CKD PHM Model Cases

These model cases provide pragmatic examples of various chronic kidney disease (CKD) population health management (PHM) efforts implemented at different institutions. The cases provide detailed information about how the effort was implemented, including barriers and solutions related to privacy, technology, and administration.

CKD Identification, Phenotyping and Registries

Cleveland Clinic: Development of an EHR-based CKD Registry for Use in Clinical Research and Improvement of Patient Outcomes (PDF, 254.6 KB)
Alberta Kidney Disease Network: A Province-wide Central Repository of Laboratory and Administrative Data to Support CKD Research (PDF, 88.84 KB)
Kaiser Permanente Southern California: Managing Chronic Kidney Disease Populations within an Integrated Health Management Organization (PDF, 293.24 KB)

CKD Analytics & Data Warehousing

Institute for Clinical Evaluation Science, Kidney, Dialysis, and Transplant Program (ICES KDT): A Renal Program Nested in a Larger Population Health Management (PHM) Program (PDF, 333.94 KB)

Intervening for Improved Health

Mayo Clinic: Project RED: Quality and Design-Method Approach to Improving ESRD Outcomes (PDF, 239.4 KB)
Indian Health Service: A Strategic Plan for Population Health and Analytics (PDF, 369.77 KB)

This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.