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Home Dialysis

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Home Dialysis Quality Improvement Activity (QIA) LAN Webinars 2019

In-Center Hemodialysis to Peritoneal Dialysis Conversions
July 9, 2019
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Telemedicine and Home Dialysis: Our Future Together
May 14 2019
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Transitional Care Unit
March 12, 2019
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Home Dialysis
January 15, 2019
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QIA LAN Identified Best Practices 2019

The following best practices were identified from the Home Dialysis QIA LAN events in 2019:

  • Discuss with the facility Medical Director the possibility of placing patients on a Home Hemodialysis (HHD) machine, for four-to-five days at the time of admission to the in-center facility, to assist the patient with modality selection.
  • Identify a staff Home Champion to act as an advocate and educator for new patients.
  • Identify a peer mentor (a current home patient) to act as an advocate for new patients.
  • Refer every new patient to the home program, for a home program nurse assessment of suitability.
  • Explore the possibility of using Telehealth to monitor home dialysis patients.
  • Encourage facility managers and regional leadership to attend modality education sessions with the Home Dialysis educator

Home Dialysis QIA LAN Webinars 2018

QIA LAN Identified Best Practices 2018

As best practices are identified by the Network, they and any associated resources will be found here:

Identified during the October 9, 2018 Home Dialysis QIA LAN:

  • Ensure that your team is engaging both patients and caregivers in plan of care (POC) meetings.
    • Know how vital a support system is to the overall well-being and compliance of the patient. 
  • Discuss the feasibility of hosting a caregiver support group within your Interdisciplinary Team (IDT).
    • Is the Caregiver Coffee idea something you would be willing to initiate in your facility?

Identified during the August 14, 2018 Home Dialysis QIA LAN:

  • Use the Match-D tool for assessing suitability and discussion with the IDT and Medical Director during monthly Quality Assessment and Performance Improvement (QAPI) meetings.
  • Be mindful of what is important to each patient and individualizing modality education.

Identified during the June 12, 2018 Home Dialysis QIA LAN: 

  • Educate patients at their level of readiness especially new patients who may be overwhelmed with being on dialysis.  Remember to include the patient’s caregiver and/or family to the education session when possible.
  • Use the My Life, My Dialysis Choice educational tool with patients who are interested in home dialysis. 
  • Discuss the transitional care model with the facility medical director and leadership.

Identified during the April 10, 2018 Home Dialysis QIA LAN: 

  • Select an in-center staff member to serve as a Home Champion.
  • Consider a new approach that includes the Interdisciplinary Team (IDT) asking, “Why not home?” to all new patients.
  • Host a Lobby Day that includes a Patient Advocate.
  • Provide individualized patient education in collaboration with the home dialysis team.

Identified during the February 5, 2018 Home Dialysis QIA LAN:

  • Approach all in-center patients for interest, including patients who have not expressed interest in the past.
  • Provide home dialysis education to staff.
  • Provide the Nephrologist with home dialysis educational opportunities and resources for improved understanding of Peritoneal Dialysis.
  • Build a relationship with local surgeons.

Home Dialysis QIA LAN Resources

Additional resources related to increasing rates of patients dialyzing at home can be found on the Network website here.