IPRO ESRD Networks are tasked by the Centers for Medicare and Medicaid Services (CMS) to work with facilities to increase the use home therapies.

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.

As a result, the following AIM with a 5-year target has been set to guide national health promotion and management to improve the health of all people in the United States living with ESRD: by 2023, to increase the number of ESRD patients dialyzing at home to 16% from the 2016 national average of 12%. (The 2016 New England average was 7.1%)

The intent of Increasing Use of Home Therapies  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 National Coordinating Center (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.

Thinking outside the box—identifying patients for home dialysis; written by: Brigitte Schiller, Hayley Munroe and Andrea Neitzer

Tools and Resources:


Patients/Care Taker

Resources Created by the NCC with assistance of patients in the Affinity and LAN groups

Home Therapies Resources Toolkit

For more information:

<Sarah Keehner, RN, BSN, CNN
Quality Improvement Director

Megan Perras, LPN
Quality Improvement Coordinator