We all know costs for nephrology patients continues to increase and numbers of renal patients continues to increase also. President Donald Trump has recently signed a proclamation which has possibly far-reaching consequences.
I think it’s fairly realistic. CKD is a huge problem so it’s nice that the focus is starting to shift towards prevention as well. I like the living donors incentives too. I will be interested to see how that comes to fruition. On a different note... I think it’s going to be real interesting to see how ans when Hospitals and insurance companies start posting prices. I read that for each day they don’t comply they are fine something like 500$.
I think it is realistic. But I'm concerned about insurance. My husband had to change from Humana back to regular Medicare. I tried to get a supplement and the first question was any kidney problem, told he didn't qualify for supplements
If he has ESRD he should be able to get a Medicare supplement,
I think the goals and timeline are a little lofty, but not necessarily a moonshot. I think it's a good start and a huge step in the right direction. One of the nephrologists in our area has already been doing everything he can to keep CKD patients from having to start dialysis (a rarity in the industry and really the only one in this area). He also tries to make sure that his patients are at least started in the process of getting a permanent access placed if they look like they are going to have to start dialysis. He will occasionally send us a patient that already has a permanent access in place. Unfortunately, as I'm sure you know, many nephrologists don't care to put in the work to keep a patient from progressing to ESRD and going on dialysis.
Hopefully these changes will be the start of a transition in kidney care for our country. It seems like it might make my position even more valuable at a nephrology practice once I finish NP school in December. Will definitely be educating myself on the policy changes, etc., so I can market myself well.
Here's an update - practices have until January to submit an application to CMS for the new payment model.
Many people in the US have some degree of renal impairment. The Centers for Disease Control (CDC) estimates that 15% or 37% of adults have chronic kidney disease (CKD). It is the 9th leading cause of death in the US. Here are some more sobering statistics:
What Are The 2 Main Causes Of All-Renal Disease?
We know the two main causes of all-renal disease are hypertension and diabetes. Unfortunately, both diseases can go unnoticed for many years before a diagnosis is made and treatment started. By then, sometimes the damage is already done. And as CKD advances, more complications occur:
In reaction to this growing epidemic, Presidential Donald Trump signed an Executive Order outlining concrete steps that the US is going to take in order to reduce the number of patients with CKD. This mandate will also offer more choices for patients who progress to end-stage renal disease (ESRD) and must then rely on dialysis or a transplant to live. Some of the points include:
How Will We Reduce The Number Of Patients With Chronic Kidney Disease (CKD)?
And how will all of this get accomplished? There are multiple steps in this process and it isn't expected to be a quick solution to a growing problem.
So had does this Executive Order affect US - those caring for the renal patient on a daily basis? For this, I went to the Renal Physicians Association for their review.
There will be incentives for nephrology practices as well as for dialysis providers to meet these deadlines. However, this is a formidable task.
This will benefit nurses too. Nephrology nurses and advanced practice providers can expect new roles to come out of this initiative. Some of these might include:
What are your thoughts? Do you think the timeline is realistic?
About traumaRUs, MSN, APRN
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