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The Growing Demand for Home Dialysis Therapies: Challenges and Potential Solutions
Charlotte Thomas-Hawkins1,2, Glenda M Payne3,4,5,6, Donna Bednarski7,8,9
1Associate Professor, Rutgers University School of Nursing, Newark, NJ.
Summary
The End-Stage Renal Disease Treatment (ETC) Model promotes home dialysis, but a nursing shortage challenges training. Nephrology nurses are crucial partners in addressing this demand during ETC implementation.
Area of Science:
- Nephrology Nursing
- Healthcare Policy
- Renal Disease Management
Background:
- The End-Stage Renal Disease Treatment (ETC) Model, part of the Advancing American Kidney Health Initiative, aims to transition US dialysis care from in-center hemodialysis to home dialysis.
- This transition occurs during a significant nursing workforce shortage, impacting the capacity for patient training.
Purpose of the Study:
- To highlight the critical role of nephrology nurses in the successful implementation of the ETC Model.
- To emphasize the need for collaboration between nephrology nurses, the Centers for Medicare and Medicaid Services (CMS), and other stakeholders.
Main Methods:
- The study discusses the Centers for Medicare and Medicaid Services (CMS) Conditions for Coverage regarding registered nurse responsibilities in home dialysis training.
- It analyzes the implications of the current nursing shortage on the demand for nephrology nurses.
Main Results:
- The implementation of the ETC Model will increase the demand for nephrology nurses to provide home dialysis training.
- Registered nurses are mandated to oversee home dialysis training, a task complicated by workforce shortages.
Conclusions:
- Nephrology nurses must be integral partners with CMS and stakeholders to develop solutions for increasing home dialysis training capacity.
- Proactive strategies are needed to ensure the nursing workforce can meet the growing demand for home dialysis under the ETC Model.
Keywords:
Advancing American Kidney Health InitiativeCenters for Medicare and Medicaid ServicesEnd-Stage Renal Disease Treatment ModelMedicare Conditions for Coveragechronic kidney diseaseend stage kidney failurehemodialysishome dialysiskidney replacement therapynursing shortagepatient carepatient safety
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