THE ACCESS — AN ATLAS OF THE U.S. DIALYSIS SYSTEMPLATE II — FIRST STATE — 07|2026

The Patient Journey

A GENERATED VIEW

One patient’s route through the chronic outpatient system, from the CMS-2728 that opens the federal record to the CMS-2746 that closes it — with the authorities that pay, survey, score, and compare the facility drawn where they actually touch the path.

AN ATLAS OF THE U.S. DIALYSIS SYSTEMPLATE II
The Patient JourneyFIRST STATE
THE ACCESS · 07|2026
ED. 001 · GENERATED VIEW
SRC: THE ESRD ATLAS DATASET
47 ENTITIES / 65 RELATIONSHIPS · PUBLIC SOURCES
GENERATED FROM THE ATLAS DATASET
AWAITING THE AUTHOR’S PASS
THE LEDGERTHE GENERATED STAGE MAP, EVERY EDGE R-ID-TRACEABLE
OPEN THE STAGE FLOWCHART
Death
Transplant OR continued dialysis
Transplant waitlist
Modality & chronic care (in-center HD / home HD / PD)
Kidney failure / dialysis start
Late-stage CKD
Death
Medicare-certified dialysis facilities
EQRS (ESRD Quality Reporting System)
CMS-2746 Death Notification
Transplant OR continued dialysis
Kidney transplant centers
IOTA (Increasing Organ Transplant Access) Model
Medicare (ESRD entitlement)
Transplant waitlist
Kidney transplant centers
OPTN / UNOS
Modality & chronic care (in-center HD / home HD / PD)
Medicare-certified dialysis facilities
Home dialysis programs
ESRD PPS (Prospective Payment System)
ESRD QIP (Quality Incentive Program)
NHSN (National Healthcare Safety Network)
ESRD Networks (18 regional)
Medicare Administrative Contractors
Kidney failure / dialysis start
Medicare-certified dialysis facilities
EQRS (ESRD Quality Reporting System)
CMS-2728 Medical Evidence Report
Medicare (ESRD entitlement)
Commercial insurance
Late-stage CKD
Nephrologists / medical directors
KCC (Kidney Care Choices) Model
Commercial insurance