patients

Support for Patients with Kidney Disease

We manage at-risk populations by offering coordinated, comprehensive care that improves quality of life for patients with kidney disease.

Support for Patients

We’re reinventing the chronic healthcare journey by providing coordinated, holistic care for patients with kidney disease, while also saving money.

Support for patients with kidney disease includes:

  • Open Access dialysis for patients with end-stage renal disease

Benefits of early home care, palliative medicine and hospice care include:

  • Improved quality of life for chronic patients and their caregivers
  • Improved clinical outcomes
  • Enhanced care coordination
  • Improved patient satisfaction scores
  • Increased efficiency and lower costs
  • Lower hospital readmissions

Chapters Health System provides a continuum of integrated care solutions that begin with a chronic diagnosis. Home Care, Palliative Medicine, Hospice Care, Grief Services and many other healthcare and support services are all available to you and your patients.

Any time you, your staff, or patients have questions, need support or care, call 1-866-204-8611 or Contact Us.

Hospice Eligibility Guidelines for Patients with Kidney Disease

Ultimately, hospice eligibility is centered on a physician's clinical judgment. If a physician believes the patient will likely live six months or less if the disease follows its natural course, then the patient may be considered hospice eligible. Eligibility is based on the severity of the patient’s primary diagnosis (the diagnosis contributing most to terminality), as well as secondary/comorbid conditions and nutritional/functional status. In some cases, the primary diagnosis alone is sufficiently advanced to make a patient hospice eligible. This determination is made with the help of disease severity guidelines called Local Coverage Determinations (LCDs) listed below:

ESRD with secondary/comorbid conditions that together result in <6-month prognosis

Associated clinical symptoms such as uremia, oliguria or hepatorenal syndrome

Creatinine clearance <10 ml/min (<15 ml/min in diabetics), or serum creatinine >8.0 mg/dl (>6.0 mg/dl for diabetic)