gainful employment of esrd patients

Network Project Lead: Kelly Brooks

Ready Set Go Get Em LogoChanges in employment levels are common among working-age people with ESRD. Large numbers of patients give up jobs or reduce work hours before or after initiating dialysis. Once out of the job market, many are not able to re-enter due to the physical demands placed on them by the disease and the dialysis treatment they need to survive.

GOAL:  Through positive culture change and improved access to services, increase vocational rehabilitation referral rates by 20% for the participating facilities’ patients and increase receipt of services 10%, before the end of September 2019.

PROJECT TIMELINE:  January - October 2019

BASELINE: (CROWNWeb data Oct 2017 – Jun 2018)

Project Overview

Patient Engagement

Project Launch Materials

Facility Acknowledgement Form

Project Syllabus

Lobby Poster

Patient Questionnaire (available in English or Spanish)

Facility ENGAGE Pre-Assessment

Monthly Data Collection

Monthly Data Collection Tool

Webinars & Slides


There are several webinar events for 2019, including national LAN calls and Network Coaching Calls. Project participants are expected to participate in all webinar events.

Advanced registration is required in order to participate in all calls
Gainful Employment QIA Coaching Calls
10:00 - 11:00 a.m. ET
October 8, 2019
National LAN call information will be posted as it becomes available

Please note that these dates are subject to change based on speaker availability. Meeting details, including registration link and call overview, will be provided as they are received.

All project participants not present for the live webinar event are required to view the webinar recording for the event(s) which they were not present, and complete an attestation form.


Recordings (files are large and make take a few minutes to load) Slide Decks
Network 5 2019 Gainful Employment QIA Kickoff  PDF Slides
Vocational Rehabilitation for the ESRD Patient: Fulfilling the Promise PDF Slides
February Gainful Employment QIA Coaching Webinar PDF Slides
Ticket to Work: A Presentation for the CMS End Stage Renal Disease Networks PDF Slides
April Gainful Employment QIA Coaching Webinar PDF Slides
May Gainful Employment QIA Coaching Webinar PDF Slides
CMS Network Sharing Call PDF Slides


Project Resources

Vocational Rehabilitation: A Video from The Forever is Tomorrow Foundation

Rehabilitation: Getting Back to Work fillable poster - You can type your local rehab services contact information onto this document before printing! (available in English or Spanish)

Home Dialysis Central's Working On Home Dialysis: What Dialysis Staff Should Know



Fishbone Diagram Tool

5 Diamond Patient Safety Program: Depression/Vocational Rehabilitation Module

Veterans Resources

KidneyWorks™ This patient advocacy program is designed to identify working-age people with Stage 3-5 CKD—those whose kidney function is less than 60%—and to promote job retention as a key means for these individuals to continue to pursue their life aspirations with health insurance, income and an enhanced quality of life.

Ticket to Work

Patient Experience Form and Referral Tracking Tool (both resources developed by ESRD Network 16)

Vocational Rehabilitation and Education Resources