When and how should patients on backup hemodialysis be reported?
If a patient is expected to be (or ends up) on backup hemo for longer than 30 days they should be considered a transfer in and as such should be reported on the PAR–UNLESS patient is only receiving occasional (2x or less per week) hemodialysis treatments in addition to their PD treatments; in these cases the backup treatments don’t need to be reported. Q: What happens if a patient enters a long-term care center (i.e. VENCOR) or a hospital? A: That event is now considered an “Interruption in Service” and should be reported via the Patient Activity Report. That patient is still considered a part of the population, and any status change (death, recover function, transfer to chronic facility) needs to be reported via the PAR. If a patient dies within 30 days of entering an acute facility, the outpatient dialysis unit is still responsible for completing a 2746 form. Q: What is the difference between the “Current Rejects Report” and the “Missing Forms Report”? A: The Current Rejects Report
