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 due dates associated with each activity.

Review : QIA Webpage and Patient Education Materials
Report:  Due 3/30
Feb Data and March
Barriers/Successes and Feedback
Attend:  3/20
NW2 Quality Improvement and Lean Webinar To Register

DISCUSS: Talk with your staff and patients to identify barriers and ask for suggestions to overcoming these barriers.

March 2018 Updates


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

A priority of the Network is to serve as a resource to both dialysis patients and professionals throughout QIA activities. 
Open communication about existing processes, barriers, and successes is encouraged. 
Network staff members are interested in supplementing resources for what is working in your facility, not adding additional burden. However, in order to assess barriers, and identify how the Network can effectively meet needs of the community, completion of the ACTION REQUIRED activities (to the left) is essential for success of the project .
March Activities
Review 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 

Review Project Web Page
Attend NW2 Quality Improvement and LEAN Webinar
Report to Network:
February Barriers and Successes in Seven Steps
Feedback on Education Materials and Web Page
Review Baseline Data (Provided by Network late March)
Past Activities
Perform a Root Cause Analysis (RCA) of barriers
     January RCA Outcomes PDF
Bi-monthly ESRD NCC HT LAN Call
     2/5 Recording

QIA Kickoff Webinar January 30, 2018
Recording; SlidesPost Assessment

Track and monitor patent progression through the seven step process Report Needs, Successes and Barriers.
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.
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.