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CKD Management Workflow for Rural Primary CareOrange icon: bean shape

 

Rural Primary Care CKD Workflow Integration Aligned with National Standards

Rural Primary Care CKD Workflow Integration Aligned with National Standards" focuses on incorporating evidence-based workflows into rural primary care settings to enhance the detection, management, and treatment of Chronic Kidney Disease (CKD). This approach ensures alignment with national clinical guidelines and best practices, streamlining processes for early diagnosis, patient education, care coordination, and ongoing monitoring, ultimately improving patient outcomes in underserved rural communities.healthcare team meeting

Chronic Kidney Disease (CKD) Screening and Management Policy 

The Chronic Kidney Disease (CKD) Screening and Management Policy" outlines standardized procedures for identifying, monitoring, and managing CKD in patients. This policy emphasizes early detection through routine screenings, particularly for high-risk populations, and provides guidelines for diagnosis.

Healthy Huddles Happen

  Video Huddle Example

Sample Huddle provides a practical example of a daily huddle format used in clinical settings, aimed at improving team communication and patient care coordination. The huddle includes discussions on high-risk patients, follow-up care, chronic disease management, workflow optimization, and resource allocation.

PDSA (Plan-Do-Study-Act)

Chronic Kidney Disease (CKD) PDSA (Plan-Do-Study-Act) Cycle is a systematic, data-driven approach to quality improvement aimed at enhancing CKD care within healthcare settings. It helps clinics and healthcare teams improve processes for early detection, management, and long-term outcomes for patients with CKD.

Sample Chronic Kidney Disease Registry

Michigan Primary Care Association (MPCA) Example: Identify and manage CKD progression in diabetic and hypertensive patients using the Chronic Kidney Disease registry, which tracks vital test results and risk factors for comprehensive care.

 

Contact Information

Jill Oesterle
Director of Provider Solutions
 
Direct Line: 517-353-6891
Fax: 517-432-0007
Email:Oester35@msu.edu

For Technical Assistance 

Mary Wozniak
Program Manager
National Kidney Foundation of Michigan 
Email: mwozniak@nkfm.org

 

This toolkit was developed in partnership with the National Kidney Foundation of Michigan (NKFM)

National Kidney Foundation of Michigan with orange kidney shape