SCOPE Dialysis Collaborative

SCOPE Dialysis Collaborative

The Standardizing Care to Improve Outcomes in Pediatric ESKD (SCOPE) Collaborative helps dialysis centers minimize dialysis-related infections in children and adolescents on peritoneal dialysis and hemodialysis.

Partnering with families to improve dialysis care

The Standardizing 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.

Organizations participating in SCOPE help 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.

SCOPE's impact, by the numbers

  • 497 PD-related hospitalizations prevented and 607 HD-related hospitalizations prevented.
  • 829 peritoneal infections prevented and 862 access-related infections prevented.
  • $14,910,975 million saved hospitalization costs for PD-related infections and $18,599,669 million saved hospitalization costs for HD-related infections.
  • The peritonitis rate dropped 27% with a 76% reduction in hemodialysis BSI rate for the original 16 HD centers.
  • As of December 2022, 112 physicians have received a maintenance of certification credit.

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 U.S. News and World Report children’s hospital survey.
  • SCOPE’s scholarly output includes 40+ presentations at national and international meetings and 17 publications in leading journals including Kidney International, The Clinical Journal of the American Society of Nephrology, and Pediatric Nephrology.

Eligibility and enrollment

All CHA member hospitals are eligible to participate. New participants begin the collaborative semi-annually; July and January. Enrollment deadlines are June 30 or December 31, respectively. 

PD - peritoneal dialysis; HD - hemodialysis

SCOPE's impact


hospitalizations prevented


saved in prevented hospitalizations


dialysis-related infections prevented