Our Work

Health information is widely available to the public, patients are increasingly informed about their conditions, and many are keen to take responsibility for their own health.

New technologies make it possible for patients to communicate with their health professionals and manage their own health information. Our team of patients, researchers, clinicians and health care decision-makers will reinvent kidney care to reflect the needs and capabilities of patients in the 21st century.

We are working with our patient partners, using surveys and focus groups, to identify aspects of the patient experience that are the highest priority for change. Based on the results of these initial studies, we will select the most promising, relevant tools, strategies, and models for transforming kidney care – then refine and test them in rigorous studies.

Wave 1

Phase 1: Focus Groups and Interviews to Identify Challenges to Hemodialysis Care (2017-2018)

Through focus groups and interviews with individuals receiving hemodialysis, their caregivers, healthcare providers and decision makers with experience working in hemodialysis we explored the challenges to hemodialysis care and potential solutions to these challenges in 5 cities across Canada (Calgary, Edmonton, Winnipeg, Halifax and Ottawa).

Phase 2: National Ranking Survey of Challenges Identified in Focus Groups and Interviews (2018-2019)

This pan-Canadian cross-sectional ranking survey aimed to confirm impressions and expand upon data collected from the interviews and focus groups in Phase 1. The survey listed and asked respondents to prioritize the challenges to in-centre HD care identified in Phase 1 by ranking their top 5 topics/challenges in each of 3 categories: Information, Interaction and Individualization. The survey responses resulted in a short list of the top 30 issues/challenges to in-centre HD care.

Phase 3: Face-to-Face Priority Setting Workshop to Identify the Top 10 Challenges to HD Care (2019)

We undertook a face-to-face priority setting workshop involving multiple stakeholders with in-centre hemodialysis experience (patients, caregivers, healthcare providers, researchers and policy/decision makers) from across Canada.

During the workshop, participants used a modified James Lind Alliance priority-setting workshop process to develop a final list of the top 10 challenges to in-centre HD care as related to Information, Interaction and Individualization.

Wave 2

In this wave we are developing and trialing solutions that address the top 10 challenges to hemodialysis care identified in Wave 1.

Hubs of Care

The Hubs of Care project aims to bring a multidisciplinary team of healthcare providers who patients traditionally see in separate clinics (e.g. primary care providers, podiatrists, endocrinologists and cardiologists) into the HD unit with the goals of:

  1. Decreasing the time and costs associated with attending medical appointments for people receiving hemodialysis.
  2. Improving communication between healthcare providers.
  3. Improving the overall patient experience in hemodialysis.

To help us to design this study, our first step is to complete a survey for people on hemodialysis and healthcare providers in HD units across Canada to identify which healthcare providers are currently working in HD units and which additional providers would be most useful to consider bringing into the unit.


In this project, we are developing an app (called Lena) that grew from the WebAPP Triple I pilot project. Our aim is to develop an interactive educational platform that will allow people receiving in-centre HD to individually choose the type, amount and format of information they receive by interacting with a virtual navigator. Once the initial prototype is developed, we plan to develop additional features such as mental health resources and more.

Completed Pilot Projects

As part of Wave 1, Triple I sponsored several pilot projects that rapidly addressed specific areas of concern for people on hemodialysis.

PiKS (Patient interest in Kidney