INCREASING CKD DETECTION IN HIGH RISK COHORTS THROUGH PRACTICE DATA REVIEW, EDUCATION AND IMPLEMENTATION OF A STRUCTURED PRACTICE FRAMEWORK: THE CKD CLINICAL AUDIT
Ms BREONNY ROBSON1, MS CLAIRE SHEEKY1
1Kidney Health Australia, Australia
Aim: This clinical audit aimed to increase the detection and coding of CKD in high-risk cohorts in primary care through the use of practice data tools, education and implementation of a structured practice framework to drive practice change.
Background: 2 million people in Australia are living with CKD, although, reports show that 90% of them are unaware they have the condition.
Methods: Practices enrolled in the CKD clinical audit undertook data collection and analysis, CKD education, and review of associated practice systems contributing to CKD diagnosis gaps. The audit was targeted to people within practices with known CKD risk factors and no coded CKD diagnosis. Each participant reviewed their practice data 3 times across a 6-month period. Data gaps in CKD diagnosis were highlighted and benchmarked against local data and end point data. The findings were discussed and reviewed against deidentified data from other participating practices. GPs were given lists of people to review over the 6-month period.
Results: The audit involved 15 practices nationally with 86 participating GPs. and a combined practice population of 75,520 patients. At baseline, only 1530 patients had a coded diagnosis of CKD (2% of practice population) despite up to two thirds of the practice population having at least one CKD risk factor recorded.
Throughout the audit, 960 people were diagnosed with CKD resulting in a 124% increase in coded CKD cases. We also observed improved outcomes in key CKD management metrics, such as blood pressure and diabetes control and quality use of medicine.
Conclusion: Implementing a structured framework for detection and management of CKD leads to improvements in coded CKD diagnosis management metrics, clinician knowledge and practice systems.
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Biography:
Breonny is the General Manager, Clinical and Research at Kidney Health Australia. As part of the senior leadership team, she is responsible for leading the strategy, programs, and people across our clinical and research business, evidence-based content and messaging across the organisation, fostering key stakeholder relationships and partnerships. Breonny has a Bachelor of Medical Science from Flinders University has worked in the health industry for over 20 years in roles spanning health leadership, program development, delivery and management, stakeholder relations, product sales, coaching and training. She has worked for Kidney Health Australia for 14 years and is passionate about all things kidney health.