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Patient PathwaysSM Care Management and Discharge Planning Services Deliver Proven Outcomes

Patient Pathways is an award-winning, provider-neutral program supplementing your hospital's staff with onsite renal nurses and patient liaisons specialized in managing care transitions for patients with end stage renal disease (ESRD).

Patient Pathways helps improve the quality of life for kidney care patients while reducing costs, as demonstrated through1:

With Patient Pathways, kidney care patients are simply better prepared for the outpatient dialysis setting. Patient Pathways nurses and patient liaisons use their expertise in kidney patient care and discharge planning to help ease patient transitions to the outpatient setting. Patients select a center that best meets their needs from a schedule, insurance, location and preferred nephrologists perspective.

Patient Pathways offers a variety of integrated kidney care solutions to help your hospital address the complex needs of kidney care patients.

The onsite renal nurse and/or patient liaison meets with each ESRD patient (and their caregivers, if desired) to provide resources on topics such as:

  • CKD and ESRD education
    What is happening to the kidneys and what is the impact on the body?
  • Dialysis treatment options
    Information on in-center hemodialysis, home hemodialysis (HHD) and peritoneal dialysis (PD)
  • Outpatient dialysis care
    What to expect in the outpatient dialysis setting
  • Insurance and financial obligations post-discharge
    Explanation of insurance coverage and costs associated with post-discharge dialysis care

In addition, the onsite liaison works with the patient to identify a provider-neutral list of convenient outpatient dialysis clinics for the patient to choose from. The nurse and liaison will work with that clinic directly to get the patient placed and schedule their first dialysis treatment per physician orders.

Experienced renal nurses provide further education and care transition management related to:

  • Vascular Access coordination – inpatient vessel mapping or outpatient vascular surgeon appointment coordination
  • 30 day post discharge follow-up
  • Prescription coordination
  • Primary care physician (PCP) clinical update and follow-up scheduling coordination

To speak with a representative about the impact of Patient Pathways at your hospital, email partner@patientpathways.org or contact us.

Patient Pathways is a 2013 Case In Point Platinum Award finalist for "Best Transition of Care Program" and "Best Discharge Planning Program." Case in Point is a unique awards program recognizing the most successful and innovative case management programs working to improve healthcare across the care continuum.

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1Patient Pathways average data as of May 2012

Patient Pathways Program Overview with Kindred Healthcare

Anthony Disser, RN, BSN, MSN
Senior Vice President of Clinical Operations
Kindred Healthcare

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