Increasing Appropriate Home Dialysis 
Quality Improvement Activity (QIA)

Home Dialysis LogoNetwork Project Lead: Annabelle Perez, BSN, RN
Network Project Co-lead: Virna de la Cruz, BSN, RN


Project Description and Goals


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 Executive Order on Advancing American Kidney Health on July 10, 2019 recognizes this inequity.  

The Network shall support all the goals and initiatives detailed in the Executive Order especially the goal to improve kidney health by having 80% of new ESRD patients in 2025 either receiving dialysis at home or receiving a transplant.

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 increasing communication between hospitals, in-center dialysis facilities, and home dialysis facilities, and assisting dialysis facilities in the implementation of interventions to support patients through the process of training to dialyze at home.

ESRD NCC LogoESRD NCC Home Dialysis Resources


Home Dialysis Resources

Patient-Focused Resources

Written Materials

Video/Online Resources

Staff-Focused Resources

Facility-Focused Tools and Resources

Peer-to-Peer Resources