A collaborative project to improve identification and management of patients with chronic kidney disease in a primary care setting in Greater Manchester

BMJ Quality & Safety
John HumphreysJanet Hegarty

Abstract

Research has demonstrated a knowledge and practice gap in the identification and management of chronic kidney disease (CKD). In 2009, published data showed that general practices in Greater Manchester had a low detection rate for CKD. A 12-month improvement collaborative, supported by an evidence-informed implementation framework and financial incentives. 19 general practices from four primary care trusts within Greater Manchester. Number of recorded patients with CKD on practice registers; percentage of patients on registers achieving nationally agreed blood pressure targets. The collaborative commenced in September 2009 and involved three joint learning sessions, interspersed with practice level rapid improvement cycles, and supported by an implementation team from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Greater Manchester. At baseline, the 19 collaborative practices had 4185 patients on their CKD registers. At final data collection in September 2010, this figure had increased by 1324 to 5509. Blood pressure improved from 34% to 74% of patients on practice registers having a recorded blood pressure within recommended guidelines. Evidence-based improvement...Continue Reading

Citations

Sep 5, 2013·Journal of Interprofessional Care·Patricia CuffGeorge E Thibault
Jan 8, 2013·The Medical Clinics of North America·Brendan T BowmanW Kline Bolton
Dec 20, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Gill HarveyJanet Hegarty
Aug 3, 2016·BMC Health Services Research·Pim P ValentijnMarc A Bruijnzeels
Jan 18, 2017·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Lauren GalbraithMin Jun
Apr 23, 2014·Nephron. Clinical Practice·Maria AlquistBernard Canaud
Dec 11, 2014·Australian Health Review : a Publication of the Australian Hospital Association·Jane ScarboroughPaul Aylward
Jul 11, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Eva KovacsEva Grill

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