What you’ll get out of this episode

Listen in as host Tim Fitzpatrick chats with Dr. Gupta about different barriers to education and treatment selection for people with kidney disease (CKD) and kidney failure (ESKD). Shammi dives into how Monogram Health is supporting care teams in over 30 states to educate their patients, delay disease progression, experience home dialysis options, and design care plans with social support and individual goals in mind.

In this episode you’ll discover:

• How the current dialysis education approach often scares patients away from home dialysis due to a lack of available hands-on education and shortened time to make a decision.
• The disconnect between what physicians think and what patients want, given that 90% of kidney doctors would choose to do home dialysis while just 10% of patients is at home today.
• Why it’s so important for care teams to consider the whole person beyond their treatment prescription, and what role the multidisciplinary care team plays in meeting those needs
• Why allowing patients to visit a home dialysis center and meet a home dialysis patient leads to patients visualizing the process and removing their fear of home dialysis. 
• How experiential learning enables patients to feel more empowered to pursue new treatment options like home dialysis

Quotables

“It’s my firm belief that patients can do home dialysis if given the opportunity and support, and not be on a rush pathway. Ideally, we would explain to a patient was it means and support them with that journey depending on where they are with an open-ended time frame as opposed to a here's your first presentation and you need to decide by tomorrow and if you don’t, we’ll put you in a center and that’s the end of it. “ @Dr.ShaminderGupta #MonogramHealth on Ep23 @T-Minus10 w/ @trfitzpatrick    

“90% of physicians would choose home dialysis for themselves or a loved one. Yet only 10% of patients are doing home dialysis in this country. So I think that says it all, frankly.” @Dr.ShaminderGupta #MonogramHealth on Ep23 @T-Minus10 w/ @trfitzpatrick

Recommended Resources

• Monogram Health and Banner – University Health Plans Announce Innovative Kidney Care Partnership (Monogram Press)
• AdventHealth Partners with Monogram Health to Improve Health Outcomes for Those Impacted by Chronic Kidney Disease (Monogram Press)
• Kidney care startup Monogram Health eyes expansion boosted by $160M investment (Fierce Healthcare)
• Monogram Health launches "couple hundred million" capital raise (Modern Healthcare)
• Value-Based Care in Nephrology: The Kidney Care Choices Model and Other Reforms (Kidney360)
• Value-Based Care Catalyzes Transformation of Kidney Disease Care (Healthcare Innovation)

Join the Conversation

Dr. Shaminder Gupta on LinkedIn

Monogram Health on LinkedIn

About Your Host

Tim Fitzpatrick is the CEO of IKONA Health, a company using neurobiology and immersive technology to improve how patients learn about their care and treatment options. Tim co-founded IKONA based on his own patient experiences while serving in the US Navy and now in the VA health system. He has served as Principal Investigator on multiple federal research grants, has co-authored papers on learning science, VR, and mental health in the age of COVID-19, and has partnered with top healthcare investors and institutions including the National Science Foundation, Department of Defense, National Artificial Intelligence Institute, StartUp Health, On Deck, FundRx, MATTER and NVIDIA.

T-Minus 10 is a part of the Slice of Healthcare podcast network.