Our Mission

To provide leadership and assistance to renal dialysis and transplant facilities in a manner
that supports continuous improvement in patient care, outcomes, safety and satisfaction.

Emergency Readiness

Closed or Closing Facilities due to Emergencies
Please notify the Network if you will be closing. If your facility is closed, you must notify the Network on a daily basis of the status.

Kidney Community of Southern California (KCSC)
Emergency Preparedness Conference - Braille Institute, Los Angeles

On October 21, 2010, the day when most of California was conducting “The Great Shake Out”, Network 18 was conducting an Emergency Preparedness conference that incorporated this statewide event. The conference featured expert speakers in Emergency Preparedness from all over southern California.

Speaker William “Bill” Cone opened for the conference and provided his many years of experience to the group with flare, his knowledge of dialysis and transplantation coupled with his 22 years as a general contractor provided unique insight into what and where to find necessary equipment and how to utilize it during emergencies.

Holly Veale, (Health Disaster Management Manager) and Dr. Serrao, (Professor at Loma Linda University) arrived at the conference as a part of the OC Surge Team and provided detailed information on city level planning. They were especially proficient in the improvement of medical response during catastrophic disasters. They have the backing of the County of Orange Health Care Agency and specialize in Health Disaster Management.
blueCommunity Based Preparedness Presentation - Holly Veale & Dr. Serrao, Orange County Health Care Agency

Danilo B. Concepcion is a common name throughout the dialysis arena. During the conference he talked about water management and what the “Conditions for Coverage” requirements are epecially in times of emergency. Mr. Concepcion described the logistics required to have water delivered, tested and administered during emergent times.
blueWater & Power: Emergency Preparedness Presentation - Danilo B. Concepcion, CCHT, CHT, CBNT

Eleanor Guzik, a Registered Nurse and Nurse Practitioner, Ms Guzik, has been traveling and volunteering with the American Red Cross all over the world, she is unmatched at locating resources during emergencies and has been relentless with her volunteerism, deploying to 8 national disasters and many more state and local disasters.
blueShelter Systems & Services Available Presentation - Eleanor Guzik, RN, NP

Teri B. Spencer a Registered Nurse and Consultant. As a consultant for CMS, Ms. Spencer explained the aspects of the “Conditions for Coverage” and provided some interpretive guidance to the “Interpretive Guidelines”.  A masterful trainer, Ms. Spencer provided insight into what the surveyors will be looking for, what is expectable and what is not.
blueEmergency Preparedness Conditions for Coverage Presentation - Teri Spencer, RN

The Braille Institute provided a great venue and they were wonderful hosts. The participation during the conference was delightfully contagious and the atmosphere was attentive. There were great questions and commentary due to dynamic speakers and an audience engaged in Emergency Preparedness.

ESRD Facilities & Emergency Medical Services (EMS) Agency Annual Update Notification

Annual Update Form (PDF)

Dialysis Facility Disaster-Severe Weather

Advancing Emergency Preparedness for Culturally Diverse Communities
National Resources Center Webste

Document of Understanding: Disaster Preparedness & Response for ESRD Community (Word)

SAMPLE "Mutual Aid Agreement" for Provision of Dialysis Services

Patient Emergency Identification Card (Download PDF Form)

Clamp and Cut or Clamp and Cap Procedures - PDF (English Version) (Spanish Version)
ESRD Patient Emergency Preparedness
(Information extracted from KCER Coalition document)

ESRD Network Disaster Patient Activity Report (DPAR)
To be used by facilities treating patients as a result of the disaster. A DPAR should be submitted to Network 18 at Day 5 post disaster and then twice weekly on Tuesday and Friday.

CMS Disaster Preparedness Guides:

Guidance for integrating Culturally Diverse Communities into Planning for and
Responding to Emergencies: A Toolkit

Disaster Preparedness: A Guide for Chronic Dialysis Facilities - Second Edition (pdf)

Preparing for Emergencies - A Guide for People on Dialysis (PDF) / in Spanish
(Pub. #CMS-10150 / Pub. #CMS-10150-S)
For hard copies (Spanish or English) fax your request to (410) 786-1905, attention CMS Publications. Be sure to include your name, address, publication name and number of booklets needed in Spanish and/or English.

Emergency Preparedness for Dialysis Facilities (PDF)
(CMS Publication, 143 pages)

QI Manual Excerpts on Emergency Readiness:
- Network 18 Roles and Responsibilities
- Getting Medical Care and Prescription Drugs in a Disaster and Emergency Area (CMS Publication No. 11377. Revised Sept. 2008)
- Dialysis Patient Emergency Preparedness: Survival Instructions (English)
- Dialysis Patient Emergency Preparedness: Survival Instructions (Spanish)
- Network 18 Facilities with Back-up Generators
- American Red Cross: Shelter in Place Fact (Dec. 06 date sheet)

American Kidney Fund Providing Disaster Relief to California Dialysis Patients (Press Release)
Call American Kidney Fund’s Patient Services Department at 800-638-8299. Patients may receive help for transportation to treatment, replacement of lost medications, food and shelter assistance and replacement of household necessities.

Coping with a Disaster or Traumatic Event - Trauma and Disaster Mental Health Resources
CDC Website

Dialysis Facility Directory (PDF)

Transplant Facility Directory (PDF)

Dialysis Treatment During Disasters: Patient Opportunities and Responsibilities in Emergency Planning
KidneyTimes.com Article


Key Information To Have On Hand To Help Individuals With Kidney Failure
During An Emergency or Disaster
(information provided by the  Kidney Community Emergency Response (KCER) Coalition)

AAKP My Health ™ is a location on www.aakp.org for patients to keep and retrieve information at any location and is invaluable in a disaster.

Preparing for Emergencies: A Guide for People on Dialysis (CMS) is available for download in English and Spanish at www.medicare.gov/dialysis.

End Stage Renal Disease (ESRD) Networks are under contract with Centers for Medicare & Medicaid Services (CMS) to provide assistance locating a dialysis facility, transplant assistance, or needed supplies and services .The ESRD Networks are also responsible for assisting federal, state, and local emergency personnel and coordinating national response efforts when needed. While any ESRD Network can assist you, the ESRD Network that provides services in your state is most familiar with the services available and facility locations. For a listing of all 18 ESRD Networks, the states where they provide services, and their toll free number, visit www.esrdnetworks.org.

Dialysis Services
If you are trying to locate a facility to obtain dialysis services and the regular treating facility does not have back-up arrangements in place, in addition to the ESRD Networks, you can call any of the following provider organizations for help. If you previously received care in a facility that is part of a particular organization, it is best to call that organization’s number, as they can more easily get information from your electronic medical record. However, any of these organizations will help you, even if your facility was not part of one of the corporations listed.

DaVita 1.800.400.8331
FMCNA 1.800.626.1297
  San Diego Patients Call: 858-627-3500
DCI 1.800.969.4438

Status of Impacted Facilities
For an on-line listing of the “open” and “closed” status of facilities in an impacted area, the services they provide, and a map to assist in locating the nearest facility, visit www.dialysisunits.com.

Kidney Community Emergency Response (KCER) Coalition
In the event of a disaster, call 1-888-33KIDNEY (1-888-335-4363) or log on to www.kidney.org for information on how to obtain the service or assistance you need.

Transplant Assistance
For assistance related to a transplant kidney, contact the United Network of Organ Sharing (UNOS) (patient services) at 1.888.600.2662.

Patient Assistance
Individuals or social workers (on behalf of an individual) can find information on available supplies, equipment, food, funding, etc. at www.kidneyfund.org or 1.800.638.8299.


Governor's Office of Emergency Services (OES)
Map (Find your region)

OES Inland Region South
2550 Mariposa Mall, Room 181
Fresno, CA 93721
(209) 445-5672, Fax: (209) 445-5987

OES Southern Region
4671 Liberty Avenue
Los Alamitos, CA 90720
(562) 795-2900, Fax: (562) 795-2877

County Offices of Emergency Services


American Red Cross

Dialysis Facility Disaster Plan Template (PDF)

Dialysis Patient Emergency Planning Needs Assessment Questionnaire (PDF) / in Spanish
LA-DEEP Coalition

Emergency Preparedness Checklist (PDF)
Los Angeles Office of Emergency Management

Emergency Preparedness & Response Project with Innovative Dialysis Systems, Inc. (PDF)
Project Summary

Federal Emergency Management Agency (FEMA)

Four Keys To Being Prepared For A Disaster (PDF)
Created by the Facility Operations Committee National Disaster Planning Coalition

Ready (PDF of slide format)
Emergency Preparedness instructions


Earthquake Country Alliance - Earthquake Readiness Campaign

Visit Dare to Prepare (earthquakecountryinfo.org) / in Spanish (terremotos.org)
Earthquake Country Alliance website

Putting Down Roots in Earthquake Country - Publication / in Spanish


Visit the Links page for more Emergency Preparedness and Response Resources


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