When challenged with the task and responsibility of delivering high quality health care, it is also necessary to take an in depth view and analyze causation of grievances, behaviors and issues that result in patients becoming at risk to having no access to dialysis care.  This can include involuntary discharge (IVD) or involuntary transfer (IVT) of a patient from a facility.  Managing Disruptive Behavior by Patients and Physicians: A Responsibility of the Dialysis Facility Medical Director, published by the Clinical Journal of the American Society of Nephrology, directly speaks to the challenges and opportunities available that require collaborative efforts to uncover root causes, as well as the effectiveness of leadership at the facility level.

ESRD Networks serve as a resource to both patients and providers for grievance mitigation and conflict resolution. For assistance, please contact your local Network.