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Home Dialysis Quality Improvement Activity (QIA) LAN

Diverse Support Group Inside Hospital with Busy Nurses

January 2020 Webinar

Promoting Transplant with Patient-Centered Resources: The Role of the National Patient and Family Engagement (NPFE) Learning and Action Network (LAN)View Recording 

Presenters: Timmy Nelson, Jerome Bailey, BA, and Kim Buettner, BA

Biographies: Mr. Nelson is a former Kidney Transplant Affinity Group Subject Matter Expert. Mr. Bailey is the Associate Director of Patient and Family Engagement for the ESRD NCC. Kim Buettner is the Associate Director of Patient and Family Engagement for the ESRD NCC.

Presentation Objectives:

The speakers:

  • Identified the role of the NPFE-LAN in fostering patient engagement to develop education resources.
  • Discussed resources created by the NPFE-LAN Transplant Affinity Group and share methods for spreading the resources to patients.

One Continuing Education Credit Opportunity:

Click here (HSAG website) if you are already registered in the Learning Management Center (LMC).

Click here (HSAG website) to register for the LMC and then access the course.

March 2020 Webinar

Growing Home Dialysis

View Recording 

Tushar Chopra, M.D., FASN

Presentation Objectives:

After attending this presentation, attendees were able to:

  • Develop a road map for kidney health.
    List two benefits of urgent start.
  • Discuss advantages of a transitional care unit.

One Continuing Education Credit Opportunity:

Click here (HSAG website) to register for the LMC and then access the course.


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

Home Dialysis QIA LAN Webinars 2018

QIA LAN-Identified Best Practices 2018

Best practices identified by the Network in 2018 include:

  • 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
  • Engage all in-center and home staff using the team approach when providing patient educational “touch points” over the course of several treatments.
    • Education provided by the nurses, Interdisciplinary Team (IDT), and the hosting of a Lobby Day, was key to an in-center patient making an informed decision to dialyze at home.
  • Utilize a tracker for timely follow-up of patients transitioning through the 7-Steps to home training.
  • Create a process to re-interest in-center patients, new patients and staff on the options of dialyzing at home.
    • First provide home modality education to in-center staff then identify one teammate to be the in-center Home Champion.
  • 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.

Home Dialysis QIA LAN Resources

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