# 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.

- URL: https://neurobird.com/dialysisclinic/
- Product: Neurobird Dialysis Clinic Document Automation Platform
- Niche: dialysis clinic
- Buyer: dialysis facilities
- Status: in development, open for early access
- Updated: 2026-08-22

## What Neurobird Dialysis Clinic does

- 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
- Keep the personnel qualification file the conditions for coverage ask for beside the clinical record

## How it works

1. **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.
2. **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.
3. **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.

## From the source material

> 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.

Source: eCFR, 42 CFR 494.90, patient plan of care, https://www.law.cornell.edu/cfr/text/42/494.90

## Industry context

- **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. (source: eCFR, 42 CFR 494.80, https://www.law.cornell.edu/cfr/text/42/494.80)
- **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. (source: eCFR, 42 CFR 494.90, https://www.law.cornell.edu/cfr/text/42/494.90)
- **494.90** Adequacy 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. (source: eCFR, 42 CFR 494.90, https://www.law.cornell.edu/cfr/text/42/494.90)
- **808,000** More 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. (source: NIDDK, kidney disease statistics, https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease)
- **14.1%** At 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. (source: NIDDK, kidney disease statistics, https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease)

## Pricing

- Single clinic: $349 per month
- Facility group: $799 per month
- Regional operator: $1,599 per month

## Questions

### 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.

## Sources

- [eCFR, 42 CFR 494.80, patient assessment](https://www.law.cornell.edu/cfr/text/42/494.80)
- [eCFR, 42 CFR 494.90, patient plan of care](https://www.law.cornell.edu/cfr/text/42/494.90)
- [eCFR, 42 CFR 494.140, personnel qualifications](https://www.law.cornell.edu/cfr/text/42/494.140)
- [CMS, end stage renal disease certification](https://www.cms.gov/medicare/health-safety-standards/certification-compliance/end-stage-renal-disease)
- [NIDDK, kidney disease statistics](https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease)

## Contact

- office@neurobird.com
- https://neurobird.com/