ESRD Conditions for Coverage Overview and Training Lynn M. Riley, RN, MA Lauren Oviatt Clinical Standards Group Office of Clinical Standards and Quality Centers for Medicare & Medicare Services August 7, 2008
The plan of care must include the basis for non-referrals for transplantation, and the dialysis facility must communicate with the transplant center at least annually.
Initial plan of care must be implemented within the latter of 30 calendar days after admission to the dialysis facility, or 13 outpatient hemodialysis sessions beginning with the first outpatient session.
Medical Director – Board-certified physician in internal medicine or pediatrics by a professional board who has completed a board-approved training program in nephrology and has at least 12-months of experience providing care to patients receiving dialysis.
If physician, with credentials mentioned above is not available, another physician may direct the facility, subject to the approval of the Secretary .
Nurse Manager – fulltime employee of the facility, Registered Nurse, at least 12-months of clinical nursing experience, and additional 6 months of experience in providing nursing care to patients in maintenance dialysis.
Self-care and home dialysis training nurse – RN, at least 12 months experience providing nursing care, additional 3 months experience in specific modality for which the nurse will provide self-care training.
Charge Nurse – RN, LPN, or LVN who meets practice requirements in State employed, 12 months experience in providing nursing care, additional 3 months experience providing nursing care to patients on maintenance dialysis, and meet State supervision requirements for LPN or LVN.
Staff Nurse – RN or LPN who meets practice requirements in State employed
Dietitian –Registered dietitian with the Commission on Dietetitic Registration, and have minimum of 1 year professional work experience in clinical nutrition as a registered dietitian.
Social Worker – MSW with a specialization in clinical practice from school of SW accredited by the Council on Social Work Education, or served at least 2 years as a SW, 1 year was in a dialysis or transplant program prior to 9/1/1976 and has a consultative relationship with a MSW
Patient Care Dialysis Technicians – meet all applicable State requirements for education, training, credentialing, competency, standards of practice, certification, and licensure in State employed as a PCT, high school diploma or equivalent, completed training program, certified under State program or national commercially available certification (phase-in)
Water Treatment System Technicians – complete training program approved by the medical director and governing body