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End Stage Renal Disease Facility (ESRD) Certification Program
Program Overview
The End Stage Renal Disease Facility Certification Program monitors dialysis clinics for quality, safe dialysis services for all citizens in need of these services. Dialysis is indicated for people whose kidney function is below 15%. The Indiana State Department of Health inspects End Stage Renal Disease Facilities on behalf of the Centers for Medicare and Medicaid Services.
Contact the Program
Indiana State Department of Health
Division of Acute Care
2 North Meridian Street, 4A
Indianapolis, IN 46204
(317) 233-7474 (Acute Care Receptionist)
(317) 233-1325 (ISDH Main Switchboard)
Map
Program Manager
Kelly Hemmelgarn
khemmelgarn@isdh.in.gov
(317) 233-7541
(317) 233-7302 [Administrative Assistant]
Report a Complaint or Incident to the ISDH
Report a complaint regarding a health care facility
Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.
Report an incident regarding a health care facility
The Incident Report Form is for health care facilities to notify the Indiana State Department of Health of a reportable incident pursuant to the ISDH Reportable Unusual Occurrence Policy. The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations. This form is not to be used to file a complaint.
Consumer Information
Centers for Medicare and Medicaid Services
Your Medicare Rights and Responsibilities
Advance Directives Resource Center
Out of Hospital Do Not Resuscitate Declaration and Order
Consumer Reports
End Stage Renal Disease Consumer Reports
Survey Reporting System (SRS)
Directories
Directory of End Stage Renal Disease Facilities
Employment Opportunities
Learn more about Employment Opportunities with the Indiana State Department of Health
Forms
Supplemental Information to Federal Application End Stage Renal Disease Facilities, Form 51053
Centers of Medicare and Medicaid Services Forms
Laws and Regulations
Federal Laws and Regulations
Appendix H State Operations Manual
Code of Federal Regulations (CFR) Homepage
State Laws and Rules
Indiana Law and Rules Homepage
Limited Criminal History Search
Links
Professional Organizations
American Association of Kidney Patients
Forum of End Stage Renal Disease Networks
American Health Information Management Association
Association of Professionals in Infection Control and Epidemiology
Indiana State Medical Association
Indiana State Nurses Association
Quality Improvement Organizations
Quality Improvement Organization Information
A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the care delivered to people with Medicare. QIOs work under the direction of the Centers for Medicare and Medicaid Services (CMS) to assist Medicare providers with quality improvement and to review quality concerns for the protection of beneficiaries of the Medicare Trust Fund.
State Government
Indiana Public Access Counselor
Office of Medicaid Policy and Planning (FSSA)
Federal Government
Agency for Healthcare Research and Quality (AHRQ)
Americans with Disabilities Act (ADA)
Centers for Disease Control and Prevention (CDC)
Centers for Medicare and Medicaid Services (CMS)