Bill Peckham's Blog
The Dialysis Quality Incentive Program rule proposed - CMS calls for comments
Thursday, July 29, 2010
By Bill Peckham On Monday the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on the quality incentive program (QIP) required by Section 153 of MIPPA. Reading the 77 page PDF and the CMS Fact Sheet the proposal is about what was expected as a QIP starting point. .. .. read more.. The Dialysis Payment Bundle - initial reaction
Tuesday, July 27, 2010
By Bill Peckham The Centers for Medicare & Medicaid Services (CMS) issued the final rule creating a new bundled prospective payment system (PPS) for routine outpatient dialysis services. Skimming through the 900+ page PDF and the CMS Fact Sheet , I believe the new rule is an im.. .. read more.. CMS releases final dialysis payment rule
Monday, July 26, 2010
By Bill Peckham http://www.ofr.gov/OFRUpload/OFRData/2010-18466_PI.pdf The rule has been released. Lots of reading to do. .. read more.. Down the river with a cycler - NxStage conquers the Rogue
Monday, July 26, 2010
By Bill Peckham The trip was a 100% success. The only disappointment was that one of the dialyzors, Jim, wasn't able to go due to illness in the days before the start. We were able to fill Jim's two spots at the last minute; Megan and Sasha didn't know they were going until three days before they f.. .. read more.. Still waiting for CMS to release the final dialysis PPS rule
Friday, July 16, 2010
Here it is a week later than my "best guess" , just after 5PM in DC, and still the final dialysis payment rule is unreleased. It'll probably come out (just to spite me) when I am on the river and beyond the reach of the internet. I haven't heard anything -.. .. read more.. AJKD requesting essay submissions from CKD community
Wednesday, July 14, 2010
By Bill Peckham Back in November the American Journal of Kidney Disease launched a new monthly feature: In a Few Words . These are essays of fewer than 1,600 words that illustrate some facet of kidney disease through a personal story. So far they have been quite good - I particularly liked F.. .. read more.. Paddling for Dialysis set to launch
Wednesday, July 14, 2010
By Bill Peckham I haven't been posting blog reports, hopefully they'll return soon ... until then be sure to check in on Erich at Paddling on Dialysis for Kidney Health . Tomorrow Erich will embark on a 250 mile canoe adventure , in part to mark his 10th year of using dialysis, and in part to raise.. .. read more..
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The Renal Tsar
After the liberation: White Paper and consultations published
Monday, July 26, 2010
“Equality and excellence: liberating the NHS”, a White Paper setting out the coalition government’s vision for the NHS was published on 12 July. This is a significant document for kidney services setting a long term plan for the NHS. It aims to give the NHS a stable, enduring framework for quality a.. .. After the liberation: White Paper and consultations published Front door to needle time
Wednesday, July 21, 2010
I heard on the radio this morning that French air traffic control are on strike. Plus ça change. So despite the typical Manchester weather, are they trying to play cricket at Old Trafford? I know it must be holiday season. Have you ever missed a train or even a plane? If not I bet you have come .. .. Front door to needle time Q & A: Home dialysis start-up costs
Wednesday, July 14, 2010
Q: Dear Donal, the perennial question relating to the provision of home haemodialysis is; “what further resources do we have at our disposal to facilitate the choice of the patient?”About a quarter of the patients that we have in training for home haemodialysis at present do not have a suitable room.. .. Q & A: Home dialysis start-up costs Education, education, education
Thursday, July 8, 2010
Opportunities for patient education exist at all key stages of kidney care, from time of diagnosis with early CKD to end stage renal failure; and education remains as important now as when Tony Blair made it his Government’s key priority in his Conference Speech in 1997.Successful contemporary educa.. .. Education, education, education Screensavers save lives!
Thursday, July 8, 2010
I am always looking out for ideas where impact can be made and awareness raised and at Salford Royal, where I wear my “consultant hat”, the team organises awareness events for National Transplant Week (NTW) every year encouraged by David Dalton (CEO, Salford Royal NHS Foundation Trust).They have org.. .. Screensavers save lives! The heart and the kidneys – til death do us part
Wednesday, July 7, 2010
Increasingly patients with severe heart failure are managed in the community by specialist heart failure nurses working with primary care and cardiology teams. Their input is crucial, they’re often in the best position to detect early signs that the condition is worsening and to act to prevent acut.. .. The heart and the kidneys – til death do us part Predicting kidney disease – the QKidney scores
Tuesday, July 6, 2010
“Planning will always get it wrong” my good friend Colin Short, Consultant Renal Physician (Central Manchester NHS Foundation Trust), frequently observed when we worked together on the Greater Manchester Renal Project in the late 1990s; “it’s just a matter of by how much”. It’s true and using USA .. .. Predicting kidney disease – the QKidney scores Q & A : Hep B vaccination for predialysis patients - who pays?
Thursday, July 1, 2010
Q: Hi Donal, I am having increasing numbers of GPs who say that Hep B vaccination should be provided by renal services as part of the bundle of predialysis care. They say the PCT does not fund them for giving the vaccination, which is normally paid for privately by patients wishing to be vaccinated .. .. Q & A : Hep B vaccination for predialysis patients - who pays? Operating framework – signals for kidney disease?
Tuesday, June 22, 2010
The Operating Framework sets out the agenda for the NHS and is published in the Autumn to signal the priorities for the next financial year. It is unusual for it to be revised mid-year but these are unusual times. The financial challenges remain but the political landscape has changed. Quality cont.. .. Operating framework – signals for kidney disease? Planning your care
Tuesday, June 22, 2010
“No decisions about me, without me”Andrew Lansley, Sec of State 2010The General Practice patient survey is now in its 4th year and the 2009/10 report makes challenging reading for those interested in care planning. Some of the elements of the patient experience of GP services have not changed since .. .. Planning your care
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