What is the "payback" for early intervention in CRI?

The Renal Agency in B.C. is an example of the successes that can be achieved by the collaboration of physicians and other medical professionals with government-funding and health care agencies. Through clear definition of goals and proposed outcomes, based on clinical evidence, well-research business plans, and rational discussion, we have achieved an improvement in the cohesive approach to patients with kidney disease. The Renal Agency has succeeded in redefining the scope of kidney disease services to include services prior to dialysis. The recognition of kidney disease as a chronic identifiable condition, amenable to cost effective interventions early in its course, will undoubtedly lead to improved patient outcomes. With the ongoing cohesiveness of the renal community, the existence of the Renal Agency, and the use of the information system PROMIS, we will be able to demonstrate these successes to government bodies over the coming years.