When your kidneys no longer function properly, dialysis replaces some of those functions. One type of dialysis, hemodialysis, uses a machine and a filter to remove waste products and water from the blood. Outpatient dialysis services are used to treat the majority of individuals with end-stage renal disease (ESRD). There are over 185 outpatient hemodialysis facilities in Virginia.
In February 2019, the Virginia General Assembly passed House Bill 2425, which amended the Code of Virginia (§32.1-35.1) to expand statewide surveillance for HAIs to additional healthcare settings. Under this bill, outpatient hemodialysis facilities are required to share data with VDH as of July 1, 2019. Data required to be reported to NHSN to meet CMS requirements should be shared with VDH through the NHSN system. See Table 1 for measures that are part of the state reporting requirements for outpatient hemodialysis facilities. Note that the table lists the current reporting requirements. VDH reporting requirements will expand as CMS reporting requirements expand.
Table 1. HAI Reporting Requirements for Outpatient Hemodialysis Facilities in Virginia
|CMS Reporting Program||HAI Event||Applicable Units||Reporting Start Date|
|ESRD Quality Incentive Program (QIP)||Dialysis Event (includes positive blood culture, IV antimicrobial start, and signs of vascular access infection)||Outpatient hemodialysis facilities||January 2012|
- Surveillance Tools for Enrolled Outpatient Dialysis Facilities (CDC) – NHSN protocols and resources specific to outpatient dialysis facilities
- CMS Requirements for Reporting via NHSN (CDC) – current or proposed CMS requirements including particular HAI event data and reporting specifications
- CMS Reporting Resources for Outpatient Dialysis Facilities (CDC) – operational guidance and monthly checklists for reporting for outpatient dialysis facilities
- CMS Dialysis Facility Compare – public information about the quality of care at dialysis facilities; use to find dialysis facilities and compare the quality of care between different facilities
- Virginia Regulatory Town Hall – source of information about proposed changes to Virginia’s regulations; includes online forums where the public can make comments on proposed regulations
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