Home Referral2018-08-10T19:49:24+00:00
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Increase Home Dialysis Utilization Rate

CMS recognizes that home dialysis modalities are underutilized in the United States with only 8% dialyzing in a home setting vs 92% choosing in-center.  The ESRD Conditions for Coverage require that the patient records must demonstrate that each patient was informed about all available dialysis modalities. This page has been designed to benefit any dialysis provider, or patient, looking for information on home modalities. The information here will be helpful to dialysis staff, patients, and family who are interested in learning more about dialyzing at home as we assist them in the journey through the Seven Steps to Home

Seven Steps to Home

    1. Patient interest in home dialysis
    2. Educational session to determine the patient’s preference of home modality
    3. Patient suitability for home modality determined by a nephrologist with expertise in home dialysis therapy
    4. Assessment for appropriate access placement
    5. Placement of appropriate access
    6. Patient accepted for home modality training
    7. Patient begins home modality training

If your facility is in the Home QIA Project, please log in to Providers.Exchange (P.E) for project specific resources, reporting links, data and summary reports.

Providers.Exchange (P.E)

Providers.Exchange, or P.E., is Qsource – Heartland Kidney Network’s facility portal. All Quality Improvement Activity (QIA) resources and facility specific monthly reports are loaded there. Your facility’s Medicare CCN is the log in ID, and you can obtain the password from your clinic manager.

If you have problems logging in, please contact Qsource – Heartland Kidney Network at 816-880-9990 for assistance.

General Home Dialysis Resources

Home Baseball

Use the Heartland Kidney Network’s Home Baseball Playbook, Game 2 and Game 3 to educate patients and staff about home dialysis and the steps to begin dialysis training in a fun way.

Home Baseball – Playbook


  • You are coached with helpful information and resources about home dialysis by collecting the baseball cards from the Home Playbook, Game 2 and Game 3.


  • The Home Playbook
    • Helps you to determine which patients would benefit by having your dialysis facility coach them through the bases to home dialysis and training.
    • Assists you in creating a fun message/tracking board as your patients progress through bases to home dialysis training.

Home  Baseball – Game 2


  • Keep track of your plays as you run the bases to home dialysis training by using the Play Sheet for Base Runners.
  • Need a place to write down your questions and trying to score big? Use the Player’s Scorecard.
  • Collect more baseball cards. Write down your Game Plan.


  • Print out the Play Sheet for Base Runners for you and the patients you are coaching.
  • Keep all of your Play Sheet for Base Runners in one play book for coaching them to home dialysis training.

Home Baseball – Game 3


  • Collect the last series of baseball cards.


  • Have you provided the full series of baseball cards to your patients?
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