The Digital Revolution in Nephrology: Shaping the Future of Renal Care

By Sarah Tolson - Last Updated: July 25, 2023

In recent years, technological advances have started to reshape the nephrology landscape, propelling both health care providers and administrative professionals into a new era of patient care. As adoption of digital health accelerates, driven by the pandemic and the burgeoning demand for remote health care, understanding its influence and implications is pivotal for renal care practitioners and administrative teams alike.

First, telemedicine has emerged as a game-changer in nephrology. Notably, in the management of chronic kidney disease (CKD) that demands frequent patient-doctor interaction, the convenience of virtual consultations cannot be overstated. Telemedicine eliminates geographical barriers, reducing travel times and associated stress for patients. It also extends the reach of nephrologists to rural areas, ensuring patients in remote locations receive much needed care. However, challenges persist. Technological literacy, both among providers and patients, can present a barrier, and the creation of a robust, patient-centric virtual care model remains a work in progress. During the height of the pandemic, many of the providers I know utilized telemedicine in some form. While technological literacy was a barrier for audiovisual calls, so was access to the internet or equipment capable of audiovisual encounters.

Simultaneously, the introduction of artificial intelligence (AI) and machine learning (ML) into renal care has transformative potential. These technologies are making strides in early detection and prognosis of renal diseases, offering predictive insights that were previously unattainable. The use of AI and ML in individualized treatment planning can lead to improved patient outcomes and efficiency in care delivery. As this field matures, the need for nephrologists to acquire an understanding of AI and ML, their possibilities, and ethical considerations grows significantly.

Moving to administrative aspects, electronic health records (EHRs) have become an essential tool in nephrology practice management. Some of these systems have the potential to offer real-time, patient-centered records accessible to authorized users across the care continuum, aiding in coordinated and efficient care. Furthermore, advanced EHR systems can provide decision-making support based on analytics and best practice guidance, thereby enhancing the quality of care. However, successful EHR integration demands careful consideration of aspects such as data security, interoperability, and user training. Interoperability is a particular concern in nephrology practices as providers regularly see patients in the clinic, at the dialysis facility, and at the hospital. Because dialysis facilities and hospitals have their own EHRs, the health information for a CKD patient is often spread through at least two or three EHRs, making it significantly more challenging to fully optimize an EHR.

As renal care becomes increasingly digitized, data security and patient privacy are thrust into the spotlight. The shift toward digital health has given rise to new regulations aimed at protecting patient data and ensuring ethical technology use. Thus, health care providers and administrative professionals must remain vigilant and informed about the evolving legal landscape. Compliance with regulations such as HIPAA in the United States is non-negotiable and is as critical as adopting the technologies themselves.

Lastly, the cost-effectiveness of digital health in nephrology is an area of growing interest. While the initial investment in digital health technology may be substantial, the potential for cost savings in the long term is significant. By enabling remote patient monitoring and reducing hospital readmissions, digital health can lead to substantial cost savings for the health care system as a whole. However, a comprehensive understanding of the implications, both from a time investment and financial perspective, is crucial to making informed decisions about digital health investment.

In conclusion, the digital revolution in nephrology presents many opportunities and challenges for health care professionals. Telemedicine, AI, ML, EHRs, and digital health regulations are not merely buzzwords but are shaping the future of renal care. It is a journey of constant learning and adaptation, and the ultimate beneficiary is the patient, who stands to receive more accessible, efficient, and personalized care.


Sarah Tolson is the director of operations for Sceptre Management Solutions, Inc., a company specializing in billing for outpatient ESRD dialysis programs, nephrology practices, and interventional nephrology. Your questions are welcome, and she can be reached at [email protected], 801.775.8010, or via Sceptre’s website,


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