← Back to all programs

ESRD Peritoneal Dialysis

This program is for managing and engaging patients with end stage renal disease who are receiving renal replacement therapy with peritoneal dialysis. This program may begin at any time following the initiation of peritoneal dialysis. It includes a version for post-discharge patients and a version for chronic patients.

Program Goals

  • Management of pathological manifestations of renal disease
  • Avoid complications and reduce readmission
  • Improve patient satisfaction and QOL, improved self-care (including medication adherence and compliance with treatment plan), and improve fund of knowledge
  • Decrease cost of care through assessments and engagement interventions
  • Reduce mortality

Program Details

  • Digital Check-Ins: Post-discharge: Daily to 1 every 3 days for 30 days, Chronic: 2 times/week for 1 year
  • Pathways: 7
  • Risk Alerts: Disease Mgmt: 76, Physical Wellness: 26, Emotional Health: 13
  • Assessments: PHQ-9, GAD-7

What's in a Program — A Deeper Dive

Programs contain proprietary clinical content, rules, and configuration settings that leverage the features of the RoundingWell platform.



RoundingWell Pathways facilitate efficient patient management. Whether it’s disease management, or physical or emotional health needs, evidence-based protocols guide clinicians through every step in a protocol.


Pathways put protocol into action

Backed by clinical literature, programs include pathways that extend evidence-based guidelines and best practices throughout the care continuum.

BYOP — Bring your own pathways

Customers can further modify a program’s pathways to suit their organization’s needs. Also, customers can convert their own protocols and policies into our actionable pathway format.


Documentation that almost writes itself

As clinicians assign tasks, complete tasks, capture task notes and communicate with other clinicians, care management documentation is being timestamped and logged for automatic export back to the patient’s chart in the EHR.


Digital Check-Ins

Whether a patient is managing a chronic condition or they’ve been recently discharged, RoundingWell is effective at connecting with patients between visits through lightweight digital touches called Check-Ins.


Direct to the patient—or caregiver

Questions are automatically sent to patients or an approved caregiver to assess their current health status and to screen for specific needs. Education content tailored to the patient informs them about their disease, condition, and treatment plan.


Reduce complications, proactively

By syncing to the patient’s current setting and treatment phase, RoundingWell Check-Ins help anticipate patient needs. Check-Ins incorporate notifications, screenings, and direct messages. Any potential patient-reported complications will trigger risk alerts.


Risk Alerts

Risk Alerts can be auto-triggered from rule-based EMR data or from patient-generated data from Check-Ins. Actionable alerts enable clinicians to practice exception-based care.

Risk List
Mobile Risk List

Alerts auto-trigger pathways

Once a risk is identified, RoundingWell automatically triggers a pathway if one exists. Also, customers have control over what alerts are identified, and clinicians are able to sort and filter their alerts.

EHR Integeration

EHR Integration

Bi-directional integration streamlines workflows through automation and improves the efficiency of your clinician teams as they manage patients.


Auto-populate patient profiles

Segmenting your population is helpful in tracking care programs, assigning patients to a clinician or team, comparing patient groups, tracking and comparing performance, etc.


Auto-trigger important workflows

If the clinical data is available, RoundingWell can automatically trigger risk alerts and pathways based on EHR data.

Eliminate Duplicate Documentation

Eliminate double documentation

Activity captured in RoundingWell is timestamped and logged for automatic export back to the patient chart in the EHR (via ORU messages).



Capture electronic assessments and screenings, such as PHQ-9, GAD-7, TICS, and PAM. Assessments are scored, which can then trigger risk alerts or prompt other actions in a workflow.

Patient Assessments

Worklists & Reports

Patients automatically appear on a worklist when they match the inclusion rule(s) for that list. Reports uncover clinician and team adherence to standardized protocols.

Patient Reports

Ready to schedule a demo?

Get in touch for a demo of our platform and to see care programs in action.

Request a Call