Skilled Nursing Facility

There are at least 35,000 nursing home ESRD patients in the United States and the number is still growing.1-3 The 2-month survival rate of such nursing home residents is currently only 14%.4 Transporting nursing home patients off-site for dialysis introduces these patients to risks and is extremely costly.5 Hemodialysis offered on-site at a skilled nursing facility could be a win-win-win.

Benefits to Patient5

  • No more inconvenience of transport and waiting

  • More time for rehabilitation for short-stay patients; more time for personal pursuits for long-term patients
  • Access to flexible dialysis options, including more frequent where appropriate. More frequent hemodialysis is associated with significant improvement in self-reported overall quality of life6

Benefits to Nursing Homes

  • Opportunity to differentiate services and gain more hospital referrals
  • Less disruptions to patient care schedules, meals, medications

  • Decreased expenses in transportation of patients to and from dialysis centers

  • More time for patient rehabilitation needs

  • Improved patient retention and census due to benefits of more frequent therapy where appropriate

Benefits to Dialysis Providers

  • Expansion of services beyond center footprint, growing business and reputation
  • Continued care for existing in-center patients who may need rehab or long-term care services

  • Improved patient outcomes with more frequent on-site dialysis1 where appropriate
References:
  1. U.S. Renal Data System, USRDS 2004 Annual Data Report: Atlas of end-stage renal disease in the United States. National Institutes of Health, National Institute of Diabetes. as cited in Leon, J. The Renal Network, Inc. Special Project on the Delivery of Dialysis Treatment Within the Long-Term Care Facility. July 1, 2005-June 30, 2006.
  2. U.S. Renal Data System, USRDS 2013 Annual Data Report: Atlas of End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes, 2013 Dialysis Facility Report,. University of Michigan Kidney Epidemiology and Cost Center and Arbor Research Collaborative for Health with funding from the Centers for Medicare & Medicaid Services. Sample Report, page 14
  3. ESRD Networks 9 & 10; 2013 Annual Report 5. Yang A, Lee WY, Hocking K, Xelay Acumen, Inc., Affiliated Dialysis. Survival comparison of daily home hemodialysis vs conventional dialysis in the nursing home setting. Nephrology News & Issues. February 17 2015.

  4. U.S. Renal Data System, USRDS 2010 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2010.
  5. Health Advances Interviews.
  6. Kraus M, Finkelstein FO, Daoui R, et al. Short Daily Hemodialysis (SDHD) improves overall Quality of Life (QOL) and physical intimacy: interim results from the FREEDOM study. Abstract presented at the American Society of Nephrology Conference, 2011.