Table 1.

University of Alabama at Birmingham home dialysis program growth: key strategies

Key Strategies
Education
 Emphasis on timely and repetitive patient-tailored education
 Experienced and engaged nurse practitioner–led dialysis modality education
 Using dialysis provider’s CKD educator for in-hospital dialysis education
 Structured curriculum for trainees in home dialysis
Access
 Use of existing access coordinators in the home dialysis program
 Use interventional radiology and surgery for access placement
 Protocols developed to triage patients for PD access in a timely fashion
Teamwork
 Dedicated and experienced team of home dialysis nurses
 Emphasis on staff engagement and leadership for nurses
 Multipronged approach to dialysis modality education
 Strong collaboration with dialysis provider
 Dedicated effort from two nephrologists toward the home dialysis program
Other
 Using innovative approaches like telenephrology and assisted PD
 Easy availability of urgent start for PD and HHD
 Decreasing attrition by reducing burden of treatment, and other strategies
 Repurposing existing resources toward the home dialysis program such as access coordinators, APPs, and dialysis provider’s CKD educator
  • APP, advanced practice providers; PD, peritoneal dialysis; HHD, home hemodialysis.