The NDAC Center of Excellence designation recognizes dialysis facilities and hospital‑based acute dialysis programs that demonstrate a commitment to quality, patient safety, and clinical excellence beyond standard accreditation or certification requirements. This prestigious designation is earned through compliance with additional standards that emphasize regulatory excellence, patient‑centered care, clinical leadership, performance improvement, and a strong culture of safety. The program provides organizations an opportunity to distinguish themselves through their commitment to delivering high‑quality patient care and continuous improvement.
A Center of Excellence designation from NDAC is earned by meeting the additional standards below:
Designation Requirements
To obtain/maintain a CofE designation, an organization must:
- Be in full compliance with NDAC accreditation or certification policies.
- Be accredited by a CMS approved deeming authority or directly certified by CMS.
- Have provided kidney replacement therapy for at least four months prior to the Center of Excellence survey.
Dialysis Clinic Accreditation
Clinics seeking a Centers of Excellence designation must meet additional standards in the following areas:
- Regulatory Excellence
- Patient‑Centered Care
- Infection Prevention
- Allocation of Resources
- Water and Dialysate Safety
- Medication and Treatment Safety
- Staff Education
- QAPI Excellence
- Culture of Safety
- Vascular Access
- Patient Education
Hospital Acute Dialysis Certification
Hospitals seeking a Centers of Excellence designation must meet additional standards in the following areas:
- Physician Leadership
- Nursing Leadership
- Physician and Nursing Staffing Metrics
- Performance Monitoring & Improvement
- Resources for Support Services
- Patient Assessment
- Multidisciplinary Care Plans
- Patient Education
- Provision of services within accepted standards of care