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Increasing Rates of Patients Dialyzing at Home QIA

Inside Hospital with Busy Nurses Dialysis Equipment
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The goals of the Increasing Rates of Patients Dialyzing at Home QIA include:

  • Increasing the number of patients training on a home modality within a targeted group of in-center dialysis facilities by two percentage points over baseline.
  • Improving collaboration between in-center staff and home modality staff.
  • Improving knowledge of home modalities for in-center staff to provide needed support to patients transitioning to home training.
  • Improving the tracking and transitioning of eligible patients training on a home modality.

For an overview of the QIA's goals, inclusion criteria, interventions, reporting requirements, best practices and more, watch the 2019 Increase Rate of Patients Dialyzing at Home QIA orientation webinar.

Use the Quality Assessment and Performance Improvement (QAPI) Quality Improvement Activity (QIA) Monitoring Form for tracking education, interest, referrals, and transitions to home and for discussion of progress toward goals during QAPI meetings.
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Resources

  • Consider Your Dialysis Choices: Choosing the Right Option for You!
    Developed by the ESRD NCC LAN, this pateint-friendly resource reviews different dialysis options and what needs to be considered for each one. Available in:
  • Home Dialysis Monthly Planner
    Use this planner to help you stay on top of monthly tasks throughout the course of the Home Dialyais QIA.

  • Reporting Home Training in CROWNWeb
    Use this short "how to" document to help report home dialysis training information to CROWNWeb.

  • What's Your Plan? 
    What’s Your Plan to Increase the Number of Patients Transitioning Through the 7-Steps to Home Dialysis? walks you through the Plan-Do-Study-Act (PDSA) cycle for moving your in-center patients through the steps to home dialysis training, including helpful examples for each course of the cycle.
  • Could Home Dialysis Be a Choice for Me?
    Use this checklist to discuss home dialysis as a treatment option with patients to gauge interest, as well as to discuss patient interest with the Interdisciplinary Team during QAPI meetings.
  • Home Dialysis QIA Monthly Tracker
    Use the Home Dialysis QIA Tracker to document QIA data for reporting progress/status to the Network monthly. Reports to the Network are due by the 5th of the following month.

PFE Resources