SCOPE Dialysis Collaborative

Nurse and young patient

The Standarized Care to Improve Outcomes in Pediatric Endstage Renal Disease (SCOPE) collaborative prevents infections in pediatric peritoneal dialysis and hemodialysis patients using large-scale collaboration to identify and spread effective interventions across pediatric care settings.


Peritoneal Dialysis (PD) — Preventing infections in PD patients reduces hospitalizations and allows patients to continue home-based dialysis and maintain normal school and family activities.

Hemodialysis (HD) – Similarly, preventing infections in HD patients reduces hospitalizations and the need for additional invasive procedures.  Additionally, SCOPE is contributing to new knowledge about children on dialysis while improving outcomes.  

The evidence shows that patient outcomes have improved as a result of the SCOPE program. As participating dialysis centers reduce infection rates, hospitalizations are prevented and patients are able to continue home-based dialysis while maintaining regular school schedules and family activities.

Scope Impact

  • 419 episodes of peritonitis prevented
  • 259 hospitalizations avoided
  • Over $7.7 million saved in costs
  • Peritonitis rate has dropped 40 percent; 34 percent reduction in hemodialysis BSI rate

Scope Leadership 

Collaborative leadership is provided by internationally recognized faculty:

Alicia Neu, MD. Alicia Neu, MD
Chief, Pediatric Nephrology
Medical Director, Pediatric Dialysis and Renal Transplantation
Johns Hopkins Children’s Center


Brad Warady, MD.Brad Warady, MD
Director, Division of Pediatric Nephrology,
Director, Dialysis & Transplantation
Children’s Mercy Hospital

Nancy McAfee, MN, RN, CNN, MSN.Nancy McAfee, MN, RN, CNN, MSN
Pediatric Nephrology Nurse
Seattle Children’s 
Tessa Patterson, RN, BSN, CPNTessa Patterson, RN, BSN, CPN
Team Lead Charge Nurse
St. Louis Children’s Hospital

CHA extends appreciation to these committed clinicians and hospitals.

Nationally Recognized

SCOPE is recognized as evidence-based, data driven, effective and methodologically robust by leading national organizations: 
  • The American Board of Pediatrics has approved SCOPE for maintenance of certification credit.  
  • SCOPE workshops are approved by the American Nurses Credentialing Center (ANCC) for CNE credits.
  • Participation in SCOPE earns points in the US News and World Report children’s hospital survey.


All member hospitals are eligible to participate.


New program participants begin the collaborative semi-annually; July and January.  Enroll by Dec. 31, 2017 for a January start date.  For questions on enrollment or to begin the enrollment process, contact Cherie Thomas.


SCOPE Renewal

It's time to renew participation in the Children's Hospital Association SCOPE Dialysis Collaborative for 2018. Submit renewal forms by Dec. 4, 2017.

CDC Partnership

Making Dialysis Safer Partnership logo

SCOPE is a proud partner of the CDC's Making Dialysis Safer for Patients Coalition.

Findings and Results

View videos about results achieved by some SCOPE Collaborative participants.