Technical considerations for daily short home hemodialysis and nocturnal home hemodialysis plays an important role in the long-term success of such programs. The equipment must be selected based on the patient and program requirements. System maintenance programs and patient education procedures must be developed to ensure patient safety and compliance with the various standards. Technical staffing for these and similar programs are largely dependent on equipment complexity and reliability. A suggested starting point would be one technologist per 10 home patients. Remote treatment monitoring is optional but if decidedly required, providing a broad schedule of monitoring coverage is highly recommended, thereby allowing the patient flexibility with treatment times.