Home modalities are under utilized in the United States with only 8% of all ESRD patients using a home therapy. The intent of the Home Dialysis QIA is to promote early referrals to home modalities, increase initiation rates, identify and mitigate the barriers to the initiation process and educate staff and patients on the benefits of home modalities. The Network will increase the number of patients on home modalities by participating in the ESRD NCC Home Dialysis LAN and spreading the objectives and interventions to the Network community.

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

Appropriate Home Dialysis QIA

The Network will work with the entire Network Service Area to increase the number of home initiations from 2019 by 2.25%.

2020 Home Benchmark Facility List

2020 Home Interventional Facility

2020 Observational Facility List


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

Patient Selection and Retention

How To Select a Patient for Home

Home and Transplant Kickoff 

Patient Facility Representative

Research and best practices have demonstrated that units with active participation of patients as members of the health care team achieve better clinical outcomes more readily. This year, the Network is requesting that each facility in the Promote Appropriate Home Dialysis QIA designate at least one patient, or preferably, one patient per shift to take the lead on special projects. We will provide training for these patients to supervise these programs in the clinic. Patients should be viewed as role models in the unit as far as the ability to lead and become "the unofficial spokesman" on the care team.

In this role, the patient will:

  • Provide contact information to the Network.
  • Participate in educational and information web conference presentations with the Network.
  • Review educational materials designed for patients in the target facilities and throughout the Network community.
  • Distribute and review resources with patients.


Home Modality Decision Matrix

Conversation Cards Let's Talk

Huddle Board Instructions

Appropriate Home Dialysis Patient Ambassador Kickoff

NCC: Home Dialysis Treatment Options

NKF: Peer Mentors

Home Dialysis Central

My Life My Dialysis Choice

Myth Hemodialysis

Myth Peritoneal Dialysis

Myth Practical Matters

Reporting Home Training Starts in CROWNWeb

How To Do A Lobby Day Flyer

Update the Patient Modality Status in Crown Web

Home Dialysis Myths Booklet

Celebrating Patients Going Home Announcement

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