This section describes education and outreach to health professionals of the Federal government related to chronic kidney disease.
Centers for Disease Control and Prevention (CDC)
The Chronic Kidney Disease (CKD) Initiative is designed to provide public health strategies for promoting kidney health. To help accomplish this goal, CDC convened a consensus conference of kidney disease experts and other stakeholders to establish priorities and strategies in the public health approach to kidney disease prevention and control. Attendees included representatives from the U.S. Department of Health and Human Service agencies, universities, private and public institutions, and national organizations. The meeting summary with recommendations and the proceedings were published in the March 2009 issue and supplement of the American Journal of Kidney Diseases.
CDC has published articles related to CKD in the United States in its Morbidity and Mortality Weekly Report and in peer review journals.
Nilka Ríos Burrows, MPH, MT (ASCP)
CDC Division of Diabetes Translation
The National Chronic Kidney Disease Fact Sheet 2014 provides information on prevalence, health consequences and resources on chronic kidney disease. The fact sheet provides statistics on CKD and kidney failure by age, sex and race/ethnicity, and offers information on risk factors and treatment.
The fact sheet is a collaborative effort of CDC, other federal agencies, universities and nonprofit organizations that provide information for the public, kidney advocates and researchers. The fact sheet is not subject to copyright restrictions, and can be duplicated, adapted and distributed freely.
Sharon Saydah, PhD
CDC Division of Diabetes Translation
Web: http://www.cdc.gov/diabetes/pubs/pdf/kidney_Factsheet.pdf (252K).
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Centers for Medicare & Medicaid Services (CMS)
- Medicare Learning Network: As a means to reach professionals, the End Stage Renal Disease Quality Incentive Program (QIP) team utilizes the Medicare Learning Network (MLN) to provide an overview of the Proposed and Final Rule for the QIP. CMS provides outreach, communication, and training on important QIP matters. These include Town-hall meetings, WebEx seminars, publication of important notifications via memorandums and official letters to the Networks and dialysis facilities, and yearly calls to the facilities to explain its preliminary Performance Score Report. CMS also utilizes the Medicare website to provide updates and information on the QIP regularly during the course of the year. Contact Information
- Quality Net: Yearly CMS joins nearly 1,000 thought leaders in American health care quality improvement at a premier Federal learning and action event called “Quality Net”. In addition to MLN described above, CMS also engages and reaches providers through “Quality Net”, in which solutions are engineered regarding healthcare quality improvement. Together, patients, advocates, researchers, and thought leaders in health care quality improvement catalyze grassroots, and develop “real-world” solutions to some of America’s biggest health system challenges. Contact Information
- ESRD Networks: The current ESRD Network Organization Statement of Work (SOW) contract performance objectives are delineated into tasks to be conducted by ESRD Network contractors in support of achieving national quality improvement goals and statutory requirements. The Network promotes better care for individuals through beneficiary and family centered care, better health for the ESRD population, and reducing costs of ESRD care by improving care. To achieve this, the Networks serves as partners in quality improvement with beneficiaries, practitioners, health care providers, other health care organizations, and other stakeholders; and disseminate best practices, including those related to clinical care, quality improvement techniques, and data collection. Contact Information
- Learning and Action Network (LAN) Methodology: CMS educates consumers and professionals through LANs, mechanisms that are large scale and sustainable methodologies. The ESRD Network plans to convene and support two LANs. The Patient Engagement LAN focuses on consumers and plans to recruit Patient Subject Matter Experts to provide a patient perspective for Network improvement activities, including identifying ways to spread best practices and design and implement Quality Improvement Activities. The Healthcare Associated Infections (HAI) LAN focuses on providers and facilities and will promote quality improvement by collaborating with facility management, training and educating staff and patients, and facilitating easy access to infection control policy and procedure. Networks will use the overarching recommendations resulting from the LAN for the prevention of HAI’s in ESRD facilities. Contact Information
Teresa Titus- Howard
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Department of Defense (DoD)
The DoD, in collaboration with the Veteran's Administration (VA), created the first evidenced based clinical practice guideline pertaining to the management of chronic kidney disease within the primary care setting in the US. The VA/DoD chronic kidney disease (CKD) guideline, initially issued in 2001, was recently revised and reissued in 2008 to reflect current research.
DoD has been actively collaborating with NIDDK since 2009 in the development of healthcare provider education materials pertaining to CKD. The purpose of such efforts is to promote provider understanding of CKD and its treatment, and foster adoption and implementation of the VA/DoD CKD clinical practice guideline. These materials will be widely available to DoD primary care and specialty care providers via the Army Medical Department CPG shopping cart and website at https://www.qmo.amedd.army.mil. Continuing education programs for physicians, advanced practice nurses, physician assistants, nutrition professionals, pharmacists, and laboratory professionals are available. The VA/DoD Clinical Practice Guideline for the Management of Chronic Kidney Disease has also developed a concise summary of evidence-based recommendations on treatment of CKD and complications. DoD also promotes case management of CKD within their systems. An annual Case Management Society of America meeting is available and open to any health professional who is interested and has the support of his/her supervisor to implement change.
James Ellzy, CDR, US Navy
Director of Clinical Quality
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Health Resources and Services Administration (HRSA)
HRSA supported a series of Organ Donation Breakthrough Collaboratives from 2003 to 2008 to disseminate rapidly practices that proved effective in increasing the number and utilization of donor organs. The Collaborative series included participation of the organ procurement organizations (OPOs), donor hospitals, and transplant programs throughout the United States. As best practices became integrated in organizational processes, this unified effort evolved into the Donation and Transplantation Community of Practice (DTCP). The DTCP is working to institutionalize donation and transplantation best practices through partnership, shared accountability, and effective leadership. Partners now include OPOs, hospitals, transplant centers, donor designation teams, and others who have an impact on organ donation and transplantation. From 2003 to August 2013, national performance on the Collaborative conversion rate (a measure reflecting the proportion of possible donors that become actual donors) has increased from 54.4 percent to 75.7 percent, surpassing the national goal of 75 percent.
Director, Division of Transplantation
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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
The National Kidney Disease Education Program (NKDEP) provides information, tools, and materials for a variety of health professionals to improve their knowledge and practice related to kidney disease detection, education, and treatment. Tools include the online estimated glomerular filtration rate (GFR) calculators, the Nephrology Referral Form for use by primary care providers to share patient data with the consulting nephrologist, and the Medical Nutrition Therapy Referral Form for use by primary care providers to refer patients to a registered dietitian. Reference materials include the Quick Reference on UACR/GFR fact sheet and CKD and Drug Dosing: Information for Providers. Additionally, NKDEP compiled a list of frequently asked questions on calculating eGFR and UACR to help health care providers understand why specific equations are used. NKDEP offers a suite of materials to help general practice registered dietitians (RDs) provide effective medical nutrition therapy to CKD patients who are not on dialysis and resources to support dietetic educators in teaching students and interns about nutritional interventions for CKD patients. NKDEP also developed a CKD Nutrition Management Training Program that the Academy of Nutrition and Dietetics includes in their online certificate training programs for RDs.
NKDEP and its Laboratory Working Group use a variety of channels to keep the clinical chemistry community informed about creatinine standardization and efforts to standardize measurement and reporting for urine albumin. Information is disseminated through the website, e-newsletters, and professional meetings. Additionally, NKDEP works with its Pharmacy Working Group to explore ways to increase pharmacists’ knowledge of CKD so they can participate more effectively in managing CKD patients. The group is currently developing a Continuing Education program for pharmacists on how to safely use NSAIDs in high-risk patients. NKDEP’s newest working group, the Health Information Technology Working Group, works to enable and support the widespread interoperability of data related to kidney health among software applications to optimize CKD detection and management. The group’s initial focus is incorporating CKD data in to electronic health records in a consistent and searchable manner.
In addition to the patient education materials outlined in the Public Education & Outreach section, NKDEP has materials specifically for health care providers. One such resource is the Kidney Disease Education Lesson Builder, a series of six lesson plans designed to help educators create and implement classes for counseling patients with CKD about disease management and preparing for renal replacement therapy. NKDEP's website also features videos that model ways for health professionals to answer common patient questions (in English and Spanish) on a wide series of topics related to CKD and kidney failure.
Andrew S. Narva, MD, FACP, FASN
Eileen Newman, MS, RD
Associate Director, NKDEP
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Veterans Affairs (VA)
The VA is widely recognized as the largest provider of graduate medical education (GME) in the United States. The Undersecretary for Health of the Veterans Health Administration is a statutory member of the Council on Graduate Medical Education. Graduate medical education has traditionally been supported and centered in VA medical facilities associated with academic affiliates.
The VA also provides professional education through the development and dissemination of clinical practice guidelines (CPG). The VA in collaboration with the Department of Defense (DoD), created the first evidenced-based (CPG) pertaining to the management of chronic kidney disease (CKD) within the primary care setting in the United States. The VA/DoD CKD guideline, initially issued in 2001 and reissued in 2008, is under subsequent revision to reflect current research.
VA has also been actively collaborating with NIDDK since 2009 in the development of healthcare provider education materials pertaining to CKD. The purpose of such efforts is to promote provider understanding of CKD and its treatment, and foster adoption and implementation of the VA/DoD CKD CPG. These materials are available to VA specialty and primary care providers via VA's HealthQuality website and the DoD’s clinical practice guideline shopping cart website .
The VA/DoD Clinical Practice Guideline for the Management of Chronic Kidney Disease also provides a concise summary of evidence-based recommendations on treatment of CKD and complications. The VA collaborated with DoD in developing a continuing education program pertaining to the CKD CPG for physicians, advanced practice nurses, physician assistants.
VHA National Kidney Program
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This information was reviewed by KICC agency representatives. It may not reflect new or future agency activities. For more information, please contact the listed representatives.