Presented by Rachael Walker Hawkes Bay District Health Board

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

4. 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

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