SCOPE Dialysis Collaborative

Nurse and young patient

Partnering with families to improve dialysis care for children and adolescents

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


SCOPE participating centers are helping families provide essential and complex care in the home for children with kidney disease.  The evidence shows that patients at SCOPE centers

  • Have reduced risk of infections
  • Have fewer hospitalizations
  • Maintain health for transplant
  • Maintain normal school and family life

(as of October 2020)
PD - peritoneal dialysis; HD - hemodialysis

402 PD-related hospitalizations prevented
426 HD-related hospitalizations prevented

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689 peritoneal infections prevented
739 access-related infections prevented

Over $12 million saved hospitalization costs for PD-related infections and over $12.7 million saved hospitalization costs for HD-related infections.
204 physicians received Maintenance of Certification credit (Oct. 2020)
Nurses eligible for 127 contact hours (since October 2013) 
52 participating SCOPE sites
High level of scholarly output with 11 publications and 40+ presentations
Peritonitis rate dropped 35%; 58% reduction in hemodialysis BSI rate for original 16 HD centers


Collaborative leadership is provided by internationally recognized faculty. CHA extends appreciation to these committed clinicians and hospitals.

Alicia NeuAlicia Neu, M.D.
Chief, Pediatric Nephrology; Medical Director, Pediatric Dialysis and Renal Transplantation
Johns Hopkins Children’s Center 
Brad WaradyBrad Warady, M.D.
Director, Division of Pediatric Nephrology; Director, Dialysis & Transplantation
Children’s Mercy Hospital
Audrey BuschJennifer Ehrlich, BSN
Pediatric Dialysis Nurse
University of Iowa Hospital & Clinics 
Chris DayChris Day, M.D.
Assistant Professor of Pediatrics, Division of Infectious Diseases
Children's Mercy Kansas City
UMKC School of Medicine
Brandy Begin, BSN, RN, CNNBrandy Begin, BSN, RN, CNN
Pediatric Peritoneal Dialysis Manager
Oregon Health & Science University, Doernbecher Children's Hospital


National recognition

SCOPE is recognized as evidence-based, data-driven, effective and methodologically robust by leading organizations: 
  • The American Board of Pediatrics for maintenance of certification credit
  • 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
  • SCOPE’s scholarly output includes 40+ presentations at national and international meetings and seven publications, four in process, in leading journals including Kidney International, The Clinical Journal of the American Society of Nephrology, and Pediatric Nephrology


All CHA member hospitals are eligible to participate.


New program participants begin the collaborative semi-annually; July and January.  Enrollment deadlines are June 30 or December 31, respectively.  For questions on enrollment or to begin the enrollment process, contact Patty Kohn.


Enrollment Resources

CDC Partnership

Making Dialysis Safer Partnership logo

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

Blog Post

SCOPE faculty member Dr. Warady with patient

SCOPE faculty Brad Warady, M.D., talks about the critical impact of the doctor-patient relationship on care in his blog post for CHA’s Speak Now for Kids campaign.

Findings and Results

View the Colin White lecture (ISPD) by SCOPE faculty leader Alicia Neu, M.D. and other related videos.