SCOPE Dialysis Collaborative

Nurse and young patient

Partnering with families to improve dialysis care for children

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.


SCOPE participating centers are helping families provide essential and complex care in the home for children with renal 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

259 hospitalizations prevented

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419 peritonitis infections prevented

Over $7.7 million saved hospitalization costs
119 physicians received Maintenance of Certification credit (Feb. 2017)
Nurses eligible for 73.25 contact hours (since October 2013) 
new sites enrolled in 2017-18 bringing SCOPE to 44 sites total  
High level of scholarly output with 8 publications, 3 in process and 30+ presentations
Peritonitis rate dropped 40%34% reduction in hemodialysis BSI rate for original 15 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
Nancy McAfeeNancy McAfee, MN, RN, CNN, MSN
Pediatric Nephrology Nurse
Seattle Children’s 
Tessa PattersonTessa Patterson, RN, BSN, CPN
Team Lead Charge Nurse
St. Louis Children’s Hospital


National recognition

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.  Enrollment deadlines are June 30 or December 31, respectively.  For questions on enrollment or to begin the enrollment process, contact Cherie Thomas.


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.