Dialysis Key Performance Indicators (KPI)

Points

Score

If ‘0’, what intervention best addresses this

Patient-Directed Questions

1

Are you currently feeling ‘pretty good’ about things?

1

2

Are your diet and fluid intake free of major restrictions?

1

3

Is your blood access is a native arteriovenous fistula?

1

4

Is your dialysis free of cramp, nausea and headache…etc?

1

5

Are you part or full-time employed or retired by choice?

1

6

Have you remained out of hospital for the last 3 months?

1

 Process-directed Questions

7

≥7 sessions/each 2 wks … (all inter-dialytic breaks <48hrs)

1

8

≥18 total hrs /each wk … (within any frequency regimen)

1

9

2 mth Kt/V ≥1.3 or PRU ≥70% (or PRU ≥50% if ≥5 x HD/wk)

1

10

Mean inter-dialytic weight gains ≤2.5% dry weight

1

11

Mean pre-HD systolic BPs  ≥105  and  ≤150

1

12

No intra-dialytic saline has been used in last 4 wks

1

Laboratory-directed Questions

13

2 mth Hb ≥110 and ≤125 g/L

1

14

2 mth T’Sat ≥20% and ≤45%  ±  Ferritin ≥300 and ≤500 µg/L

1

15

2 mth pre-HD Ca x PO₄ product  ≤4.0 (if SI) or ≤50 (if US)

1

16

2 mth calcium in normal range and PTH  ≥2 to ≤4 x normal

1

17

2 mth albumin ≥35 g/L

1

18

2 mth CRP is normal for the local laboratory

1

Chart-directed Questions

19

No anti-hypertensive medications are necessary

1

20

No phosphate binder medications are necessary

1

MAXIMUM SCORE

20

16-20   =  good dialysis

10-16   = can significantly improve  dialysis

<10      = poor or unacceptable dialysis