The current number of confirmed COVID-19 cases and locations are updated daily and can be found here.

 For the most up-to-date information, please visit the CDC Coronavirus Disease 2019 Webpage.
 Interim Guidance for Outpatient Hemodialysis
 Guidance for Healthcare Facilities: Preparing for Community Transmission of COVID-19 in the United States
 CDCs Emergency Preparedness and Reponse - Health Alert Network (HAN) Messages
 CDCs Morbidity and Morality Weekly Report (MMWR) Updates
Click here to sign up for the CDC Newsletter to receive email updates about the Coronavirus Disease 2019 (COVID-19) outbreak.
 CDCs COVID-19 Cases in the U.S.

Expanded Medicare Telehealth Coverage

Today, The Trump Administration announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of healthcare services from their doctors without having to travel to a healthcare facility. Beginning on March 6, 2020, Medicare—administered by the Centers for Medicare & Medicaid Services (CMS)—will temporarily pay clinicians to provide telehealth services for beneficiaries residing across the entire country.
 
EXPANSION OF TELEHEALTH WITH 1135 WAIVER: Under this new waiver, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country and including in patient’s places of residence starting March 6, 2020.  A range of providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers, will be able to offer telehealth to their patients. Additionally, the HHS Office of Inspector General (OIG) is providing flexibility for healthcare providers to reduce or waive cost-sharing for telehealth visits paid by federal healthcare programs.
 
NOTE: The new waiver in Section 1135(b) of the Social Security Act explicitly allows the Secretary to authorize the use of telephones that have audio and video capabilities for the furnishing of Medicare telehealth services during the COVID-19 PHE. In addition, effective immediately, the HHS Office for Civil Rights (OCR) will exercise enforcement discretion and waive penalties for HIPAA violations against health care providers that serve patients in good faith through everyday communications technologies, such as FaceTime or Skype, during the COVID-19 nationwide public health emergency. For more information: link
 

Resources:

New! - COVID-19 Telehealth for ESRD Providers
New! - Healthcare Workers Coping with Infectious Disease

 Kidney Community Emergency Response (KCER)

 The Kidney Community Emergency Response (KCER) Program, under contact with the Center for Medicare & Medicaid Services, provides technical assistance to End Stage Renal Disease (ESRD) Networks, kidney organizations, and other groups to ensure timely and efficient disaster preparedness, response, and recovery for the kidney community. In an effort to track the spread and effects of the COVID-19 potential and confirmed cases in the ESRD population across our Network community including Ohio, Indiana, and Kentucky, KCER has tasked the networks to collect and report data from all of the independent dialysis facilities and transplant centers in our Network service area (Large dialysis organization are reporting this information directly to KCER). A tool known as the Emergency Situational Status Report (ESSR) has been created for this purpose (see information below).

Mandatory Reporting of COVID-19 Impact on Independent Dialysis Facilities

Understanding COVID-19 prevalence and trends in the ESRD community is critical in helping to build a comprehensive approach for supporting dialysis treatment, staffing, and access to care for patients during this public health emergency.
 

INDEPENDENT FACILITIES ONLY

Centers for Medicare & Medicaid Services (CMS) requires ESRD Networks to track and report impact on independent dialysis facilities. Please complete the COVID-19 Facility Status Report EACH DAY by close of business operations:
 
NOTE: Large Dialysis Organization (LDO) facilities - ARA, DaVita, DCI, DSI, and FKC - are required to report impact directly to their corporate emergency coordinators which is being shared nationally. Network staff will follow up with facilities to help address emergent needs and/or to provide appropriate resources.
 
Please send any questions regarding COVID-19 impact to esrdnetwork9@ipro.us .

American Society of Nephrologists (ASN)

Information for Screening and Management of COVID-19 in Outpatient Dialysis Facilities

ASN has received questions about the management of patients with confirmed or suspected COVID-19.  These FAQs were drafted for dialysis facilities based on current CDC guidance. Our intent is to relay information based on the current state of knowledge, but the global situation is evolving rapidly. The information linked is current as of March 4, 2020 and we will update these FAQs as more information becomes available.
ASN FAQ: Information for Screening and Management of COVID-19 in the Outpatient Dialysis Facility provided by ASN for Dialysis Facility Staff PDF (Updated: Wednesday, March 4, 2020)

ASN Coronavirus Awareness Poster PDF


Transportation Resources

Transportation is a critical part of patient care. The ESRD Network of the Ohio River Valley will continue to monitor and gather resources relating to the transportation of dialysis patients to and from their scheduled appointments during the Coronavirus Pandemic (COVID-19). The situation on the ground varies from state to state, so please utilize these resources to help you connect with transportation opportunities for dialysis patients in the Network.

State Transportation FAQ's with Critical Resource Links and Information

The Network has compiled information on the management of dialysis transportation in each state and has released the below Frequently Asked Questions (FAQ). These resources were designed to provide an overview of the current transportation systems in place in your state, as well as helpful links to resources critical to arranging transportation for dialysis patients. Included are state and county contacts for transportation and answers to questions about the methods taken to secure transportation in emergency circumstances ( i.e.,transportation companies shutting down or refusing to transport patients)
 
Access the FAQ for your state below:
 
 

State Transportation Databases

The Network has compiled three databases to house up-to-date information about transportation and community resources available. This information is a supplement to the FAQ's above and should be utilized in concert with that document. Information included in the database may include contact info for transit authorities, emergency management agency leads, community transportation initiatives and organizations, and status updates on transit protocols and policies. Please note that contact names and other pertinent information will be updated as situations change or new information becomes available. Please note that the Network is in contact with transportation companies, transit authorities, and emergency management statewide.

 
Download the most current version of the database for your state below in Microsoft Excel and enable the content before following the directions to search the database.
 
 
 
**If you have an acute transportation issue, please call Laura Rodriguez-Carbone, Community Outreach Coordinator, at (216) 755-3056 Monday through Friday between 8:00am-4:30pm, and she will attempt to assist you with resources and advocacy for transportation in your area.**  
 

Centers for Disease Control and Prevention (CDC)

The current number of confirmed COVID-19 cases and locations are updated daily and can be found here.

 For the most up-to-date information, please visit the CDC Coronavirus Disease 2019 Webpage.
 Interim Guidance for Outpatient Hemodialysis
 Guidance for Healthcare Facilities: Preparing for Community Transmission of COVID-19 in the United States
 CDCs Emergency Preparedness and Reponse - Health Alert Network (HAN) Messages
 CDCs Morbidity and Morality Weekly Report (MMWR) Updates
Click here to sign up for the CDC Newsletter to receive email updates about the Coronavirus Disease 2019 (COVID-19) outbreak.
 CDCs COVID-19 Cases in the U.S.
 Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID 19 in Healthcare Settings (interim guide)
 Disinfecting your home when someone is sick

IPRO ESRD Network of the Ohio River Valley
Network 9

Main Line: 216-593-0001
Patient Toll-Free: 844-819-3010


World, National and Local Resources:

International:
World Health Organization (WHO)

National:
Centers for Disease Control and Prevention (CDC)
Public Health Emergency (ASPR)

Local:
Ohio Department of Health
 Indiana State Department of Health
 Kentucky Cabinet for Health & Family Services

Patient Education:
 Dialysis Patient Citizens  "What the COVID 19 Means for Kidney Patients"

Additional Resources:

  ASPR TRACIE Topic Collection: Coronaviruses
 U.S. Food & Drug Administration (FDA) Coronavirus Disease 2019 (COVID-19)
 World Health Organization (WHO) Coronavirus Disease (COVID-19) Outbreak Daily Updates
Health Industry Distributors Association (HIDA) Novel Coronavirus Resource Center
 American College Health Association (ACHA) Important Information for Campuses
 Occupational Safety and Health Administration (OSHA) COVID-19 Overview
 Occupational Safety and Health Administration (OSHA) Protecting Workers during a Pandemic Fact Sheet
American College of Physicians (ACP)  Novel Coronavirus: A Physician's Guide
 Association for Professionals in Infection Control and Epidemiology (APIC) Coronavirus Disease Fact Sheet

Managing Stress During the COVID19 Crisis

 Tips for Social Distancing , Quarantine & Isolation During and Infection Disease Outbreak (english) (spanish/espansol)
 Coping with Stress During Infection Disease Outbreaks 

 

Emergency Messaging Channel

 American Society of Nephrology COVID-19 Facts 
 PPE Conservation Guidance 
 QIP Guidance 
 TeleHealth Coverage
 Infection Prevention Dialysis Checklist
 QIP NW9 Updates
 NW9 COVID-19 Updates
 How to wear Cloth Masks
 COVID-19 Guidance & Information