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New chronic kidney disease support tool going live in Tairawhiti


In line with the guideline that software-based decision support, audit and recall systems are part of best practice in the management of chronic kidney disease (CKD), a decision support tool for general practice has been developed, following the national consensus statement Managing Chronic Kidney Disease in Primary Care (2015).

bestpractice have designed a CKD module that is being implemented across New Zealand. The tool was introduced in Waikato in April 2016, in Taranaki in July 2016, and in the Lakes region in early 2017. It has been well-received for its ability to enable practices to clarify management and referral thresholds.

bestpractice, in close association with Pinnacle MHN, has worked to ensure the module meets the needs of local services. Thresholds for referral to secondary care have been built into the tool, meaning a referral can't be generated if the patient doesn't meet the criteria. There is also an option for an advice-only referral to be sent to secondary renal services.

Access to the CKD module in general practice is via Medtech

  • Via Patient Prompt: Patient Prompt will classify the patient's stage of CKD and indicate if it is stable, progressive, or declining. The prompt links to the CKD module, CKD Pathway.
  • The module will also be accessible via the bestpractice Main Menu - Module - Chronic Disease - Chronic Kidney Disease.

Features of the module
  • Appropriate clinical management advice is displayed.
  • Once linked to eReferrals, if the module indicates that a referral is required for the patient, it will display the appropriate service. Clicking on the referral button will auto-fill the referral in a standard format and pre-select the service (e.g. Renal Service).

An education session on both renal medicine and the use of the CKD tool has been scheduled in Gisborne for the evening of 16 August 2017. Waikato DHB renal physician Peter Sizeland and BPAC director of health informatics Dr Hywel Lloyd will be presenting.

For any queries, please contact Nurse Lead Sally Newell: sally.newell@pinnacle.health.nz 

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