What is Staff-Assisted Home Dialysis?
If you’re trying to make a decision about whether you’d like to opt for staff-assisted home dialysis or home dialysis treatment, then it’s important for you to consider the differences between these two options. While both options offer greater freedom and comfort than in-center treatment, they each have different things to offer patients. You’ll need to consider what you want your lifestyle to be like before you make a decision on which dialysis option is best for you.
Who Performs Your Treatment?
One of the biggest differences between staff-assisted home dialysis and home dialysis is who performs your treatment. If you just opt for home dialysis, you will eventually have to perform dialysis treatment yourself. In the beginning, you will be trained by a medical professional to administer the treatment and be given advice about keeping records of your treatment. However, once this training is complete, you’ll be responsible for doing it on your own. With staff-assisted home dialysis, you won’t have to complete the treatment on your own. Instead, a licensed nurse will be responsible for doing it for you each and every visit.
Who Supports You?
With staff-assisted home dialysis treatment, there is no need for a care partner. Freedom at Home Dialysis Support team includes: Your licensed and experienced Dialysis Nurse who administers your treatment will support you, and you’ll always be under the supervision of your Nephrologist. Your Nephrologist will follow up with you monthly either by seeing you at your place of residence or at his/her offfice every month. You can always have your family continue to support you, but you won’t need to take up much as much of their time. Your Renal Dietician will perform an initial visit on your place of residence to review your health history and educate you and your family your dietary regimen. The Renal Dietician will follow up with your care at a minimum of once a month. Your Renal Social Worker will also perform an initial visit at your place of residence and assess your overall social, emotional and medical condition in order to assist you with appropriate resources for you and your family. Your Renal Social Worker will follow up with you monthly to ensure that proper support is always available for you.
What Your Dialysis Schedule Looks Like?
Another big difference between home dialysis treatment and staff-assisted home dialysis is the schedule that you set your dialysis on. When you’re responsible for administering your treatments, there are lots of things that you must consider when you set your schedule, such as how tired or how well you feel every day. You may have to do your dialysis when you’re not feeling up to it, and that can lead to mistakes or unfortunate side effects. With staff-assisted home dialysis, you won’t be responsible for the treatment, so you will be able to undergo it even if you are feeling tired. Your nurse will take care of it, so you don’t have to every worry about it.
What Insurance Covers Staff Assist Dialysis?
Freedom at Home Dialysis accept United Healthcare, CIGNA, AETNA, Humana and other commercial insurance including Worker’s Comp. On a case to case basis, we work with Medicare Managed Care insurance* – UHC Care Improvement Plus, Humana Gold, Amerigroup MMP and Medicaid Managed Care insurance* – Amerigroup Star Plus, Molina Star Plus, Cigna Healthspring and Superior Star Plus. We DO NOT accept traditional Medicare or Medicaid.
* Service provided by our sister agency, Vibrant Home Health Care, a Dialysis Designated Agency
We try and work with all insurance providers. Contact us at 972-772-2565 for more information
Does Medicare cover Staff Assist Dialysis?
NO, Medicare does NOT cover staff assist dialysis treatments at this time.
When is Staff Assist Dialysis appropriate?
Staff Assist Dialysis treatment option is most appropriate when a patient is:
- NOT able to be treated at the in-center facility due to ANY reason
- On tracheostomy or ventilator
- Bedbound and can’t be treated at the center
- Unable to sit for a long period of time due to pain, wound issues or other reason
- Displayed severe anxiety at the in-center facility
- Immunocompromised due to current or recent chemotherapy
- Reason as deemed appropriate by the insurance provider
Who is eligible for Staff Assist Dialysis? (Condition of Coverage)
- Patient is stable on dialysis and not at increased risk as a result of having the procedure performed outside a dialysis center venue; and
- Patient has well-functioning vascular access; and
- Patient has medical contraindications to leaving home for hemodialysis; and
- Patient or non-professional caregiver is not capable of performing home hemodialysis;
Staff assisted home hemodialysis protocols generally match those provided in the hemodialysis
center (i.e., at least 3 times per week, 3-4 hour treatments). The exact dialysis therapy employed
is determined on an individual basis by the attending Nephrologist.
Can you perform staff assist dialysis on pediatric patients?
Dialysis patients above 12 years of age can qualify for Staff Assist Dialysis if:
- The patient is above 90 lbs on dry weight.
- The patient Pediatric Nephrologist will refer and continue to follow the patient.
- There should always be someone at the patient’s residence over 21 years old during dialysis treatment, preferably patient’s family.
How would I get Staff Assist Dialysis started?
Consult your Nephrologist or hospital Case Manager if the patient is still in the hospital. Then:
- Call our office at 972-772-2565 to receive a free consult regarding your insurance eligibility.
- Once your insurance is verified as eligible to begin services, we perform a home evaluation.
- If the home is appropriate, a water sample is done and dialysis machine will be installed .
- Once the equipment is installed your nurse will begin your home hemodialysis. You will always have a licensed and dialysis experienced nurse to administer your hemodialysis EVERY VISIT, EVERY TIME.