16 Nov National report finds patients at Dialysis Clinic, Inc., to have lowest hospitalization and mortality rates for 14th straight year


The United States Renal Data System (USRDS) Annual Report found Dialysis Clinic, Inc. (DCI), the nation’s largest non-profit dialysis provider, to have the overall lowest mortality and hospitalization rates when compared to other national dialysis providers. The report also showed DCI’s hospitalization and mortality rates to be lower than the national average.

This is the fourteenth year in a row that DCI patients have had the lowest mortality and hospitalization ratios when compared to national providers and the national average.

“At DCI, we provide healthcare solutions for people with kidney disease. The care we provide must meet our patients’ needs in a variety of ways. Being able to offer individualized care to our patients and seeing that they are experiencing outcomes that are better than the national average in regard to hospitalizations and mortality rates shows that our approaches to care are working,” said Doug Johnson, MD, Vice Chairman of DCI.

According to the USRDS, DCI had the lowest standardized mortality ratios (SMR) in 2014 at 0.88, compared with the national average of 0.96. In comparison to the two Large Dialysis Organizations (LDOs), DCI exhibited the lowest SMR compared with 0.97 and 0.94.

DCI also exhibited the lowest standardized hospitalization ratios (SHR), at 0.93, compared with 1.03 and 0.96. The national average was 1.00.


“While it’s encouraging to see that DCI has the lowest mortality and hospitalization ratios among large dialysis providers, we know there’s more work to be done,” stated Johnson.

Johnson explained that DCI will continue to focus on the fundamentals in kidney care to improve a patient’s quality of life. They are:

  1. Improve the care for patients with CKD, making it less likely that they will need dialysis
  2. Increase transplantation, including pre-emptive kidney transplantation
  3. Decrease hospitalizations for patients with kidney disease
  4. Reduce central venous catheters
  5. Increase home therapy options
  6. Improve the transition to end of life
  7. Ensure that patients are taking the correct medications at the correct dose
  8. Do whatever it takes to allow patients to have the live they should have, but for their kidney disease

“Our outcomes continue to improve because our medical directors, administrators, nurses, dialysis technicians, social workers, dietitians and other staff in our clinics continue to work each day to make sure that our patients receive the best possible care,” explained Johnson. “It is a privilege to be a part of such an incredible team, working together to improve care for our patients.”

The 2016 USRDS report analyzes data from 2014. All ESRD patients, regardless of insurance coverage and age, are included in the USRDS database. View the full 2016 USRDS Annual Report here


The United States Renal Data System (USRDS) is a national data system that collects, analyzes, and distributes information about chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the United States. The USRDS is funded directly by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). USRDS staff collaborates with members of Centers for Medicare & Medicaid Services (CMS), the United Network for Organ Sharing (UNOS), and the ESRD networks, sharing datasets and actively working to improve the accuracy of ESRD patient information.

Founded in 1971, Dialysis Clinic, Inc. (DCI) is the nation’s largest non-profit dialysis provider with more than 230 outpatient dialysis clinics in 28 states. Headquartered in Nashville, Tennessee, DCI employs approximately 5,000 people serving approximately 19,000 patients with kidney disease. Of those, 4,000 patients have chronic kidney disease and 15,000 patients are currently on dialysis.