STANDARDS OF PRACTICE FOR NEPHROLOGY SOCIAL WORK

STANDARDS OF PRACTICE FOR NEPHROLOGY SOCIAL WORK

Sixth Edition

6th Edition Edited By: Teri Browne, PhD, MSW, NSW-C Leanne Peace, MSW, LCSW, MHA

Diane Perry, LICSW, NSW-C

All rights reserved. No part of this may be reproduced without express written permission from the National Kidney Foundation, Inc.

Copyright 2014 National Kidney Foundation, Inc.

All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage retrieval system, without permission in writing from the National Kidney Foundation, Inc.

National Kidney Foundation, Inc. 30 East 33rd Street New York, NY 10016 800-622-9010

Council of Nephrology Social Workers

30 E. 33rd Street New York, NY 10016

Tel 212.889.2210 Fax 212.689.9261



2014-2015 NKF-CNSW EXECUTIVE COMMITTEE

CHAIR Leanne Peace, MSW, LCSW, MHA

CHAIR-ELECT Debbie Brady, LCSW, ACSW, NSW-C

IMMEDIATE PAST CHAIR Stephanie J. Stewart, LICSW, MBA

PROFESSIONAL EDUCATION CHAIR Andrea DeKam, LMSW, NSW-C

MEMBERSHIP CHAIR Jennifer Bruns, LMSW, CCTSW

SCM15 Program Chair Vernon Silva, LCSW, NSW-C

SCM15 Program Co-Chair Kim, Gusse, LMSW, ACSW

PUBLICATION CHAIR Camille M. Yuscak, LCSW-R, NSW-C

REGION I & V REPRESENTATIVE Lisa Hall, MSSW, LICSW

REGION II & IV REPRESENTATIVE Lois Kelley, MSW, LSW, ACSW, NSW-C

REGION III REPRESENTATIVE Nikki Baune, MSW, LICSW

Dear Colleagues,

On behalf of the National Kidney Foundation's Council of Nephrology Social Workers (CNSW), we would like to introduce the sixth edition of the Standards of Practice for Nephrology Social Work. In addition to updating the material already in the book, it was also updated to include the language of the new Conditions for Participation.

I wish to thank the editors of this edition, Teri Browne, PhD, MSW, NSW-C (CNSW Chair 2005-2009); Leanne Peace, MSW, LCSW, MHA (CNSW Chair 2013-2015), and Diane Perry, LICSW, NSW-C (CNSW Region III Representative 2012-2014), and the rest of the CNSW Executive Committee who took time to review this manual in great detail in the commitment to have it as best as it can be for the CNSW membership.

Nephrology social work continues to be an exciting and expanding field. In addition to dialysis and transplant social workers, we continue to see growth in other areas of practice such as pre-dialysis patient educators, social workers in management of dialysis companies, and research in university settings. We hope this updated edition will continue to offer information and resources beyond just the clinical setting. CNSW hopes you will find this a useful resource in your social work practice.

Sincerely, Stephanie Stewart, LICSW, MBA CNSW Chair, 2011-2013

Council of Nephrology Social Workers Mission Statement

The Council of Nephrology Social Workers (CNSW) functions as a professional membership council within the framework of the National Kidney Foundation (NKF) and networks with other organizations, including the Centers of Medicare and Medicaid (CMS), state and local governments, and private groups. CNSW's purpose is twofold: one, to assist patients and their families in dealing with the psychosocial stresses and lifestyle readjustments and facilitate a treatment program that will maximize rehabilitation potential; two, to support the federal regulations governing ESRD reimbursement in regard to standards for social work practice and in the definition of a qualified social worker.

Council of Nephrology Social Workers Strategic Goals

? Develop and promote patient and public education. ? Support and promote the profession and education of nephrology social work. ? Impact regulatory and legislative issues. ? Ensure the use of the qualified social work in the ESRD setting. ? Provide ongoing support and education to the kidney disease patient.

Table of Contents

1. UNDERSTANDING CHRONIC KIDNEY DISEASE

8

NKF KIDNEY DISEASE OUTCOMES QUALITY INITIATIVE (NKF-KDOQI)TM

8

Definition and Classification of CKD

9

Role of the Nephrology Social Worker

10

2. NEPHROLOGY SOCIAL WORK

11

THE ROLE OF THE NEPHROLOGY SOCIAL WORKER

11

ESRD REGULATIONS: DEFINITION OF SOCIAL SERVICES AND QUALIFIED SOCIAL WORKERS 12

PRE-DIALYSIS EDUCATION: THE SOCIAL WORKER'S ROLE

19

TEAMWORK

20

ESRD FACILITY SURVEY

21

DOCUMENTATION FOR DIALYSIS SOCIAL WORKERS

22

QUALITY ASSESSMENT PERFORMANCE IMPROVEMENT (QAPI)

25

CNSW POSITION STATEMENT ON SOCIAL WORK STAFFING

30

APPROACH TO PATIENT/SOCIAL WORKER STAFFING

37

NEPHROLOGY SOCIAL WORK JOB DESCRIPTION

44

NEPHROLOGY SOCIAL WORK SUPERVISOR JOB DESCRIPTION

46

NEPHROLOGY SOCIAL WORK JOB PERFORMANCE APPRAISAL

48

NEPHROLOGY SOCIAL WORK CERTIFICATION

50

RECRUITMENT

52

RETENTION

53

3. PSYCHOSOCIAL ASPECTS OF CHRONIC KIDNEY DISEASE

56

PSYCHOSOCIAL ASSESSMENT FORMS

56

Adult Psychosocial Assessment Tool

56

Pediatric Psychosocial Assessment Tool

56

KIDNEY TRANSPLANTATION

58

Psychosocial Considerations and Evaluation

59

Financial Considerations

61

Rehabilitation and Vocational Rehab

62

Recommended Reading for Transplant Social Workers

62

LIVING DONOR EVALUATION AND RESOURCES

67

INDEPENDENT LIVING DONOR ADVOCATE

68

REHABILITATION AND KIDNEY DISEASE & KIDNEY FAILURE

69

Background

69

Select Laws that Protect Workers with Disabilities

72

Social Security Disability Programs

73

Social Security Work Incentive Programs

74

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