Abstract: SA-OR018
Kidney Care Checklist: A Quality Improvement Initiative for Primary Practice
Session Information
- CKD: Advancing Epidemiology, Risk Factors, and Prevention
November 08, 2025 | Location: Room 362A, Convention Center
Abstract Time: 05:50 PM - 06:00 PM
Category: Educational Research
- 1000 Educational Research
Authors
- Nemalidinne, Krishna Vani, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
- Vanteru, Abinay Siva kumar Reddy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States
- Hobby, Gerren, 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
Primary-care providers(PCPs) are powerful partners for positive changes to protect kidney function and slow early CKD progression since they encounter patients long before the nephrologists.However,data on CKD detection and management by PCPs is low.Some barriers include awareness and confidence over management steps,conversation barriers, and coding appropriately for adequate compensation.We present data assessing the ability of checklists to address this,along with increasing confidence in managing early CKD
Methods
A statewide QI initiative engaged PCPs using a custom toolkit.Providers completed a pre-survey assessing CKD knowledge,care practices,and confidence.They then received access to an accredited online CME platform with video module and 10-step CKD checklist including patient talking points,key management steps,and ICD-10 codes.The checklist was available as printout or EMR-integrated reminder.Post-surveys were administered immediately and again at 6 months to assess knowledge retention and impact on practice
Results
Of the 93 PCPs pre-intervention,only 6.4% felt extremely prepared to diagnose CKD,and fewer than 12% followed KDIGO targets for blood pressure,anemia,or lipids.Post-intervention,the proportion of providers feeling extremely prepared to diagnose CKD rose to 22.9%,and those prepared to manage CKD patients increased from 3.2% to 25.6%.At 6 months,37.5% of participants reported changes in their CKD care practices.Checklists and handout tools were favorably rated and used by over 40% of participants who encounter CKD patients
Conclusion
A brief,structured intervention with practical tools led to significant improvements in PCP knowledge and confidence in CKD care.Long-term impact may be enhanced through continued support,EMR integration,and system-level reinforcement
Funding
- Private Foundation Support