Care Coordination Resources
This resource is designed to provide nursing home patients and care partners with basic information on how to live with their new AV Fistula or AV Grant.
This resource is designed to provide dialysis centers and nursing homes with a framework for the creation and/or updating of an integrated plan of care.
Visual display of resources created for patients and families on a wide range of health related topics
The Living with Your Hemodialysis Central Venous Catheter (HD-CVC) resource is designed to provided patients with a basic understanding of what a HD-CVC is and safety do's and don'ts.
This training material with facilitator guidance and instructions is designed to provide just-in-time essential guidance to nursing assistants who are providing care to a patient or resident with a hemodialysis central venous catheter.
This Monthly Behavior Tracking sheet is for caregivers to monitor and track behaviors, location, interventions and outcomes.
This resource guides residents and care partners on their care plan and what questions to ask.
A guide for care partners
This tip sheet explains why huddles are an effective communication tool and how to implement in your facility.
The Dialysis and Nursing Home Hand-Off Communication Tool is designed to communicate critical information during each micro transition of a patient to and from a Nursing Home to a Dialysis Center. The form contains triggers for follow-up that includes physician and care team noti
This fall tracking sheet is an easy way to track fall causes and patterns.
This readmission tracking can simply identify root causes for unplanned readmissions.
This toolkit contains tools and resources to assist in fall prevention.