End-Stage Renal Disease (ESRD)
End-stage renal disease is a chronic, life-threatening condition that usually develops over a period of years. An end result of chronic kidney disease, ESRD occurs when the kidneys are no longer able to function at a level that is necessary for day-to-day life and dialysis is required. Public and private spending for ESRD are in excess of $27 billion.
Program Goals
Because end-stage renal disease has a high mortality rate – 20 percent of dialysis patients – this program focuses on self-management and monitoring. ESRD staff also address participants' quality-of-life issues.
Services provided
Program components include:
- Assessment and care planning with an interdisciplinary team
- Education about kidney disease; when to report signs and symptoms; managing diabetes, high blood pressure, and heart disease; and medication adherence
- Case management and coordination of services designed by a panel of nationally recognized nephrologists
- Application of protocols and guidelines in efforts to address comorbid conditions
The bottom line
Results include:
- Participants are 36 percent below national benchmark in length of stay
- 6 percent above the national benchmark for acceptable hemoglobin A1c levels
