Implementing the Acute Kidney Injury in Care Transitions (ACT) Program: Results From a Mixed Methods Feasibility...

Area of Science:

• Nephrology
• Health Services Research
• Patient Care Models

Background:

• Acute kidney injury (AKI) survivors face challenges in receiving adequate post-discharge medical care.
• A gap exists in structured follow-up protocols for AKI patients, increasing their risk of adverse outcomes.
• Effective care transitions are crucial for managing chronic conditions and preventing readmissions.

Purpose of the Study:

• To assess the feasibility and acceptability of a multidisciplinary care delivery model for AKI survivors, named AKI in Care Transitions (ACT).
• To evaluate the integration of the ACT model into existing healthcare workflows.
• To identify barriers and facilitators for implementing post-AKI care transition programs.

Main Methods:

• An embedded convergent mixed-methods study was conducted within a randomized trial.
• Qualitative interviews and quantitative surveys were administered to patients and healthcare staff.
• Descriptive analysis and thematic analysis were used to integrate findings.

Main Results:

• Over 80% of healthcare staff found the ACT model feasible and acceptable.
• 95% of patients reported they would recommend the ACT model to others.
• Multidisciplinary team involvement and kidney health touchpoints were highly valued, though workflow integration requires refinement.

Conclusions:

• The ACT intervention demonstrates feasibility and broad acceptability among patients and healthcare staff.
• Flexible, multidisciplinary solutions are needed to address the post-AKI care gap.
• Optimizing workflows for timely discharge and prioritizing kidney health are key for future AKI care models.