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Ohio Renal Association Menu More than 20 Years of Service to Ohio ESRD Patients ORA is a trusted resource for information and we have a reputation for being collaborative and most of all we are here to assure that Ohios 18000 dialysis patients have access to high quality care that they all deserve. Our Mission ORAs mission is to promote and support the interests of Ohio providers of outpatient dialysis services for treatment of EndStage Renal Disease ESRD patients and to maintain and enhance the delivery of quality patient care. About ESRD Dialysis What is ESRD. Permanent kidney failure is clinically referred to as ESRD.