title: Innovations in health care delivery for patients with end-stage renal disease (ESRD).
abstract: Increasing requirements for dialysis treatment, financial restraints, quality control and the need to increase the efficiency of professionals involved in the delivery and supervision of chronic dialysis services have stimulated the development of innovative techniques in dialysis health care delivery. The Regional Kidney Disease Program, located at Hennepin County Medical Center, has pioneered the development and application of several innovations to achieve more effective regional delivery of dialysis therapy. Three of the major innovations we have developed are described. They include a computerized automated medical information system, an unique multimedia modified programmed learning training program for allied health personnel and a dialysis nurse practitioner program. Several of these innovations have potential application as models for other developments in modern health care delivery.
mesh_terms: D003153:Community Health Services; D003191:Comprehensive Health Care / Q000379:methods; D003201:Computers; D003479:Curriculum; D003695:Delivery of Health Care; D006266:Health Education; D006268:Health Facilities; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008501:Medical Records, Problem-Oriented; D008910:Minnesota; D009722:Nurse Practitioners; D010348:Patient Care Team; D006435:Renal Dialysis / Q000379:methods