Home dialysis modalities are underutilized in the USA with only 8% of the dialysis patients undergoing renal replacement therapy at home versus 92% being treated with center hemodialysis. The intent of the Home Dialysis 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.  The Networks shall increase the number of patients on a home modality by participating in the ESRD NCC Home Dialysis LAN, and assisting dialysis facilities in the implementation of interventions to support patients through the process of training to dialyze at home. 

Overarching goal: CMS states the number of patients dialyzing at home will increase from 12% to 16% by 2023.


The Network will work with 30% of all network facilities to increase the number of patients initiating home dialysis training by 10% over baseline. There are no patient exclusions for this QIA and the facilities must reach a 40% inclusion of  their patients trained or training in the home modalities.

Project Participant List

Project Paperwork

Monthly To Do List


Dr. Michael Kraus: The How and Why of Home Dialysis

Promote Appropriate Home Dialysis 2018 Kick Off Webinar

Appropriate Home Dialysis Patient Ambassador Kickoff 2018 

Patient Selection and Retention

Patient with nurse

IPRO ESRD Network of the Ohio River Valley
Network 9 (IN,KY,OH)

Deb DeWalt, MSN, RN
Quality Improvement Director

Sue Swan-Blohm, BS, OCDT
Quality Improvement Coordinator