Continuous quality improvement (CQI) principles and practices were utilized to evaluate the outpatient peritoneal dialysis follow-up process and the routine monthly laboratory testing of chronic dialysis patients. CQI enabled us to reduce total clinic visit time from a mean of 161 min to 90.8 min. Waiting was decreased from a mean of 51.6 min to 15.8 min. The number of routine monthly laboratory tests performed on patients undergoing chronic dialysis was also reduced, resulting in decreased charges of at least $429.50 per patient per month.