
Partnering with families to improve dialysis care for children
The Standardized 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.
Focus
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
Impact
(as of October 2019)
PD - peritoneal dialysis; HD - hemodialysis

High level of scholarly output with 10 publications and 40+ presentations |

Peritonitis rate dropped 38%; 67% reduction in hemodialysis BSI rate for original 16 HD centers |
Leadership
Collaborative leadership is provided by internationally recognized faculty. CHA extends appreciation to these committed clinicians and hospitals.
Alicia Neu, M.D.
Chief, Pediatric Nephrology; Medical Director, Pediatric Dialysis and Renal Transplantation
Johns Hopkins Children’s Center |
Brad Warady, M.D.
Director, Division of Pediatric Nephrology; Director, Dialysis & Transplantation
Children’s Mercy Hospital |
Jennifer Ehrlich, BSN
Pediatric Dialysis Nurse
University of Iowa Hospital & Clinics |
Chris Day, M.D.
Assistant Professor of Pediatrics, Division of Infectious Diseases
Children's Mercy Kansas City
UMKC School of Medicine |
Brandy 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
Eligibility
All CHA member hospitals are eligible to participate.
Enrollment
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 Megan Esporas.