Evolving HITH Models: Can Home Dialysis Be the Next Frontier?

PD

Written by Alexandria Joknic, National Therapy Development Manager, Peritoneal Dialysis

As the 2025 Hospital in the Home (HITH) Conference rolled into the Sunshine Coast – bringing with its clinicians, primary care teams, specialist providers, nurses, and administrators – it was clear that this year’s theme, “Surfing the Healthcare Wave”, was more than a slogan. It was a call to challenge boundaries, embrace new models of care, and reimagine what patient-centred treatment can look like outside hospital walls.

With this spirit of innovation front of mind, Vantive stepped into the conference with a simple but provocative question: Why can’t home dialysis be part of HITH?

Although home peritoneal dialysis (PD) currently sits outside HITH guidelines as a non-admitted Tier 2 service, we believed the time was right to test long-held assumptions. Over two days, we engaged with HITH board members, nursing teams, private health funds, clinicians, and several exhibiting providers. Conversations with HITH board members were particularly positive, with a genuine willingness to understand Vantive’s position and to critically explore feasible models for including home dialysis within HITH frameworks. Notably, national and state-based nursing providers shared strong interest in growing their service offerings to support home dialysis models-highlighting a sector-wide appetite for innovation. In every conversation, we returned to the same narrative: expanding opportunities for HITH, expanding opportunities for patients.

HITH exists to support treatment and recovery in the home environment, wherever safe, feasible, and beneficial. Dialysis, arguably one of the most home-suitable therapies, already thrives in patient residences nationwide. The gap lies in providing the right support to help PD patients transition home post-admission, or better yet, remain at home and prevent hospital stays entirely.

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This year’s conference reinforced that healthcare is a wave-dynamic, unpredictable, and full of possibility. To ride it well, we must learn from one another, question long-standing boundaries, and convert challenges into opportunities. The appetite for innovation was palpable, and the conversations we had made clear that the sector is ready to rethink what HITH can encompass.

Our commitment now is to continue building awareness, and collaborating with HITH units, dialysis teams, providers, and health funds across the country. The momentum is building-but true progress will come from many voices across many hospitals asking the same critical question:

Why can’t support for home dialysis be integrated into HITH, and what will it take to drive that change?

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