Ontario Renal Network | Reseau Renal de L'Ontario

Improve Access to Care

ORN | Ontario Renal Network » Ontario Renal Plan » Our Goals » Improve Access to Care

“[My nurse] suggested home hemodialysis. I like taking control of my life again, and I love that I can have three days in a row off dialysis.” Becky's Story All Stories
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Some Ontarians live in communities that are only accessible by air or hundreds of kilometres of rough roads. Thunder Bay Regional Health Sciences Centre offers creative options to keep care close to home.  Read the story


  • Improve patients' access to kidney care

By 2019

  • People living in rural and remote Ontario will have improved access to care solutions that allow them to remain in their communities.
  • Culturally and geographically appropriate kidney care will be available to First Nations, Inuit and Métis people.
  • Clinical, economic and cultural barriers to kidney care at home and in long-term care will be addressed.
  • A community-first approach to kidney care will be adopted in Ontario.
  • Patients will have timely access to vascular and peritoneal access services.
  • Models of care for the delivery of safe, high-quality, timely and accessible kidney care will be implemented, monitored and evaluated.

Strategic Objectives

  • Identify barriers to accessing kidney care and develop person-centred solutions.
  • Establish a community-first approach to kidney care.
  • Ensure infrastructure and services are in place to enable home dialysis.


  • Adapt tools and approaches to improve access to kidney care for First Nations, Inuit and Métis (FNIM) and rural and remote communities.
  • Develop and implement a flexible policy framework for a community-first approach to kidney care.
  • Enhance system capacity for optimal and timely vascular and peritoneal access.
  • Implement models for the delivery of safe, high-quality and accessible care to people with acute kidney injury, CKD and end-stage kidney disease; this includes people requiring specialized care such as those with complex glomerular disease and those with kidney disease during pregnancy.