Abstract: SA-PO842
Outcomes from Development of a Unique Statewide Platform to Improve CKD Care
Session Information
- CKD: Socioeconomic Context and Mobile Apps
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: CKD (Non-Dialysis)
- 2101 CKD (Non-Dialysis): Epidemiology, Risk Factors, and Prevention
Authors
- Easom, Andrea K., UAMS, Little Rock, Arkansas, United States
- Alqurini, Nadia Mustafa, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
- Jain, Nishank, Little Rock VA Hospital, Little Rock, Arkansas, United States
- Arthur, John M., University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
- Singh, Manisha, University of Arkansas For Medical Sciences, Little Rock, Arkansas, United States
Background
The division of Nephrology at University of Arkansas for Medical Sciences (UAMS) and Arkansas health department faculty co-investigated a pilot project identifying barriers to chronic kidney disease (CKD) awareness in the State of Arkansas (AR). These included a lack of infrastructure and patient and provider education. To address these barriers, our core investigators reached out to potential stakeholders. We invited a multidisciplinary team of health-care professionals to partner with non-profit organizations and CKD patients, creating the platform of the Arkansas State CKD Advisory Committee (ARCKDAC),with a mission to increase CKD awareness, detection and education through community engagement activities. We also provided baseline AR data to improve systems of care and generate data for future research.
Methods
ARCKDAC focused on 4 projects:
1) Analysis of end-stage renal disease (ESRD) incident data provided by ESRD Network-13 identifying regional differences.
2) Compile a cost/saving analysis of health-care dollars spent on CKD in AR
3) Develop model continuous quality improvement (CQI) projects based on Healthy People 2020 CKD objectives, clinical indicators and targets
4) Improve patient, provider and public education.
Results
Result highlights by projects include:
1) There was a 2% decrease in incident ESRD patients in 2017and an increase from 13.6% to 18.9% incident peritoneal dialysis in the central region which has dedicated CKD education programs.
2) Costs for transplantation and dialysis are lower in AR than national averages. AR spends $7K less per patient/per year for transplants and $10K less for dialysis.
3) Two CQI models were developed for future use: CKD detection by ICD10 codes and Targeted education of providers assessing practice improvement using claims data.
4) Compiled resources for patients and increased provider education by live and web-based education, published articles in the state physician and nursing magazines and development of a “Know-Your-Kidney-Number” campaign.
A white paper detailing data, resources, and recommendations for each project is available electronically to all providers and stakeholders.
Conclusion
From our knowledge, this unique statewide approach to CKD care is the first of its kind in the country and can serve as a model targeting efforts for improving CKD outcomes.
Funding
- Commercial Support – Baxter Healthcare