Create a game where patients can compete for recognition, nominal prizes/awards, or privileges by not missing treatment.
Develop an activity that addresses shortened treatments.
Educate staff about barriers to adherence and how to communicate more effectively with patients to encourage change.

In-Service Training Module:
     ~ Taking Time Out: Working with Non-Compliant Patients
Excel spreadsheet for tracking and charting missed treatments
SURVIVOR Game Instructions
Sample Formal Letter
Sample Reinforcement Fliers  1, 2, 3
Patient Resources:
      ~ Are You Getting Enough Dialysis? brochure
      ~ Hemodialysis Dose and Adequacy brochure
      ~ Are You Shortening Your Dialysis Time? fact sheet
      ~ "Partnering in Dialysis Care: Compliance and Self Management"
      ~ "Self Regulation"
Staff Resource Articles:
      ~ "Adherence in Patients on Dialysis: Strategies for Success"
      ~ "How Do I Protect Myself from a Noncompliant Patient?"
      ~ "Wellness Programming: Nephrology Social Work Expands Its Role in Renal Disease Management"
      ~ "Using Motivational Interviewing to Promote Patient Behavior Change and Enhance Health"
      ~ "Dealing with the Noncompliant Dialysis Patient: 10 Steps to Achieving Compliance"
      ~ "Techniques to Improve Compliance in Hemo-and Peritoneal Dialysis Patients"       

100% of staff in-serviced on missed treatments.
Decrease the total number of missed treatments by > 10%.
Sustain the improvement of decreased total number of missed treatments by > 10% for at least 3 months.