The Kidney Quality Improvement Partnership (KQUIP) is a network aimed at enhancing kidney care quality through collaboration among professionals, patients, and industry. It focuses on addressing unwarranted variations in care and supporting renal units with resources, education, and national priority projects. Established in 2016, KQUIP provides a centralized hub for quality improvement resources and facilitates regional and national initiatives to improve patient outcomes in kidney services.

1. Kidney Quality Improvement
Partnership (KQuIP)
Supporting Renal Community in
Improving our Quality of Care
Graham Lipkin
Co-chair of KQuIP
23/03/2017 | 1

2. Pre-emptive Transplantation Rates
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3. Home Dialysis: UK Renal Registry-Do we improve?
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4. Why does unwarranted variation persist?
Many reasons:
 Specific to each Unit-solutions can only come from those on the
front line-you know your system best
 Some systematic
• Resource?
• Leadership & leadership training
• Training in QI methodology
• Structure
• We don’t share good practice (or learn from less good practice)
30/10/2016 4

5. Quality Improvement in Renal Units
• Committed to improving patient care on a daily basis
• Responsibility for complex system of patient care within budget*
What support/training?
Why don’t we learn/share from each other?
KQuIP focuses on need to support/train you
Embed QI- triumvirate plus 1 or 2?
23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 5

6. Kidney Quality Improvement Partnership (KQuIP)
KQuIP is a dynamic network of kidney health
professionals, patients carers and industry
…committed to developing, supporting and
sharing quality improvement in kidney
services…. in order to enhance outcomes and
quality of life for patients with kidney disease.
Professional Society Led
Multi-Professional
UK
Adults and Children’s Care
25/11/2016 6

7. KQuIP Launched 2016
30/10/20167
Programme Board
Work Stream Chairs
Group
3 Work Streams
KOG
Faculty

8. Quality Improvement: Where to Focus?
Pre-dialysis Clinic
Peritoneal dialysis
Pre-emptive Transplant
listing & Live donor Tx
AV Fistula
Home HD Shared HD
Conservative Care
30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 8
Progressive CKD
Failing Transplant
MPT
• Dietetics
• Modality choice Counselling/ PD nurse
• Access nurse & surgeons
• LD Transplant Coordinators
Unplanned starts?

9. How Will KQUIP Support Quality Improvement
1. Regional Registry/KQuIP QI Days
2. 3 National Priority Projects
3. KQuIP Online Repository
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10. KQuIP – How will it support Renal Quality Improvement?
08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 10
National
• Advice to Clinical Reference Group.
• Central Registry Project management & faculty
• Online KQuIP Hub repository
• Industry coordination
Regional supporting Renal Clinical Networks
• Renal Registry/KQuIP quality improvement day
• Regional Project management support
• Peer assist

11. KQuIP - Driving Renal Quality Improvement
08.06.2016KQuIP Launch Graham Lipkin & Louise Wells 11
You & me
• Education & support materials (the Hub)
• Peer assist (Share-’ask a friend’)
• Support for local projects-Regional Project Managers

12. KQUIP – Partnering with Industry
What sort of relationship is KQuIP Looking for?
• A new model-mature genuine partnership-equal partners at start
Why does KQuIP want to work with Industry?
• Share ambition to improve patient care
• Industry has strong QI expertise & examples of effective collaboration
• Resources
Risks
30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 12

13. KQuIP Hub-Opened April 2017
Repository of Quality Improvement resources
• Education
• Leadership & Training in QI
• Case Studies
• We don’t always have to re-design the same wheel
• We really can learn from each other.
• Please contribute
08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 13

14. KQuIP Hub-QI Case Projects/Case Studies
08/02/2017Kidney Quality Improvement Partnership – Karen Thomas 14

15. 3 National KQuIP Priority Projects
Improving access to kidney transplantation; Transplant First
Transplant First, developed in the West Midlands under KQuIP, being
packaged to enable others to implement.
Improving access to home therapies for suitable patients
KQuIP working with Manchester Dialysis Group
Improving incident and prevalence rates of arteriovenous fistulae
access
25/11/2016 15

16. Regional days- Designed by Regional Network - KQuiP
Support
• Data-bespoke Regional Registry & PHE report
• Explore barriers/solutions/What we’re good at
• Transplant First and Home Therapies Focus & AKI
• Define Unit QI leads (Clinical and MPT) & Project
• Support existing projects & with what’s next support
23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 16

17. KQuIP Registry Regional Days-Wmids
23/3/17Kidney Quality Improvement Partnership – Wmids Regional KQuIP Registry Day | 17

18. KQuIP Support - Post Regional Network
• Central Project management through Registry
• Individual Project Management Support
• Registry metrics, training, peer assist, KQuIP Hub
23/03/17Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin 18

19. Regional KQuIP/Registry Events 2017
• Wmids
• Yorks and Humber
• East Midlands
• Manchester North West
• 2018 coming to you
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20. Supporting the next generation-QI training
23/03/17Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin

21. For Current and Potential Senior Leaders up to
Director Level
Renal CD Leadership Programme

22. 30/10/2016Kidney Quality Improvement Partnership - Scottish Renal Association - Graham Lipkin 22

23. Renal units also need support to make the right
decisions…
http://latinamericagoesglobal.kccsobamb8iq2te1et7s.netdna-cdn.com/wp-content/uploads/2016/07/181571_600.jpg

24. KQuIP welcomes you…
…enabling you and your team to improve quality and safety
www.thinkkidneys.nhs.uk/kquip/
Kidney Quality Improvement Partnership Wmids Regional Day-Graham Lipkin