Bridging Gaps in Chronic Kidney Disease Screening and Early Intervention in Type 2 Diabetes

Loading...

Media is loading
 

Document Type

Presentation

Presentation Date

7-15-2026

Comments

Presentation: 40:33

Abstract

Chronic kidney disease (CKD) affects approximately 40% of adults with type 2 diabetes and is associated with increased morbidity, mortality, and healthcare costs. The purpose of this quality improvement initiative was to improve CKD screening and facilitate earlier implementation of evidence-based therapies among adults with type 2 diabetes within a large integrated safety-net health system. A multidisciplinary workgroup conducted process mapping and root cause analyses to identify barriers to screening and treatment. Interventions included standardized kidney health testing workflows, medical assistant-driven urine albumin testing protocols, electronic medical record clinical decision support tools, pharmacist-assisted medication management, and provider education. Outcomes were evaluated from 2025-Q1 through 2026-Q2. Albuminuria testing increased from 48.4% to 52.7%, serum creatinine testing increased from 76.9% to 80.8%, and recommended kidney health testing increased from 42.3% to 50.6%, representing approximately 1,461 additional patients screened beyond baseline expectations. Utilization of renin-angiotensin system inhibitors increased from 74% to 80%, sodium-glucose cotransporter-2 inhibitors from 28% to 34.5%, and glucagon-like peptide-1 receptor agonists from 36% to 40.5%. This initiative demonstrates that a multidisciplinary population health approach combining workflow redesign, informatics support, pharmacist engagement, and provider education can improve kidney health testing and increase adoption of evidence-based therapies in patients with type 2 diabetes. These findings support broader implementation of team-based strategies to improve early identification and management of diabetic kidney disease.

Language

English

This document is currently not available here.

Share

COinS