. ESRD Program Interpretive Guidance Manual is in three parts: a computer identifier tag ("V tag"); the wording of the regulation; and the guidance in interpreting the regulation. For ease of navigating the Interpretive Guidance, the Conditions are hyperlinked so you can click on the page number for the Condition in the Table of Contents to navigate to that page.
http://www.cms.gov/GuidanceforLawsAndRegulations/Downloads/esrdpgmguidance.pdfB. ESRD State Operations Manual (under construction)C. Surveyor Worksheets & Tools: Acronyms & Abbreviations, CMS 2567 blank form, interview guides and worksheets, Excel tools for use in the survey of the water treatment system http://www.cms.gov/GuidanceforLawsAndRegulations/Downloads/surveyorworksheetstools.zipD. Surveyor "Laminates" are abbreviated survey guidancehttp://www.cms.gov/GuidanceforLawsAndRegulations/Downloads/surveyorlaminates.zipMeasures Assessment Tool (MAT): 2-page summary of the standards used in assessing compliance with requirements used throughout the regulations formatted in 5 columns to include the referenced V tag, the measure, the expected value(s), reference for the value(s), and where the surveyor should find the information during a survey (Version 1.7)
Helpful Web Sites for ESRD Surveyors: 2-page listing of recommended Web sites inside and outside CMS (Version 1.2)
Outline of the Basic ESRD Survey Process: 4-page list of tasks in the survey process (Version 1.5)
End Stage Renal Disease Facilities V-Tags & Identifiers: 3-page list of V-Tags and Aspen identifiers along with Condition statements from the Interpretive Guidance (Version 1.4)
Infection Control/Requirements for Isolation Room or Area: 2-page description of V-tags and descriptors plus requirements for all facilities, existing facilities and new facilities (Version 1.3)
AAMI RD52 Table 4/Water Chart Decision Tree: Two documents adapted from AAMI RD 52, Table 4 and Figure 1, to include the V-tag, the item to monitor, what to look for, how often to monitor, special interval, normal interval and specification
Chemical Contaminant Levels in Water Used to Prepare Dialysate/Water System Flow Diagram: 2-page summary of the ANSI/AAMI RD 62 water levels and a diagram of a typical water system (Version 1.0)
Correlation Grid of Patient Assessment & Plan of Care/Timelines for Patient Assessment & Plan of Care: 2-page summary showing the relationship between patient assessment and plan of care requirements plus expected frequency of patient assessments and plans of care based on whether the patient is on in-center or home dialysis, new, transferred/transient, changing modality, stable or unstable (Version 1.3)
Personnel Requirements/National Commercial PCT Certification Organizations: 2-page summary of requirements for staff of a dialysis facility plus information on national commercial dialysis technician certification organizations (Version 1.2)
Principles of Documentation Overview: 2-page adaptation of the Principles of Documentation, the guidance surveyors must use in writing deficiency statements adapted from (Exhibit 7A), in the CMS State Operations Manual (Version 1.0)
Dialysis Lab Tests At a Glance: 2-page listing of common blood tests for people on dialysis, to include normal values, expected values in someone with kidney disease, and signs/symptoms if values are too high or too low (Version 1.1)
E. Survey & Certification Letters related to dialysis: PureFlow, initial survey, waivers and phase in, Life Safety Code, surveying electronic health records, CMS Approval of State and National Certification Programs for PCTs under the new ESRD Conditions for Coverage, ESRD Program Survey Guidance on PCT Certification, and more
http://www.cms.gov/GuidanceforLawsAndRegulations/Downloads/srvycertletters.zipF. ESRD Frequently Asked Questions: provides answers to frequently asked questions asked by surveyors and members of the renal community, all organized by the applicable V Tag (Version 1.2). For ease of navigating the ESRD FAQs, the Conditions are hyperlinked so you can click on the page number for the Condition in the Table of Contents to navigate to that page. Please send your questions about the ESRD Conditions for Coverage or ESRD Survey & Certification to ESRDSurvey@cms.hhs.gov.
http://www.cms.gov/GuidanceforLawsAndRegulations/Downloads/faqsep2009.pdfRelated Links Inside CMS End Stage Renal Disease (ESRD) Center
http://www.cms.gov/center/esrd.aspEnd Stage Renal Disease and Clinical Laboratories Open Door Forum
http://www.cms.gov/opendoorforums/15_odf_esrd.aspESRD Network Organizations
http://www.cms.gov/esrdnetworkorganizations/Overview Clinical Performance Measures Project
http://www.cms.gov/cpmproject/Part 494 Conditions for Coverage for End-Stage Renal Disease Facilities
http://www.cms.gov/cfcsandcops/downloads/esrdfinalrule0415.pdfRelated Links Outside CMS Dialysis Facility Compare
http://www.medicare.gov/DialysisDialysis Facility Reports
http://www.dialysisreports.org/Fistula First Breakthrough Initiative
http://www.fistulafirst.org/Kidney Community Emergency Response Coalition
http://www.kcercoalition.com/Kidney End-of-Life Coalition
http://www.kidneyeol.org/Social Security Act, Section 1881 entitled "Medicare Coverage for End-Stage Renal Disease Patients"
http://www.ssa.gov/OP_Home/ssact/title18/1881.htmSTAR Project Collaboration Site
http://www.alpinetg.com/star/United States Renal Data System
http://www.usrds.org/
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