Strive Health’s Owensboro Dialysis Center opens next month, providing the community with its first holistic preventive kidney disease facility. Although Strive offers kidney dialysis, the company’s primary goal is to slow the progression of kidney disease by providing education and resources through personalized care plans.
Strive’s facility at 4551 Springhill Drive, Unit 3, in Owensboro is the company’s first inpatient facility to provide renal dialysis for patients with end-stage renal failure.
According to director James Salas, the majority of Strive patients do not receive kidney dialysis at all.
“If we do our jobs right, they’ll never be dialyzed,” he said. “We were very successful in keeping her off dialysis at Strive.”
Strive’s health team is made up of “kidney heroes” who identify what each patient needs in particular. For example, if a patient is diabetic, Kidney Heroes develop a customized care plan for that patient that includes resources and education about diabetes.
According to Salas, Strive has a case manager, nurse, nutritionist, social worker, and clinical pharmacist on staff to help each patient slow the progression of their kidney disease and prevent them from receiving dialysis.
“One of our mottos is,” We start over because we have to, “said Salas.” We are trying to take an innovative, holistic approach to caring for patients with kidney disease that other providers have not done in the past . ”
That holistic approach, Salas said, revolves around preventive medicine and predictive measures that keep patients away from the hospital.
“Most providers build on commitment to the health system,” he said. “You will be successful in value-based care when the patients are at home and healthy. And the only way to do that is to make sure that all aspects of their life are taken into account. ”
These core issues include joint decision-making, educating the patient and his entire family unit, and nutrition. Often times, the focus is only on the patient, but Salas said nutrition education should be extended to other caregivers and family members.
“Often it is not those who cook or shop the meals. So if you look at the whole environment and educate them too, it will result in a healthier patient at the end of the day, ”he said.
Salas said his team uses predictive analytics to monitor a patient population based on indications, laboratory and medical data. An algorithm will be developed that shows how many patients are currently suffering from or are heading towards kidney disease in an area.
“If they are in Stage 3B or Stage 4, there is still enough time to make sure they don’t progress towards end-stage kidney disease called dialysis,” he said. “We will continuously monitor the entire population to prevent patients from going that far.”
Salas says Strive is working with healthcare partners to see if a location like Owensboro is a good fit for them.
Those patients who are actually dialyzed receive a lot of time, care, and effort, Salas said. As a rule, dialysis patients are cared for in large, open rooms next to each other. At Strive, eight individual suites offer patients a feeling of privacy that is not offered in other clinics.
However, because the dialysis process can be time consuming and alienating, many patients develop a social bond with other patients. According to Salas, Strive has recognized this, and so each of the individual suites is equipped with sliding glass doors that can be opened to the neighboring room.
“Our focus is on getting 50% of our patients on home dialysis, so all of our rooms are set up to encourage self-care,” said Salas. “Even if some patients eventually develop end-stage kidney disease, the best care is to get them educated and get to where they can take care of themselves in the comfort of their own home. So move the needle of 90% of the patients [onsite dialysis] 50%, that is our primary goal. ”
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