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Home Dialysis Quality Improvement Activity (QIA) LAN Webinars 2019

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

2018 Home Dialysis QIA Meetings

QIA LAN-Identified Best Practices

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

Best Practices identified during the 2019 Home Dialysis QIA LANs:

 

Best PRactices identified during the 2018 Home Dialysis QIA LANs:

  • 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?
  • Use the Match-D tool for assessing suitability and discuss with IDT and Medical Director during monthly Quality Assurance Performance Improvement (QAPI) meetings
  • Individualize modality education for each patient especially those patients new to dialysis that may be overwhelmed and unsure of their dialysis regime
  • Ask patients what is important to them and be mindful of their lifestyle when discussing dialysis modalities
  • Encourage patients and their caregivers to access the My Life, My Dialysis Choice through the following linkwww.mydialysischoice.com
  • 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.
  • When providing dialysis options, consider using this educational tool for offering informed consent to patients: https://mydialysischoice.org/
  • Consider having  a preliminary discussion about the possibility of a transitional care unit setting with your leadership and Medical Director utilizing the Home LAN presentation attached as an overview of program details.
  • 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.
  • 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.