PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

Dear Healthcare Professional,

Thank you for completing the focus area module entitled “Home Dialysis as a Treatment Option”! We are excited to collaborate with you on quality improvement initiatives and activities at your facility. Please complete this short quiz when you have finished viewing the “Home Dialysis as a Treatment Option” Module as certification of completion.

NOTE: IF YOU ARE PARTICIPATING IN MORE THAN ONE QUALITY IMPROVEMENT ACTIVITY, e.g. (Home, Transplant, BSI/LTC), YOU ONLY NEED TO COMPLETE ONE TIME.


INSTRUCTIONS:
  1. Please complete the following Post-Assessment/Quiz after viewing the Patient Health Coach - “Home Dialysis as a Treatment Option” Module.
  2. The successful submission of this quiz is dependent upon answering all questions marked with an asterisk (*).
  3. Upon the successful completion and submission by clicking on the “DONE” box at the end of the quiz, you will be directed to the ESRD Network 6 Professional Learning and Development webpage. (If you are not redirected to the Professional webpage, please contact Michelle Lewis at mlewis@nw6.esrd.net or call 919-463-4510)
  4. It is recommended that you complete the “Home Dialysis as a Treatment” quiz within 3 days of viewing the module.
  5. To pass this module, you will need to achieve a 70% or better. If you don't pass on the first attempt, please review the incorrect answers, and retake the quiz as many times as necessary to achieve a passing score. 
  6. After passing this module with a 70% or better score, you will be ready to take additional focus area modules: Transplant as a Treatment Option and Vascular Access Planning now available.
  7. Please select your facility by following the example below. You will need to select your facility from the drop down menu according to your State, CCN, and Facility Name.
  8. Please select "N/A" in the other two drop down menus to successfully save your responses.
 

Question Title

EXAMPLE

EXAMPLE
YOUR INFORMATION

Question Title

* 4. Please enter your contact information below:

Question Title

* 5. Do you oversee multiple units other than the selected facility above? If you oversee more than one facility, you will only need to complete this post-assessment once(Please include the CCN and Facility Name for ALL units you oversee in order to receive credit for this project requirement) **IF NO - PROCEED TO THE NEXT QUESTION**

MODULE UNDERSTANDING

Question Title

* 6. The ESRD Network role and responsibilities to improve ESRD patients experience of care include:

Question Title

* 7. What are the two primary types of home dialysis?

Question Title

* 8. Most physicians and nurses would choose in-center dialysis over  home dialysis if faced with end stage renal disease:

Question Title

* 9. Peritoneal dialysis is currently the most under-utilized modality type in the United States.

Question Title

* 10. It is a Medicare requirement that all ESRD beneficiaries receive modality options education at least once per year.

Question Title

* 11. Nocturnal hemodialysis is performed for 6-9 hours per day while the patient is awake.

Question Title

* 12. A care partner is a requirement for peritoneal dialysis.

Question Title

* 13. Benefits of Home Dialysis include:

Question Title

* 14. Normal functioning kidneys work how many hours on average per week?

Question Title

* 15. Who is a potential candidate for home dialysis? (Select all that apply)

Question Title

* 16. After sharing educational resources from the toolkit with the patient you should:

MODULE EVALUATION

Question Title

Professional Module Series: Home Dialysis as a Treatment Option Module

Professional Module Series: Home Dialysis as a Treatment Option Module

Question Title

* 17. Please use a 5-star rating scale to evaluate this module, Home Dialysis as a Treatment Option (picture is for reference only)

Question Title

* 18. Did you find this module to be effective in preparing you with the knowledge and skills needed to educate patients about home modality options?

Question Title

* 19. Do you have any additional comments on how this module could be improved to meet your needs as the Patient Health Coach?

Thank you for completing the Professional Module
“Home Dialysis as a Treatment Option” Post-Assessment

Please click on the "DONE" box below to submit  your responses to the Network.
Once you click on the “Done” box, you should be re-directed to the ESRD Network 6 Professional Learning and Development webpage.
ESRD Network Program
IPRO ESRD Network of the South Atlantic

T