The value-based care model encompasses six primary elements. The goal is to reduce healthcare spending and boost patient outcomes for patients with chronic kidney disease or end stage kidney disease.
The primary causes of CKD are diabetes and high blood pressure. Patients are educated on the factors that contribute to progression and in house nutritionists work out a customized diet plan.
We provide robust hemodialysis and peritoneal dialysis services to the largest home dialysis population in the country, numbering over 700 patients.
We provide 24/7 Remote Patient Monitoring as well as real time communication channels to patients with their providers, which has resulted in significant reduction in unnecessary hospitalization.
We have in house educators to counsel patients & also have validated tools such as P.A.M to measure the knowledge, skills and confidence of our patients in managing their own wellbeing.
We have seen an uptick in transplants because of our collaboration with kidney foundation and engagement with multiple transplant facilities including Stanford, UC Davis, UCSF (pre & post clinic in-house and CPMC.
We have decades of secure patient data that we leverage in-house to perform data analytics on, to get patient & population insights such as patients at risk of CKD progression. This helps with early intervention, delays progression and reduces hospitalizations.