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Transforming Home Dialysis Management of Patients with Advanced Kidney Disease Using an Intelligent Automated
Ziad M Zoghby1, Andrea G Kattah1, Kelsey Havlovic2
1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Mayo Clinic Proceedings. Digital Health
|April 10, 2025
Summary
Mayo Clinic developed two electronic health record (EHR) applications to streamline home dialysis management. These tools improved staff efficiency and enhanced patient care delivery within the program.
Area of Science:
- Nephrology
- Health Informatics
- Digital Health Solutions
Background:
- Home dialysis programs require efficient management systems for patient care and staff workflow.
- Electronic Health Records (EHR) offer a platform for developing integrated solutions to improve healthcare processes.
- Mayo Clinic's Cohort Knowledge Intelligence Solutions (CKIS) team specializes in EHR-based patient management tools.
Purpose of the Study:
- To design, develop, and deploy EHR-based applications for managing Mayo Clinic's home dialysis program.
- To enhance clinical staff efficiency in home dialysis care.
- To ensure the delivery of high-quality clinical care through improved program management.
Main Methods:
- Collaborative development using an agile approach between clinical nephrology and CKIS teams.
- Iterative design and deployment of two EHR applications over 16 months (September 2019 - December 2020).
- Utilized the Epic Healthy Planet module within the EHR for application development.
- Assessed time savings using the Nursing Efficiency Assessment Tool (NEAT) before and after implementation.
Main Results:
- Two EHR applications were successfully developed for home dialysis referral/enrollment and patient monitoring.
- Applications consolidated patient information, providing real-time data for individual and population management.
- Significant time savings were observed for dialysis nurses, averaging 25 and 20.4 minutes per 8-hour shift.
Conclusions:
- The developed EHR applications are effective tools for managing home dialysis programs.
- Implementation led to increased efficiency and improved care delivery in home dialysis.
- These digital solutions support quality metrics reporting and program scalability.
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