Promote Appropriate Home Dialysis
Quality Improvement Activity (QIA)
For questions or technical assistance, please contact:
Sarah Keehner,
Quality Improvement Director
(203) 285-1214

Heather Camilleri, CCHT
Quality Improvement Coordinator
(203) 285-1224
Review: CROWNWeb date for new home therapies patients.
Create: An education station or host a Lobby Day during the month of May educate patient on the benefit of utilizing a home modality.
*Please reach out to the Network if you need a Lobby Day Kit, or any resources for an education station* 



The NCC has created a patient booklet to educate Chronic Kidney Disease(CKD) patients  and End Stage Renal Disease (ESRD) patients of their dialysis modality options.


NCC  Know The Fact About Home Dialysis Choices


For any patients struggling with dialysis, the National Kidney Foundation offers a Peer-to-Peer hot line.


 Providers please do not assume that home dialysis patients are les susceptible to depression related to a chronic illness just because they have slightly more freedom than in- center patients.

Please watch the short video below comparing depression rates among in-center and home dialysis patients.


Click here for video link 

Dear Provider,
Thank you to all the facilities that have completed  and returned  the facility PDSA form. The Network appreciates all efforts to promote and increase the utilization of home modalities.
The Network has received multiple question about data submission for this quality improvement activity. All data is being supplied to the Network by the National Coordinating Center (NCC).During the this activity the Network is tracking and monitoring two sets of data.
The first is the facilities overall home modality training rate. The NCC is using the CROWNWeb field " Date Training Began" to identify the number of patients a facility has trained in a given month. The number of patient(s) who begin training in a particular month, becomes  the facility's  numerator.  The denominator is the facility's in-center patient census minus the individual(s) who are training for home. It has come to the Network's attention that this data is not always batched into CROWNWeb  correctly and  may need to be manually entered. Below is a picture of the field that the NCC is using to collect the data for the facility numerator. Please review CROWNWeb to ensure that all training start dates are accurate.
The second data set of data the Network is monitoring patient progression through the seven step. CMS developed a seven stop process to monitor how in-center hemo dialysis patient are educated on home modality and the process that is needed to moved form in-center to home dialysis. The seven steps are as followed:
  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. Patient accepted for home modality training
  7. Patient begins home modality training    


Facilities that are part of a Large Dialysis Organization (LDO) your corporation had provided the NCC data for the seven steps. The Network's Small Dialysis Organization (SDO), there will be a REDCap surveys provided the facility to manually enter patients into the seven steps. 

Project Activities
* Reviewing data entry in CROWNWeb
Complete REDCap Survey for Seven Step Data
* Appoint a Home Therapy Patient Ambassador
* Promote peer-to-peer mentoring
We Want to Hear from YOU!
Please take a moment to give us feedback regarding the resources below. Let us know if you believe these will be helpful in the facility and if patients utilize them. 
Resource Assessment