Promoting Appropriate Home Dialysis

The ESRD Network Program is tasked by the Centers for Medicare and Medicaid Services (CMS) to collaborate with dialysis providers to support the efforts of increasing the rates of patients dialyzing at home. The intent of the Home Dialysis Quality Improvement Activity (QIA) is to promote referral to home dialysis modalities, identify and mitigate the barriers to timely referral, and determine the steps patients and providers can take to improve referral patterns.

About Home Dialysis

Hemodialysis is typically conducted in a dedicated facility with specialized nurses and technicians who specialize in hemodialysis. However, dialysis can also be completed in a patient’s home. Once you and your doctor have determined that at home hemodialysis is right for you, you will begin a comprehensive safety and training program that is tailored to your specific medical and learning needs. In most cases, you will learn to perform at-home hemodialysis treatments with a dialysis partner.

Three Types of at-Home Hemodialysis:
  1. Short Daily at-Home Hemodialysis – Performed five or six times a week, typically for two to three hours per session.
  2. Traditional at-Home Hemodialysis – Performed three times per week, typically for about four hours per session. This is similar to the treatments received at a local dialysis center.
  3. Nocturnal/Extended Home Hemodialysis – Performed during sleep, typically six to eight hours a night, three or more nights a week. Many patients enjoy the ability to dialyze at night to enable them to spend the day doing other activities.
Seven Steps Leading to Home Dialysis Utilization:
  1. Patient interest in home dialysis after assisting the patient to determine modality options that fit the patient's lifestyle
  2. Educational session about home modality
  3. Patient suitability for home modality determined by a nephrologist with expertise in home dialysis therapy
  4. Assessment for appropriate access placement
  5. Placement of appropriate access
  6. The patient is accepted for home modality training
  7. The patient begins home modality training

Tools & Resources

Home Dialysis Toolkit

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If you have questions or need assistance, please contact us:

Webinars, Videos, and LAN Calls

  • Healthy at Home Professional Webinar: Slides|Recording
  • Myths and Realities about Treatment Options Webinar: Slides|Recording
  • Promoting Home Dialysis with Patient-Centered Resources:
    The Role of the National Patient and Family Engagement (NPFE) Learning and Action Network (LAN): Slides|Recording

Other Resources

  • NEW! - Choosing Home Dialysis with Your Care Team: English|Spanish
  • NEW! - My Home Dialysis Checklist: English|Spanish
  • Article: You Have Options! Peritoneal Dialysis: Read It!
  • MATCH-D Assessment: Tool
  • Sending Best Wishes Poster: English|Spanish
  • Home Dialysis Tracking: Tool
  • Know the Facts about Home Dialysis Choices: Booklet
  • NEW! - Intro. to Dialysis - Questions to Help With Your Treatment Choices: English|Spanish