Skip to main content



Change Packages

Top

This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in increasing the number of patients screened for depression and referred for treatment. The change package includes actionable change ideas, collected from top-performing dialysis facilities. The change ideas presented are intended as a menu of interventions from which program leaders can choose to implement within their facilities.

A Change Package To Improve Screening and Referral for Depression

This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in decreasing long-term catheter (LTC) infections, peritonitis, and blood transfusions with a focus on patients receiving dialysis care in nursing homes. The change package includes actionable change ideas, collected from top-performing dialysis facilities. The change ideas presented are intended as a menu of interventions from which program leaders can choose to implement within their facilities.

A Change Package To Improve Dialysis Care in Nursing Homes

The Fistula First Catheter Last (FFCL) Change Package includes 13 Change Concepts that provide a roadmap for implementation of the K/DOQI vascular access recommendations.

A Change Package for FFCL

This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in improving health equity for patients receiving dialysis. The document includes actionable change ideas, collected from dialysis facilities that performed above the national average for patients in a home program and/or on a transplant waitlist, despite their patients’ residing in the most disadvantaged neighborhoods and having complex health-related social needs. The change ideas are intended as a menu of interventions from which leaders can choose to implement within their facilities.

A Change Package To Improve Health Equity 

This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in increasing the number of patients using home dialysis modalities, which include peritoneal dialysis (PD) and home hemodialysis (HHD). The change package includes actionable change ideas, collected from top-performing dialysis facilities that have increased the use of home dialysis. The change ideas presented are intended as a menu of interventions from which program leaders can choose to implement within their facilities.

A Change Package To Increase Home Dialysis Use 

This change package is intended to support dialysis facilities and End Stage Renal Disease (ESRD) Networks in reducing hospitalizations, re-hospitalizations, and emergency department (ED) visits for patients receiving dialysis care. The change package includes actionable change ideas, collected from top-performing dialysis facilities. The change ideas presented are intended as a menu of interventions from which program leaders can choose to implement within their facilities.

A Change Package to Reduce Hospitalizations 

This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in improving the experience of care for kidney patients across all aspects of care. The change package includes actionable change ideas, collected from top-performing dialysis facilities, as identified by ESRD Networks. The change ideas presented are intended as a menu of interventions from which program leaders can choose to implement within their facilities. 

A Change Package to Improve Patient Experience of Care 

About the Change Package

This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in increasing the number of patients referred to transplant centers, evaluated for kidney transplantation, and placed on transplant waitlists. The change package includes actionable change ideas, collected from top-performing dialysis facilities related to patients’ being placed on transplant waitlists. The change ideas are intended as a menu of interventions from which leaders can choose to implement within their facilities.

A Change Package To Increase Kidney Transplantation

Supporting Resources

Kidney Transplant Hub

Acts a centralized website for patients for trusted information on each step of the kidney transplant process.

Patient Education Video

Delivers easy-to-understand education directed to patients and is intentional in promotion of the possibilities of receiving a high KDPI or increased risk kidney transplant.

Quick Start Guide

Outlines a short list of tactics to consider when using the Patient Education Video, Transplant Trailblazer, or Kidney Transplant Hub.

This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in increasing the number of patients receiving vaccinations, including COVID, influenza, and pneumococcal. The change package includes actionable change ideas, collected from top-performing dialysis facilities related to vaccination rates. The change ideas are intended as a menu of interventions from which leaders can choose to implement within their facilities.

A Change Package to Increase Vaccinations