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

  • 614 PD-related hospitalizations prevented, and 762 HD-related hospitalizations prevented.
  • 890 peritoneal infections prevented, and 954 access-related bloodstream infections prevented.
  • $18,439,880 million saved hospitalization costs for PD-related infections and $23,332,121 million saved hospitalization costs for HD-related infections.
  • The peritonitis rate dropped 53% with an 85% reduction in hemodialysis BSI rate for the original 16 HD centers.

National recognition

SCOPE is recognized as evidence-based, data-driven, effective, and methodologically robust by leading organizations:

  • SCOPE participation earns points in the U.S. News and World Report children’s hospital survey.
  • SCOPE’s scholarly output includes over 50 presentations at national and international meetings. In addition, 60 authors from 37 hospitals plus CHA have published 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