Dialysis clinic software that keeps the assessment, the plan of care and the adequacy number together
A dialysis clinic is an end stage renal disease facility certified under 42 CFR part 494 to furnish outpatient dialysis. The conditions for coverage give the interdisciplinary team the later of 30 calendar days or 13 outpatient hemodialysis sessions to complete the initial comprehensive assessment, a follow up reassessment within 3 months, and a delivered dose that meets a hemodialysis Kt/V of at least 1.2 or a peritoneal weekly Kt/V of at least 1.7. Neurobird holds the assessment, the plan and the monthly numbers on one patient record.
Neurobird Dialysis Clinic in short
- Run the initial assessment clock in sessions and days, so it closes on the earlier trigger rather than in hindsight
- Hold monthly delivered Kt/V and hemoglobin against the plan of care they are supposed to inform
- Track stable and unstable reassessment cycles separately, annually and monthly, on the same record
- 13 sessions The initial comprehensive assessment must be done within the later of 30 calendar days or 13 outpatient hemodialysis sessions, counted from the first outpatient session. eCFR, 42 CFR 494.80
- 1.2 The team must achieve and sustain a delivered hemodialysis Kt/V of at least 1.2, or a peritoneal dialysis weekly Kt/V of at least 1.7, or an equivalent accepted measure of adequacy. eCFR, 42 CFR 494.90
- Pricing runs 349 to 1599 US dollars per month across 3 tiers. Early access is free.
What dialysis facilities actually deal with
Why it stays broken
A dialysis clinic runs on a schedule of chairs and is judged on a paper trail about people. The machines produce numbers, the electronic record produces notes, and the conditions for coverage ask for something neither of them holds: a team assessment, a plan built from it, and evidence that the plan changed when the patient did. So the middle becomes a binder.
The initial comprehensive assessment is due within the later of 30 calendar days or 13 outpatient hemodialysis sessions, with a follow up reassessment within 3 months of it.
The hemodialysis patient must be evaluated for the appropriate vascular access type, taking into consideration co-morbid conditions, other risk factors, and whether the patient is a potential candidate for arteriovenous fistula placement.
A patient, as your clinic would work it
Tick a step to move a new admission through assessment to a plan of care and watch the cycle set.
Watch the fields extract from the document.
Neurobird Dialysis Clinic Document Automation Platform
One record per patient: the comprehensive assessment by discipline, the plan of care that came from it, the monthly adequacy and laboratory numbers, and every reassessment that moved the plan.
- 1Run the initial assessment clock in sessions and days, so it closes on the earlier trigger rather than in hindsight
- 2Hold monthly delivered Kt/V and hemoglobin against the plan of care they are supposed to inform
- 3Track stable and unstable reassessment cycles separately, annually and monthly, on the same record
- 4Keep the personnel qualification file the conditions for coverage ask for beside the clinical record
What changes with Neurobird Dialysis Clinic?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Dialysis Clinic |
|---|---|
| The comprehensive assessment is late because nobody could see which discipline still had to sign it | Run the initial assessment clock in sessions and days, so it closes on the earlier trigger rather than in hindsight |
| Monthly adequacy numbers sit in the machine software and the plan of care sits in a binder | Hold monthly delivered Kt/V and hemoglobin against the plan of care they are supposed to inform |
| A survey asks for the plan revision that followed a change in condition and it takes an afternoon to find | Track stable and unstable reassessment cycles separately, annually and monthly, on the same record |
Who is this for?
The same patient, three different clinics.
You run one floor
The assessment clock and the monthly numbers are the survey. You need both visible without assembling a binder.
You train and support at home
Home patients are seen less often and measured just as strictly. The record has to carry training, support visits and adequacy together.
You run several facilities
Reassessment cycles and plan revisions only mean something compared across clinics on the same definitions.
How does Neurobird Dialysis Clinic work?
Assess as a team
Each discipline records its part of the comprehensive assessment against the patient, and the outstanding parts are visible before the deadline rather than after it.
Plan and measure
The plan of care carries measurable outcomes, and the monthly adequacy numbers land on the same record instead of a separate report.
Reassess on the right cycle
Stable patients run annually, unstable patients monthly, and a change in condition moves a patient between the two with the reason recorded.
What the rules say about running a dialysis clinic
The federal conditions for coverage, the numbers they name, and the size of the population behind them.
The initial comprehensive assessment must be done within the later of 30 calendar days or 13 outpatient hemodialysis sessions, counted from the first outpatient session.
eCFR, 42 CFR 494.80The team must achieve and sustain a delivered hemodialysis Kt/V of at least 1.2, or a peritoneal dialysis weekly Kt/V of at least 1.7, or an equivalent accepted measure of adequacy.
eCFR, 42 CFR 494.90Adequacy is measured at least monthly by calculating delivered Kt/V or an equivalent, and hemoglobin or hematocrit must be measured at least monthly as well.
eCFR, 42 CFR 494.90More than 808,000 people in the United States are living with end stage kidney disease, with 68 percent on dialysis and 32 percent living with a transplant.
NIDDK, kidney disease statisticsAt the end of 2021, 14.1 percent of all patients undergoing dialysis were dialysing at home, a share that grew by roughly 45 percent between 2011 and 2021.
NIDDK, kidney disease statisticsDialysis clinic software questions, answered
Key terms
- What is a dialysis clinic assessment window?
- It is the period the conditions for coverage allow for the initial comprehensive assessment of a new patient: the later of 30 calendar days or 13 outpatient hemodialysis sessions from the first outpatient session, with a follow up reassessment within 3 months of completing it.
How often is dialysis adequacy measured?
At least monthly, by calculating delivered Kt/V or an equivalent measure. The plan of care has to achieve and sustain a hemodialysis Kt/V of at least 1.2 or a peritoneal weekly Kt/V of at least 1.7.
Does this replace our electronic health record?
No. It sits beside it. Clinical notes and orders stay where they are. This holds the assessment by discipline, the plan of care, the monthly numbers behind it and the reassessment cycle each patient is on.
How does it treat stable and unstable patients differently?
Reassessment runs at least annually for stable patients and at least monthly for unstable ones. The record carries which cycle a patient is on and why, so a change in condition moves the schedule instead of being noticed at survey.
Can it cover a home programme?
Yes. Home patients carry the same assessment and adequacy obligations on a different visit rhythm, so training, support contacts and monthly numbers sit on the same record.
Why we are building this
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Where the requirement comes from
Primary sources, straight from the regulators.
- eCFR, 42 CFR 494.80, patient assessment What the comprehensive assessment covers, when it is due and how often each patient is reassessed.
- eCFR, 42 CFR 494.90, patient plan of care The adequacy, anemia, nutrition and access targets the plan of care has to address and measure.
- eCFR, 42 CFR 494.140, personnel qualifications Who may hold each role in the facility and the qualifications the record has to show.
- CMS, end stage renal disease certification How a facility is certified and surveyed against the conditions for coverage.
- NIDDK, kidney disease statistics Federal figures on how many people are treated by dialysis and how the home share is moving.
How much does Neurobird Dialysis Clinic cost?
Priced per facility, because certification, survey and the interdisciplinary team are facility level things. Patients, assessments and plan versions are unlimited on every tier.
- One facility
- Unlimited patients
- Assessment clock
- Monthly adequacy view
- Up to 5 facilities
- Plan of care versioning
- Stable and unstable cycles
- Survey export
- Unlimited facilities
- Home programme records
- Cross clinic reporting
- Priority support
Get free early access
Early access means we build the assessment and reassessment structure around how your clinic actually schedules, and you keep the account free while we do it.
Straight answer on where this is: The software is in development. Nothing is purchasable today. Early access means you shape it and pay nothing while we build.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.