It's a first step. There isn't a culture yet where patient employment is valued and expected.
If CMS published the percentage of employed working-age patients by provider, there would finally be a meaningful marker from the patients' perspective of excellence in dialysis care. Let's hope at least one provider starts doing this on their own.
Early View Abstracts from Hemodialysis International:
"Conclusions and Relevance Among internal medicine and nurse practitioner trainees, simulation-based communication training compared with usual education did not improve quality of communication about end-of-life care or quality of end-of-life care but was associated with a small increase in patients’ depressive symptoms."