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

On Tuesday, June 12, 2018 the National Coordinating  Center hosted a Home Modality Learn an Action Network (LAN) call. If your facility was unable to attend the live WebEx, the Network is asking that you view that recording at your earliest convenience


Click here for event recording


Complete June's Monthly Summary Report by June 13, 2018


Click here for link
Patient Resources:

National Kidney Foundation Booklet

Peritoneal Dialysis: What You Need to Know


Healthcare Technology Foundations


Home Hemodialysis Safety: A Patient Guide  

Provider Resources:

Journal Article:  Transitional dialysis care units: A new approach to increase home dialysis modality uptake and patient outcomes


Journal Article:

Management of Patients On Hemodialysis Before, During, And After Hospitalization: Challenges and Suggestions for Improvements

Dear Provider,
Thank you to all the facilities involves in the  Home Modalities Quality Improvement Activity. The Network has recently implemented a new process to collect feedback form facilities involved in all quality improvement activities. At the end of each month the Network will provide facilities a link for to complete a Monthly summary report. This is a place for facilities to provide feedback to the Network that can be shared with CMS.
The NCC LAN event was focused around the benefits of a Transition Care Unit. Transitional dialysis care is a hands on patient- centric approach to modality education.  These units ease patient into dialysis while exposing them to all modality options, allowing for informed decision making about which modality is right for lifestyle. 
Unfortunately, many patients end up crashing into dialysis for multiple reason. Often the rapid change in lifestyle associated with becoming an End Stage Renal Disease patients can lead to clinic and emotional issues for patients. Including, but not limited too:  
  • Fear and anxiety
  • Anger 
  • Nervousness 
  • Depression 

Patients who suffer form the above emotional issues may have poorer clinical outcome. A patient may miss treatment due to fear and nervousness of the unknown. Depressed patients may begin to withdraw and become non compliant with treatment, medications and diet. Patient become accustomed to have care taker (RN's and Tech's) manage their care and become less interested in their own treatment.


Transitional care dialysis units offer a solution to empower patient to take control of their own care. Patient should be aware their treatment and the options they have to receive treatment or not to treat their disease at all. These facilities allow patients:

  • Time to adjust emotionally to their new lifestyle
  • Time to recover medically
  • Time to receive modality education
  • Time to choose the modality the best fits their unique lifestyle
Project Activities
  • Reviewing data entry in CROWNWeb  for "training  start date"
  • Appoint a Home Therapy Patient Champion to promote Home Dialysis at the facility
  • Create an Education Station
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.