Hospitalization Reduction
Reduce Hospital Admissions, Readmissions, and Outpatient Emergency Visits
Improving and Maintaining the Health of ESRD Patients
There are numerous reasons a dialysis patient may not be able to achieve and maintain optimal health. Health deficits may be related to health conditions, such as but not limited to, anemia, diabetes, cardiovascular disease, or diagnosed and undiagnosed mental health issues. Health deficits may be related to patient behavior, such as but not limited to, not taking medication as prescribed, failure to attend check-ups, eating an unhealthy diet, smoking tobacco, using recreational drugs, excessive alcohol use, lack of exercise, or missing or shortening dialysis treatment. Health issues may be related to an unstable social support system and/or financial problems, such as but not limited to, access to food, shelter, transportation, clothing, medication, medical care, and/or emotional support, making patients potentially unable to care for themselves.
Tools & Resources
Patient Education
- How Are You Feeling Today? Zone Tool: English | Spanish
- Healthy Feet are Happy Feet: English | Spanish
- We're Not Nosy--We Care: English | Spanish
- Don't Wait a Minute, Reducing Hospitalizations - Frequently Asked Questions: Patient Handout
- Suggestions on How to Help Avoid Hospitalization (Wallet Card): English | Spanish
Provider Education
- How Are You Feeling Today? Zone Tool: English
- We're Not Nosy--We Care: English | Spanish
- Transitions Champion Interview: Checklist
- A Change Package to Reduce Hospitalizations: PDF
- Forming Communities of Practice to Reduce Hospitalizations/Readmissions and Emergency Room Visits in the ESRD Population: PowerPoint