In- House Dialysis
for Rural Hospitals

Bring Dialysis In House. Keep Patients Close.

Critical Access Hospitals (CAHs) across the country are delivering dialysis in-house, without adding staff or expanding their footprint. This more adaptable, sustainable model is making it possible to keep care local, reduce patient burden, and align with both clinical and operational goals.

The Challenge

On average, rural patients have to travel 4 times farther than urban patients for dialysis

Many rural patients travel long distances several times a week for routine, life-sustaining care—forcing hospitals without dialysis to transfer them elsewhere, straining staff, risking delays, and shifting both responsibility and revenue out the door.

Hospitals are redefining what’s possible.

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Outset Medical: The Partner Behind the Rural Dialysis Shift

Innovative hospitals like Kittitas Valley Healthcare in Central Washington and Southeast Iowa Regional Medical Center are partnering with Outset Medical to deliver dialysis closer to home—with less complexity, lower costs and better outcomes. With the Tablo® Hemodialysis System, they’re improving access to care, strengthening operations, expanding care with the staff—and space—they already have.

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Why CAHs Are Choosing Tablo

Traditional dialysis systems were designed for large hospital systems with the space, staff and infrastructure to spare. Tablo is different— built for the realities of rural care.

Compact and portable

Den or bedside treatment delivery

No water room required

Only an outset, tap water, and a drain to operate

Train existing staff in <4 hours

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Success in Action: Case Studies in Rural Communities

Kittitas Valley Healthcare

In rural Washington, dialysis patients often traveled over 40 miles for treatment. With Tablo, Kittitas Valley Healthcare trained existing staff—none with prior dialysis experience—and quickly expanded access to care.

Year 1 Results: 25+ treatments delivered, $784K in annual revenue—all without a water room or infrastructure changes

Southeast Iowa Regional Medical Center

In Southeast Iowa, patients faced long, weather-dependent commutes for dialysis. By training existing team members in-house, the facility launched the region’s first rural home dialysis program—without adding full-time staff.

Year 1 Results: Four patients (ages 65–88) onboarded and trained—with one returning to full-time work. High staff and patient satisfaction across the board

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If you’re a healthcare leader at a Critical Access Hospital, we can help you explore how Tablo can improve access to life-saving dialysis in rural communities.

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In- House Dialysis for Rural Hospitals