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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Performance measurement in chronic kidney disease
Kimberly A Smith1, Rodney A Hayward
1University of Michigan, 6312 Medical Science Building I, 1150 W. Medical Center Drive, Ann Arbor, Michigan 48109-5604, USA. kcandido@umich.edu
Journal of the American Society of Nephrology : JASN
|February 4, 2011
Summary
Americans face challenges in achieving high-value healthcare, particularly with chronic kidney disease (CKD). Improving care quality requires efficient data capture and provider accountability for new performance measures.
Area of Science:
- Health Services Research
- Nephrology
- Healthcare Quality Improvement
Background:
- Healthcare value is defined by improving quality and/or decreasing cost.
- End-stage renal disease (ESRD) presents significant mortality and expense challenges.
- Focus is shifting towards quality measures for chronic kidney disease (CKD).
Purpose of the Study:
- To examine the challenges in implementing new quality performance measures for CKD.
- To discuss efficient data capture, patient identification, and provider accountability for CKD care.
Main Methods:
- Review of current quality measure development for CKD.
- Analysis of challenges in data acquisition and patient stratification.
- Discussion of provider accountability frameworks.
Main Results:
- Quality measures for CKD are in early development stages.
- Efficiently capturing data and identifying appropriate patients are key challenges.
- Assigning provider accountability for CKD progression requires further refinement.
Conclusions:
- Implementing effective quality measures for CKD necessitates addressing data and accountability hurdles.
- Payers are focused on slowing CKD progression through population-level interventions.
- Optimizing CKD care requires a systematic approach to performance measurement and provider engagement.
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