Electronic health record based population health management to optimize care in CKD: Design of the Kidney Coordinated HeAlth Management Partnership (K-CHAMP) trial

• DOI: 10.1016/j.cct.2023.107269
• Publication Date: 2023-06-20T16:41:25Z
• Authors: Manisha Jhamb; Melanie R. Weltman; Jonathan G. Yabes; Sanjana Kamat; Susan M. Devaraj; Gary S. Fischer; Bruce L. Rollman; Thomas D. Nolin; Khaled Abdel-Kader
• Keywords: Nephrology; Guideline

Primary care physicians (PCPs) provide the majority of medical to patients with non-dialysis dependent CKD. However, PCPs report numerous limitations providing expert CKD care, including poor patient education, inadequate diagnostic evaluation, suboptimal use medications, and time limitations. The Kidney Coordinated HeAlth Management Partnership (Kidney CHAMP) trial is a cluster randomized controlled evaluate effectiveness novel centralized electronic health records (EHR)-delivered population management (PHM) strategy for high-risk on safety, other outcomes interest patients, providers, payors. Over 42-month period, will compare multifaceted intervention that combines early identification timely nephrology guidance, pharmacist-led medication services, education usual enroll 1650 from 100 primary practices. outcome be ≥40% decline in estimated glomerular filtration rate (eGFR) or end stage kidney disease. Key secondary include blood pressure, renin-angiotensin aldosterone system inhibitors use, exposure potentially unsafe medications. If successful, our treatment approach could improve delivery resource allocation, adoption evidence-based guideline-concordant care.