Veterans Heodialysis Case Study

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In October 2015 the number of Veterans being fee-based to outside healthcare facilities was rising. In order to decrease the fee-based costs and return our Veterans back to the Veterans Administration (VA) a peritoneal dialysis program needed to be created. The Nephrologist and Nurse Manager (NM) worked diligently to make sure the components of the program could be managed within the organization. A big obstacle found was getting buy-in from the nurses. Change has always been stressful for staff and this was going to be a big undertaking. When approaching the nurses the NM discussed how the program would benefit the patients and open up doors for other Veterans receiving hemodialysis. All Veteran care would now be at one facility which would
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