Some change concepts may involve clinical approaches that are not currently common practice or about which there is a range of opinion. Local clinical guidance is critical to selecting and implementing appropriate strategies. Practitioners and Networks must take into consideration the availability of local clinical resources and expertise in developing their own strategies.
Together, the ESRD Networks, dialysis providers and medical specialists comprise a complex and sophisticated system for serving hemodialysis patients. By working together within a common framework, professionals in the field of hemodialysis can be certain that their efforts will lead to better care and better outcomes for the most important group of stakeholders – ESRD patients.