Utility of the advanced chronic kidney disease patient management tools

Case studies

Meenal B. Patwardhan, David B. Matchar, Gregory P. Samsa, William E Haley

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Appropriate management of advanced chronic kidney disease (CKD) delays or limits its progression. The Advanced CKD Patient Management Toolkit was developed using a process-improvement technique to assist patient management and address CKD-specific management issues. We pilot tested the toolkit in 2 community nephrology practices, assessed the utility of individual tools, and evaluated the impact on conformance to an advanced CKD guideline through patient chart abstraction. Tool use was distinct in the 2 sites and depended on the site champion's involvement, the extent of process reconfiguration demanded by a tool, and its perceived value. Baseline conformance varied across guideline recommendations (averaged 54%). Posttrial conformance increased in all clinical areas (averaged 59%). Valuable features of the toolkit in real-world settings were its ability to: facilitate tool selection, direct implementation efforts in response to a baseline performance audit, and allow selection of tool versions and customizing them. Our results suggest that systematically created, multifaceted, and customizable tools can promote guideline conformance. (Am J Med Qual 2008; 23:105-114).

Original languageEnglish (US)
Pages (from-to)105-114
Number of pages10
JournalAmerican Journal of Medical Quality
Volume23
Issue number2
DOIs
StatePublished - Mar 2008

Fingerprint

Organizational Case Studies
Disease Management
Chronic Renal Insufficiency
Guidelines
Nephrology

Keywords

  • Chronic kidney disease
  • Guideline implementation
  • Implementation tools
  • Quality improvement

ASJC Scopus subject areas

  • Health Policy

Cite this

Utility of the advanced chronic kidney disease patient management tools : Case studies. / Patwardhan, Meenal B.; Matchar, David B.; Samsa, Gregory P.; Haley, William E.

In: American Journal of Medical Quality, Vol. 23, No. 2, 03.2008, p. 105-114.

Research output: Contribution to journalArticle

Patwardhan, Meenal B. ; Matchar, David B. ; Samsa, Gregory P. ; Haley, William E. / Utility of the advanced chronic kidney disease patient management tools : Case studies. In: American Journal of Medical Quality. 2008 ; Vol. 23, No. 2. pp. 105-114.
@article{6c1e5ee91da749f8a7ed3a8c646a479c,
title = "Utility of the advanced chronic kidney disease patient management tools: Case studies",
abstract = "Appropriate management of advanced chronic kidney disease (CKD) delays or limits its progression. The Advanced CKD Patient Management Toolkit was developed using a process-improvement technique to assist patient management and address CKD-specific management issues. We pilot tested the toolkit in 2 community nephrology practices, assessed the utility of individual tools, and evaluated the impact on conformance to an advanced CKD guideline through patient chart abstraction. Tool use was distinct in the 2 sites and depended on the site champion's involvement, the extent of process reconfiguration demanded by a tool, and its perceived value. Baseline conformance varied across guideline recommendations (averaged 54{\%}). Posttrial conformance increased in all clinical areas (averaged 59{\%}). Valuable features of the toolkit in real-world settings were its ability to: facilitate tool selection, direct implementation efforts in response to a baseline performance audit, and allow selection of tool versions and customizing them. Our results suggest that systematically created, multifaceted, and customizable tools can promote guideline conformance. (Am J Med Qual 2008; 23:105-114).",
keywords = "Chronic kidney disease, Guideline implementation, Implementation tools, Quality improvement",
author = "Patwardhan, {Meenal B.} and Matchar, {David B.} and Samsa, {Gregory P.} and Haley, {William E}",
year = "2008",
month = "3",
doi = "10.1177/1062860607313142",
language = "English (US)",
volume = "23",
pages = "105--114",
journal = "American Journal of Medical Quality",
issn = "1062-8606",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Utility of the advanced chronic kidney disease patient management tools

T2 - Case studies

AU - Patwardhan, Meenal B.

AU - Matchar, David B.

AU - Samsa, Gregory P.

AU - Haley, William E

PY - 2008/3

Y1 - 2008/3

N2 - Appropriate management of advanced chronic kidney disease (CKD) delays or limits its progression. The Advanced CKD Patient Management Toolkit was developed using a process-improvement technique to assist patient management and address CKD-specific management issues. We pilot tested the toolkit in 2 community nephrology practices, assessed the utility of individual tools, and evaluated the impact on conformance to an advanced CKD guideline through patient chart abstraction. Tool use was distinct in the 2 sites and depended on the site champion's involvement, the extent of process reconfiguration demanded by a tool, and its perceived value. Baseline conformance varied across guideline recommendations (averaged 54%). Posttrial conformance increased in all clinical areas (averaged 59%). Valuable features of the toolkit in real-world settings were its ability to: facilitate tool selection, direct implementation efforts in response to a baseline performance audit, and allow selection of tool versions and customizing them. Our results suggest that systematically created, multifaceted, and customizable tools can promote guideline conformance. (Am J Med Qual 2008; 23:105-114).

AB - Appropriate management of advanced chronic kidney disease (CKD) delays or limits its progression. The Advanced CKD Patient Management Toolkit was developed using a process-improvement technique to assist patient management and address CKD-specific management issues. We pilot tested the toolkit in 2 community nephrology practices, assessed the utility of individual tools, and evaluated the impact on conformance to an advanced CKD guideline through patient chart abstraction. Tool use was distinct in the 2 sites and depended on the site champion's involvement, the extent of process reconfiguration demanded by a tool, and its perceived value. Baseline conformance varied across guideline recommendations (averaged 54%). Posttrial conformance increased in all clinical areas (averaged 59%). Valuable features of the toolkit in real-world settings were its ability to: facilitate tool selection, direct implementation efforts in response to a baseline performance audit, and allow selection of tool versions and customizing them. Our results suggest that systematically created, multifaceted, and customizable tools can promote guideline conformance. (Am J Med Qual 2008; 23:105-114).

KW - Chronic kidney disease

KW - Guideline implementation

KW - Implementation tools

KW - Quality improvement

UR - http://www.scopus.com/inward/record.url?scp=41149141984&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41149141984&partnerID=8YFLogxK

U2 - 10.1177/1062860607313142

DO - 10.1177/1062860607313142

M3 - Article

VL - 23

SP - 105

EP - 114

JO - American Journal of Medical Quality

JF - American Journal of Medical Quality

SN - 1062-8606

IS - 2

ER -