Promote Appropriate Home Therapies
Quality Improvement Activity (HT QIA)
For questions or technical assistance, please contact:
Anna Bennett
Quality Improvement Coordinator
(516) 209-5474

Jeanine Pilgrim
Quality Improvement Director
(516) 209-
QIA Facilities:
List of facilities included in the Promote Appropriate Home Dialysis QIA
Please be aware of any due dates.

Discuss:  Customer Focus with staff and patients. ( i.e. How are we customer focused?  How can we be better customer focused?)

Report:  Due 4/30  April Barriers/Successes and Feedback

Attend: 4/10
National Home Therapies ESRD NCC LAN Webinar
To Register


Recruit: Patient Peer Mentors webpage

We Want to Hear
from YOU!

Please contact the Quality Improvement Department if you have questions, comments, or specific barriers that you would like to address.  

Let us know if you have identified any best practices that you would like to share with the community.

April 2018 Updates

TO: All HT QIA Facility Staff, Patient SMEs and Stakeholders

We are entering into the fourth month of the QIA.  Thank you to all facility staff that have been working to improve the process of Home Therapies education and referrals. 
 Thank you for all of your efforts in this QIA.
April Activities
Discuss:  We would like you to discuss with your patients and staff how your facility provides Customer Focus in educating about home therapies.  Please report your finding in the April Reporting Form (linked below)

National LAN Call: Please join the National ESRD Coordinating Center's Home Therapies LAN call on April 10, 2018  (Details below)
Education Station: Does your facility have a dedicated space for Treatment Options Education? Please share pictures of your Education Stations so that we can share your best practices with others.
  • Education Station Sign PDF
  • Education Station Tip Sheet PDF
ESRD NCC Webinar: Home Modality QIA Learning and Action Network (LAN)

Tuesday, April 10, 2018 from 3:00 PM ET to 4:00 PM ET
If attending, please submit this brief Pre-Work Questionnaire with four "Yes/No" questions by Monday, 4/9/2018. The answers will be discussed on the National Call.
Presentation Objectives:
*  Share best practices that increase patients' awareness of, and interest in, home dialysis.
*  Review education strategies that build and/or strengthen relationships between staff and patients to overcome barriers.
*  Describe patient-centered activities that identify gaps between patients' goals and current quality of life.
*  Discuss strategies for overcoming barriers that impact a patient's perceived suitability for home modalities.
*  Share approaches that decrease home admission wait time through collaboration between regional home programs.


Past Activities
QIA Education Materials
Printable Patient Materials
Flyer: What are my treatment choices?   PDF
Booklet: Considering your treatment choices  PDF
Booklet: Know the Facts about Home Dialysis Choices PDF 

Project Web Page
NW2 Quality Improvement and LEAN Webinar
Recording; Slides
Please contact the Quality Improvement Department if you have questions, comments, or specific barriers that you would like to address.  Let us know if you have identified any best practices that you would like to share with the community.
About the 2018 Home Therapies QIA
The IPRO End Stage Renal Disease (ESRD) Network of New York is contracted by the Center for Medicare & Medicaid Services (CMS) to launch Quality Improvement Activities in the Network Service area.  30% of dialysis facilities have been targeted in New York state to improve the Utilization of Home Therapies. (Peritoneal Dialysis and Home Hemo Dialysis)

Facilities in this QIA are targeted to increase the number of patients utilizing appropriate home dialysis by 10% during this project period. Ultimately, CMS has a goal to increase the national average of patients utilizing home dialysis to 16% in 2023 from just 12% in 2016.

CMS has a developed a seven step methodology to track patient progression through the process of changing modality from in-center hemodialysis to an appropriate home  modality. The seven steps are as follows:
  1. Patient interest in home modality
  2. Educational session to determine the patient's preference of home modality
  3. Patient suitability for home modality determined by nephrologist, with expertise in home dialysis therapy
  4. Assessment for appropriate access placement 
  5. Placement of appropriate access
  6. Patent accepted for modality training
  7. Patient begins home modality training
In collaboration with the National Coordinating Center (NCC) and dialysis facilities the Network will track and monitor patient progression through these seven steps.

The Network will assist facilities with identification with root cause(s) that may impede patient progression.

Facilities will participate in a bi-monthly Learning and Action Network (LAN) presented by the NCC to facilitate that sharing of best practices to promote appropriate home dialysis.