For many organizations, the first step to implementing a CKD program is to increase the visibility of CKD as an important entity to follow. There is a high awareness threshold regarding CKD that must be overcome within the institution outside of nephrology. The full burden of CKD must be clearly understood across the institution for a CKD program to be successful.
To achieve this, it is suggested that a strong analysis of CKD be created from both a financial and morbidity/mortality perspective. As CKD is a laboratory diagnosis, available laboratory data can be utilized to determine the depth of under-recognition. Gaps in assessment of at-risk populations or delivery of optimal standards of care can be assessed through analysis of EHR data.
Underscore CKD’s role as a disease multiplier for cardiovascular disease (CVD) and provide evidence that demonstrates its impact on downstream outcomes within DM and HTN.
It is important to engage the highest level of medical leadership in these discussions. Primary care leaders should spearhead this intervention and be fully engaged in the initial conversations regarding CKD in a population health model. Include atypical stakeholders like a physician/hospital organization or employee benefit representative to provide support for the CKD program.