Tablo

Here are my thoughts... First Chuck is spot on with his input. Joey what you were told is correct, they have not developed a training curriculum for customer biomeds. There is a basic (filter changes, basic TS etc.) training they have for local Biomeds. Pros: Very easy for home pts to learn and easy to setup. Samples are very easy to obtain. Pre-tx filters are easy to change. Very quiet machines so great for home and acutes. Customer service is good (new company and they are still learning so not great). There are many more Pros but not tech related. Cons: Pre-Tx filters are monitored by pressure and there is no warning when the delta pressure gets past the setpoint. Machine will alarm and not let you use until filter is changed. Most alarms, either during treatment or during disinfection will stop the process and operator either needs to terminate the treatment and start over or in the case of disinfection it will need to restart. Chemical disinfection takes many hours. If a machine breaks have to wait until they can send their techs out to fix it. This can be up to 72 hours and their suggestion for home pts is to have them treat in center. This is something they are also working on. All that being said they are a growing company and I am not sure whether they are having growing pains or what the issue is but seems like there is a lot of turnover. I think a lot of their problems are due to the pace at which they are growing. Their people are very positive even when being deluged with issues. I can say they take input from their customers very seriously and I have seen a lot of improvements in their machine reliability over the last several years. I do still think they have a ways to go in this department.

We are about to start validation on 20 of these Tablos I am in Texas and can not get a clear answer on when validation is being done does it have to be where unit might be used at, I have 4 facilities where these 20 will be distributed but only space at one to set them up for validation 

"What does Outset say?" Great point!
Which adds a whole other layer to it. What are the manufacturer's recommendations? What does a home hemo program do now? When the patient starts at home do they send the equipment directly there and is it validated there? I'm ignorant to how it works but would love to know more.
I mean if the water source is at a different location it would make sense to validate there.....or at least validate at the clinic and then just get one validation at home or wherever it is going to be used to make sure you get the same result??

HCA as a system is switching over to the Tablo machines and ditching all of their contracted dialysis providers, going with in house staffing.