Chronic Kidney Disease Change Package 2023

Population Health Strategies for Cardiovascular and Kidney Disease Risk Reduction

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CKD remains an under-recognized, growing public health issue.

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Current guidelines recommend annual CKD testing in adults with diabetes and/or hypertension. Less than 40% with diabetes and less than 10% with hypertension receive guideline testing.

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The Chronic Kidney Disease Change Package 2023 provides a systematic approach for care transformation, advancing health equity, and healthcare quality improvement.

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At the center is a dashboard of process improvement activities that are adaptable according to local clinic needs, resources, and workflows.

Stages of CKD Change


The dashboard encompasses six Stages of Change for successful CKD care transformation, and each Stage provides actionable Change Ideas supported by evidence-based, guideline-driven Tools and Resources for care improvement activities.

1. Understand CKD and its Management in Primary Care

Review guideline testing and management for CKD and the consequences of unrecognized CKD as a disease multiplier.

2. Assess the Quality of CKD Care in Your Institution

Evaluate the effectiveness of your institution's CKD recognition and management.

3. Building the Business Case to Improve CKD Care

Demonstrate a strong case for change through a health equity lens and healthcare expenditures.

4. Convene a Multi-disciplinary Team

Gather input and participation from your institution's healthcare professionals who are ready for change.

5. Develop the Implementation Plan for Your CKD Intervention

Build a plan that aligns with practice or clinic workflows, patient panels, and available resources.

6. Execute and Measure Your Impact

Measure your CKD intervention to adjust as needed and help ensure it achieves the desired outcomes.

Additional Resources

Review and save a PDF for future reference, or print and share within your organization.

NKF offers a wide range of educational materials, and here's a link to them so that you can learn more about this devastating disease.

Help care teams and improve patient outcomes by using the CKD Heatmap to interpret combined results of eGFR and uACR tests.

This program is an example of our multifaceted efforts in upholding an unwavering commitment towards achieving KIDNEY EQUITY FOR ALL.