ESRD & Dialysis: The Transportation Adherence Gap
26% of in-center hemodialysis patients miss sessions. Transportation is the most common reason. The KDQOL-36 captures it. Most centers do nothing with the data. Here is what the evidence shows.
Filtered field notes — ESRD.
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26% of in-center hemodialysis patients miss sessions. Transportation is the most common reason. The KDQOL-36 captures it. Most centers do nothing with the data. Here is what the evidence shows.
CMS has removed SDOH reporting from inpatient quality programs while expanding outpatient screening mandates. For ESRD and transplant patients — who move across both settings — this creates a structural gap that clinical social workers are now expected to bridge alone.
CMS's new IOTA Model incentivizes transplant centers to improve kidney access. It's a meaningful policy move. But it starts at the wrong end of the pipeline — and the 80% of ESRD patients who never make it to evaluation are still being left behind.
Nephrodite's Holly system could eliminate dialysis — but it's years away. Here's what transplant patients and their care teams need to know right now.
Over $5 billion has been invested in AI-powered kidney care tools for providers. For patients? Effectively zero. Here's why that matters — and what needs to change.
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