Modality Choice
When completing step 1, this tool replaced Match-D and is used to understand a patient’s unique needs and preferences
The Modality Interview Tool (MIT).
Name the three steps of the Modality Choice pathway in order
Modality Choice Discussion
Home Modality Education
Document Patient Modality Decision
True or False: FAs can change the default assignment of care activities to a specific role and teammate.
True: Page 8 & 9 goes over how to bulk assign care activities
This CWOW option should be selected when a patient is interested in home but needs more time or education before deciding.
Interested in Home but not ready to decide.
This role is the default owner of Step 1: Modality Choice Discussion in CWOW.
Modality Choice Lead (MCL).
Why is it critical that the Home RN reviews the MIT before Step 2 education?
So the education is personalized to what matters most to the patient.
This step is where clinical candidacy for home modalities is evaluated and more in-depth home education occurs.
Step 2: Home Modality Education.
This role is the default owner responsible for documenting the patient’s final modality decision.
Facility Administrator (FA).
Where can rounding nephrologists view completed MIT results if they are OneView users?
In OneView, under the Clinical Details tab in the patient’s chart.
By approximately how many days after starting dialysis should a patient’s modality decision be documented?
Within about 26 days.
True or False: The MIT is used to determine whether a patient is clinically appropriate for home dialysis.
False — it is not used to determine candidacy.
Why is it important that teammates avoid making judgments about home modality eligibility during the MIT conversation?
Because clinical evaluation and candidacy assessment occur in Step 2 by the Home RN, not during the MIT.
From the patient’s start of dialysis, what is the expected timeline to complete all three steps of the Modality Choice pathway?
Step 1 by +13 days, Step 2 by +19 days, and Step 3 by +26 days from start of the pathway.
What key information from the MIT should be shared during Core Team Meetings?
What matters most to the patient, key barriers or needs identified, and considerations that may impact modality education or decision-making.
A patient expresses concern about infection risk during the MIT. What should happen next in the process?
That concern should be documented in the MIT and addressed during Step 2 Home Modality Education with tailored, fact-based education.