We bring point-of-care assisted home hemodialysis services to those with End Stage Renal Disease (ESRD) who reside in skilled nursing homes and assisted living facilities. We adapted a hemodialysis technology that utilizes a more frequent and gentler form of therapy thant, heretofore, has primarily been available only to those in a private home setting with a higher socioeconomic status. We made this treatment option available to the elderly and frail who, among all dialysis patients, stand to benefit the most from this mode of therapy. Improved quality of life and improved outcomes are achieved with significant overall cost savings.
The elderly and frail dialysis patient has multiple comorbidities, particularly with respect to their cardiovascular system. More frequent hemodialysis achieves cardiovascular benefits that result in fewer hospitalizations, re-hospitalizations and, even, regression of certain cardiac pathologies. This gentler form of therapy permits rapid recovery from a session that is measured in hours instead of days and permits participation in rehabilitation classes and social activities. The point-of-care service eliminates hours of travel, missed meals, and undignified waits in hallways for transportation to arrive. Further, the point-of-care service permits an extraordinary coordination of care between the skilled nursing facility staff and the dialysis staff.
Point of care service eliminates the cost of transportation to a dialysis facility. These transportation costs, can, at times, exceed the cost of the actual dialysis treatment. Medicare hospitalization costs account for more that a quarter of Medicare expenditures. Elderly ESRD hospitalization rates and 30-day readmission rates (>30%) far exceed the general Medicare population. In fact, 7% of Medicare expenditures ($35B) are allocated to the 1% of the Medicare population with ESRD. The re-purposing of this more frequent, gentler and more effective form of dialysis therapy for the elderly has improved outcomes and quality of life and has dramatically reduced hospitalization and medication costs.