Home dialysis 
Quality improvement activity (QIa)

Network Project Lead: Kou Kha-Moua

Studies show that patients who participate in home dialysis therapy experience greater independence and are able to dialyze at a slower rate, which is proven to produce a better physiological response. Patients who have home dialysis therapy also benefit from lower risk of death, improved blood pressure control, better phosphorus control to prevent bone disease, and a better quality of life.¹ Despite of the benefits, home dialysis is under-utilized. The long-term goal and impact of improving home modality initiation aligns with CMS’ goals, and results in better quality of life for our patients. 

Webinars

• Project Overview Videos
• Home Dialysis QIA Focus Facilities Kick-Off Presentation
• Home Dialysis Change Package
• Reducing Hospitalizations and Emergency Room Visits and Infections in Nursing Home Patients for the ESRD Population

Reporting Tools

• Monthly Status Check 
• QAPI, Life Plan, Peer Mentor Reporting

Patient & Family Engagement (QAPI, Life Plan, Peer Mentoring)

Resource Videos

• QAPI
• Peer Mentoring
• Life Plan (English / Spanish)

Toolkit 

• Quality Improvement Videos
  • Quality Improvement in Healthcare (11:08 Minutes)
  • Root Cause Analysis – Process to Identify Areas for Quality Improvement
    • What is a Fishbone Diagram? (3:08 Minutes)
    • Root Cause Analysis: 5 Whys (4:44 Minutes)
  • PDSA Cycles – Process to Achieve Quality Improvement (6:21 Minutes)
• Home Dialysis Education Poster (Coming Soon)
• Patient Testimony
  • Ellyne Dombro, Patient
  • Timmy Nelson, Patient
• Patient Advocate Program
  • ​Diana
  • Timmy
• Brochure: Why Should I Choose Home Dialysis? 
• Home Dialysis Change Package
• 5-Diamond Patient Safety Program Home Therapy Module
• My Life, My Dialysis Choice
  • A tool to assess the modality which may best fit the patient’s value  
• NCC Peer Mentor Program
• Social Determinants of Health Module
• Resources for Patients Receiving Dialysis in Nursing Homes
  • Dialysis Access Care in Skilled Nursing Facilities
  • Preventing Peritonitis (English / Spanish)
  • CDC Infection Prevention Tools
  • NIH Anemia in Chronic Kidney Disease

Resources

• Conditions for Coverage
• Resources from the NCC
  • Uncovering the Myths about Home Dialysis: Myth vs. Reality Toolkit
  • "Best Wishes on the Decision to Dialyze at Home" Certificate Template
• ​CMS Telehealth Resources
• HHS Telehealth Resources
• Patient Peer-to-Peer Mentoring for Patients with Kidney Failure: Methods, Facilitators, and Lessons Learned

 

2019 Home Dialysis QIA Materials

References

1. ​Young BA, Chan C, Blagg C, et al. How to overcome barriers and establish a successful home HD program. 2012. http://cjasn.asnjournals.org/content/early/2012/10/03/CJN.07080712.full.