The Medical Advisory Council (MAC) of the Forum of ESRD Networks has published a series of MAC Toolkits for dialysis providers on various topics that include Vaccination, Catheter Reduction, Diabetes Care Coordination, QAPI, Medication Reconciliation, Medical Director Responsibilities, and a newly minted toolkit on Transitions of Care.  These toolkits can be effective starting places for root cause analysis in your Quality Improvement Activities.  For instance, Chapter 8 of the new Transitions Toolkit covers hospitalization issues and how important it is to provide communication and coordination of care from the dialysis facility to the hospital and back, particularly when a patient goes to the ER on their own.  Access the new toolkit.