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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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Implementation of renal key performance indicators: promoting improved clinical practice.

Nigel D Toussaint¹, Lawrence P McMahon, Gregory Dowling

¹Department of Nephrology, The Royal Melbourne Hospital, Bendigo, Victoria, Australia; Department of Medicine, The University of Melbourne, Bendigo, Victoria, Australia.

Nephrology (Carlton, Vic.)

|November 18, 2014

Summary

Victoria developed six renal Key Performance Indicators (KPIs) to monitor chronic kidney disease and dialysis services. While most KPIs improved, home dialysis and transplant listing require further attention for better patient outcomes.

Keywords:

chronic kidney disease dialysis education key performance indicator transplantation

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Area of Science:

Nephrology
Public Health
Healthcare Management

Background:

The Renal Health Clinical Network (RHCN) in Victoria, Australia, initiated a Key Performance Indicator (KPI) Working Group in 2011.
The group aimed to develop clinical indicators for renal services to drive performance improvements in chronic kidney disease and dialysis care.

Purpose of the Study:

To establish and implement six KPIs to measure and improve the performance of renal services in Victoria.
To provide data for ongoing analysis and refinement of renal care indicators.

Main Methods:

A data collection and benchmarking program was established using a dedicated website portal for monthly data submission.
The KPI Working Group analyzes data quarterly, ensuring indicator accuracy and relevance.
Key indicators include patient education, vascular access for hemodialysis, home dialysis rates, peritonitis incidence, pre-emptive transplantation, and deceased donor transplant listing timeliness.

Main Results:

Most KPIs showed performance improvements over the two-year implementation period.
Limited progress was observed in the proportion of patients dialyzing at home (KPI 3) and timely listing for transplantation (KPI 6).

Conclusions:

The six Victorian KPIs are measurable, relevant, and adaptable, successfully implemented for two years without additional funding.
Physician and nurse engagement is crucial for data collection and KPI success.
Wider adoption of this KPI program by other regions could enhance national renal health outcomes.