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Clinicians’ Challenge
Better Care for Chronic
Kidney Disease
Rachael Walker Hawkes Bay DHB
Runner-up 2012

Progress to Date
Background
 Approximately 10% of the population
have Chronic Kidney Disease (CKD)
 Early detection and management is better
and more cost effective
 The majority of CKD patients can be
managed in primary care
 Secondary care needs to see the complex
patients and support primary care
The Challenge
 Identifying and knowledge of patients
 DHB audit shows it knows only 1/3 of
patients with mod/severe kidney disease
 Risk stratifying patients
 Managing resources
 Creating timely systems and processes
 Improving integration and collaboration
Progress to Date
 Collaboration with Ministry of Health

 Development of National Consensus
Statement.
 Development of a CKD Working Party

 Linkage of CKD Pilots including IT system
 Discussion underway on HSAGlobal + DHB
innovation partnership to prove model
Future Goals

 Endorsement of CKD Consensus
Statement
 Further development and dissemination of
CKD IT tools
 Better management of CKD between
primary and secondary care

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  • 1. Clinicians’ Challenge Better Care for Chronic Kidney Disease Rachael Walker Hawkes Bay DHB Runner-up 2012 Progress to Date
  • 2. Background  Approximately 10% of the population have Chronic Kidney Disease (CKD)  Early detection and management is better and more cost effective  The majority of CKD patients can be managed in primary care  Secondary care needs to see the complex patients and support primary care
  • 3. The Challenge  Identifying and knowledge of patients  DHB audit shows it knows only 1/3 of patients with mod/severe kidney disease  Risk stratifying patients  Managing resources  Creating timely systems and processes  Improving integration and collaboration
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