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ESRD Conditions for Coverage (CfCs)Overview | Infection Control | Water Treatment | Life Safety Codes | Patient Assessment | Plan of Care | State Survey Agencies CfC OverviewOn 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. Patient Safety
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Patient Assessment Resources |
| CMPA Example Questions (interactive pdf - 35 pgs) - Developed by ANNA and NKF |
| Revised Measures Assesment Tool (pdf) |
| 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 |
| Survey Tools |
| ESRD Facilities V-Tags and Identifiers (pdf) |
| Outline of the Basic ESRD Survey Process (pdf) |
State Survey Agencies
State-Specific Licensing Regulations for ESRD Facilities |
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| Arizona | Nevada | Utah |
| Colorado | New Mexico (Scroll down to find the section for End-Stage Renal Disease Facililties) | Wyoming |
 Personnel Requirements (pdf) |
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| CMS Memo Regarding PCT Certification | ||
| State PCT Certification Prorgrams with Provisions or Requirements that Meet CMS Approval | ||
| National Commercial PCT Certification Programs | ||
| Helpful Websites for ESRD Surveyors (pdf) |
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Intermountain
End-Stage Renal Disease Network, Inc.
165 S. Union Blvd., Suite 466, Lakewood, CO 80228
Phone: 303-831-8818 Fax: 303-860-8392
Toll free for patients only: 1-800-783-8818 or 1-888-777-0105
For Network #15 Patients | For Network #15 Providers | About Network #15 | Contact Us
Supported by Centers for Medicare and Medicaid Services (CMS) Contract No.HHSM-500-2006-NW015C. The content of this web site does not necessarily reflect the views or policies of CMS or the Department of Health and Human Services; nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. Network #15 assumes full responsibility for the accuracy and completeness of this web site.