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The National CKD Audit and Quality Improvement Programme
for CKD in Primary Care
The project will be advised by key stakeholders, including:
From BMJ Informatica, in collaboration with UCL NephrologyLSHTMClinical Effectiveness Group QMUL
RCGP, RCP, RCNRenal Association & Renal RegistryKidney Alliance, Kidney Research UK
Informatica Systems Ltd 2013V2.0
Aims1 improve identification of CKD in primary care
Increase codingImprove testing of ‘at risk’ groupsDevelop QI tools for better patient management
2 improve management of CKD patients not requiring
3 improve timely referral of CKD patient requiring specialist review
Audit referrals through HES linkageSnapshot of referral pathways across CCGsDevelop QI tools to prompt for specialist advice
Informatica Systems Ltd 2013
specialist review
Audit against NICE targets (eg BP, CV risk assessment, CKD monitoring)Develop QI tools for primary care management
V1.0
Informatica Systems Ltd 2013V1.0
Audit TimelineYEAR 1 YEAR TWO YEAR THREE
ROUND ONE
ROUND TWO
Preparations
Pilot analysis, toolset adjustment, feedback to practices
Full extract
Analysis, coding, GP management; hospital referral; link to HES/ONS
Pilot
Audit & QI tool rollout
Informatica Systems Ltd 2013V1.0
OutputsUnderstanding variation
In primary care, and pathways into secondary careIn patient hospitalisation and outcomes
Primary Care Service improvementPractice level data available locally and at CCG level National and regional comparisons to drive improvement
Potential Research opportunitiesLinks to other databases e.g. UKRR, MINAP, CPRDEpidemiology, pharmacology, improvement studiesAnonymised data available for research groupsInternational comparisons
Informatica Systems Ltd 2013V1.0
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