HDP Overview
To improve awareness and outcomes of home dialysis therapies by enhancing education of nephrologists, kidney care professionals, and trainees; addressing disparities in access to home dialysis; and advocating for policies that improve patient-centered modality choice in order to promote safe and high-quality care.
Recommendation
- Intentional/deliberate use of the term “Home Dialysis” separate from “Dialysis” across the AS
- Encourage all ASN Committees to have home dialysis expert representation where appropriate
- Three major themes:
- Policy
- Continuing Education
- Fellowship Training
Call-to-Action
- Review home dialysis leadership development and role of dedicated fellowships
- Discuss opportunity for a standing ASN home dialysis presence
- To ensure implementation of task force recommendations,
- Determine multi-stakeholder and industry stakeholder support opportunities,
- Coordinate with ASN staff to develop/support
- Consider how home dialysis expert representation can be implemented across ASN
2022 Roadmap
Policy
Consider the unintended consequences of all policies on home dialysis:
- Unexpected poor outcomes for marginalized patients
- Unanticipated shortages
- Inequitable access to care
Continuing Education
- Facilitate a networking opportunity (i.e., standalone home dialysis workshop or dedicated Kidney Week home dialysis activity)
- Launch a virtual case-based small group education series with mentorship opportunities in collaboration with GlomCom
- Curate a “one-stop” shop for home dialysis educational resources with multi-stakeholder collaboration on the ASN website
- Leverage the existing ASN Curricula home dialysis content and ASN Communities, adding video recorded presentations
Fellowship Training
- Survey home dialysis training leaders to quantify:
- Extent of home dialysis training that fellows receive during their fellowship
- Perceptions of requirements needed by programs for competency in home dialysis
- The ability for programs to meet certain threshold requirements
- Use a multi-stakeholder approach to improve home dialysis training through strategies, such as:
- Designate fellowship programs that meet specific criteria as “Centers of Excellence in Home Dialysis Training”
- Develop home dialysis fellowship requirements with ACGME
- Work with NMBE and ABIM to include more home dialysis questions on the ASN in-training exam and the nephrology initial certifying exam, respectively
- Develop away-rotations and home dialysis trainings through ASN and industry support
