Abstract
With the need for accountability in the delivery of End-Stage Renal disease services, social workers are beginning to establish standards defining the quality and effectiveness of their practice as members of a multidisciplinary treatment team. This paper delineates minimum ways for mandated social service to be delivered and made accountable. It also explores the role of the social worker as a member of the Network Coordinating Council and Medical Review Board. Some implications for social work involvement in larger policy issues resulting from the ESRD legislation are suggested.