1. Utilizing NSW-C
Competencies in
Daily Practice
Jennifer McClain MSW, LSW, NSW-C
jennifermcclain@gmail.com
jennifer.mcclain@fmc-na.com

2. Disclosure Statement
Nothing to disclose

3. What is Nephrology Social Work?

4. Nephrology Social Work
Regulatory
Case Management
Administrative
Other

5. Regulatory
• Assessment
• Plan of Care
• KDQOL
• Depression screenings
• Patient Education
• QAPI
• Involuntary Discharge

6. Regulatory Responsibilities
Phases of Dialysis
• Initiation of treatment
• Fluctuating illness & physical decline
• End of Life & death
• Crisis

7. Assessment & Plan of Care

8. Available for CNSW members to download:
https://www.kidney.org/professionals/membership/home

9. Available for CNSW members to download:
https://www.kidney.org/professionals/membership/home

10. Available for CNSW members to download: https://www.kidney.org/professionals/membership/home

11. Organizing Regulatory Tasks
Old School New School

14. Protection of Documentation
Burden of proof of what we do for
accountability and verification

16. QAPI Reporting
Reporting Trends
• KDQOL
• Depression screening
• Adherence
• Transplant
• Grievance
• Involuntary discharge

19. Involuntary Discharge
Standard
• Acceptable
o Patient or payer no longer
reimburses the facility
o Facility ceases to operate
o Necessary for patient’s
welfare due to medical
needs
• Not Acceptable
o Excessive absences
o Shortened treatments
Immediate
• Direct threat to the
health and safety of
others

20. Involuntary Discharge Resources
• ESRD Networks
• Decreasing Dialysis Patient-
Provider Conflict
• CMS Regulations
• Clinical Performance Measures
Project
• Kidney School Module Fourteen:
Patient Rights & Responsibilities
Source: Hall, L. (2009, June). Involuntary Discharge: Alternative Strategies to
Address Behaviors. [Editorial]. Dialysis & Transplantation, p. 1-3.

21. Case Management
• Financial
• Caregiver support
• Physical Health
• Psychological Health
• Safety
• Transportation
• Transplant Referrals

22. Administrative
• Required meetings
• Email communications
• Phone calls
• Personal tracking
systems
• Report writing

23. Improving Efficiency
• Utilize existing organizational systems
• Batch phone calls
• Complete documentation while on hold

24. Efficiency (continued)
• Keep commonly used forms within reach
• Pre-organize paperwork
• Practice flexibility with order of priorities
• Schedule time for
o Documentation
o QOL and depression screening
o Assessments and plan of care

25. “Other duties as assigned”
• Internal intensives
• Internal research
• Trainings
• Staff education
• Network projects
• Management support
• Community action

26. My NSW-C Story

27. Nephrology Social Work Certification
NSW-C
• What is it?
• How can you become certified?
Go to:
www.kidney.org/professionals/CNSW/certification

28. Source: https://www.kidney.org/professionals/CNSW/certification

29. Source: https://www.kidney.org/professionals/CNSW/certification

30. Source: https://www.kidney.org/professionals/CNSW/certification

31. 1. Clinical Assessment
2. Crises & Conflict Management
3. Counseling/referrals
4. KDQOL
NSW-C Competency in the Clinic

32. NSW-C Competency (continued)
5. Medicare/Medicaid
6. Modality knowledge & education
7. Consents & advanced directives
8. Team & professional interactions

33. Moving forward?

34. Thank you.
Thank you very
much.

35. Resources
National Kidney Foundation: Social Work Professionals Page
https://www.kidney.org/professionals/CNSW
Nephrology Social Work – Certified (NSW-C) Program
https://www.kidney.org/professionals/CNSW/certification
Decreasing Dialysis Patient-Provider Conflict (DPC) Provider Manual
http://esrdnetworks.org/special-projects/copy_of_DPPCProviderManual.pdf
CMS Conditions for Coverage: Involuntary Discharge
http://www.network13.org/PDFs/NW13_IVDPacket.pdf
The Involuntary Discharge Process: The Renal Network ESRD Networks 9 & 10
http://www.therenalnetwork.org/services/resources/IVD/UPDATED_IVD_2010.pdf
Kidney School Module Fourteen: Patient Rights & Responsibilities
http://kidneyschool.org/pdfs/KSModule14.pdf
Hall, L. (2009, June). Involuntary Discharge: Alternative Strategies to Address Behaviors.
[Editorial]. Dialysis & Transplantation, p. 1-3.