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Chronic Kidney Disease - Nevada

Diabetes and high blood pressure are the two main causes for developing chronic kidney disease. Individuals at highest risk for developing CKD have a family history of kidney disease, are older or belong to a population group that has a high rate of diabetes or high blood pressure.

CKD is generally progressive, but with early detection and treatment, along with self-management support, your patients have the opportunity to slow or prevent further damage.

How Do You Support Patient Self-Management?

  • Use evidence-based guidelines for the identification and treatment of chronic kidney disease. A screening and treatment algorithm is a useful decision support tool.
  • Consider co-management with a kidney specialist at Stage 3 of CKD.
    • A nephrologist can focus on the specific complications of CKD, freeing the primary care physician to treat other chronic conditions, such as diabetes, high blood pressure, and hyperlipidemia.
  • Use current, appropriate patient education materials and management tools.
    • Assess your patient’s health literacy levels – the ability to obtain, process and understand basic health information and services needed to make appropriate health decisions.
According to research from the U.S. Department of Education, only 12% of English-speaking adults have proficient health literacy.

    • Make patient education materials available that are culturally appropriate and avoid overuse of medical jargon.
  • Incorporate motivational interviewing techniques and shared-decision making into the process of developing a care plan with your patient rather than for your patient.


Patient Self-Management

This educational DVD is intended to provide information to patients in a physician office setting, ideally before the patient sees the provider. The information is presented in brief segments (lasting from 3 minutes to 12 minutes). Healthcare professionals with knowledge and expertise address each individual care recommendation, covering important basics and reinforcing knowledge. The foundation for the structure is the patient self-management tool, “Diabetes – What Every One Needs”

A companion tool for patient use during viewing is the Patient Question Checklist. This generalized tool is designed to support comprehension of the information presented and to guide the patient when asking you, the provider, follow-up questions during the visit.

Also available for download is a list of web sites providing useful information, resources, and tools to support patients as they develop self-management skills.

The intent of this DVD is to provide a simple and useful resource for physician offices to support patients in building self-management skills. Viewing the DVD content will emphasize the importance of a patient understanding and actively participating in their own care planning to gain and maintain control of a chronic disease such as diabetes, hypertension, or chronic kidney disease. The ultimate goal is to have patients work in collaboration with you, the healthcare provider, to achieve better outcomes and decrease the risk of complications related to uncontrolled diabetes and hypertension.


Patient Toolkit


A set of chronic kidney disease and diabetic user friendly materials compiled from the best resources of kidney disease and diabetes organizations throughout the country. The self-management tool “Diabetes – What Everyone Needs” is designed to encourage dialogue between the patient and the physician.

Resources in PDF Format:


Provider Toolkit


A set of guidelines and chronic kidney disease materials and resources to aid in training and education of patients at-risk. It was produced by our team of primary care physicians, nephrologists, endocrinologists and cardiologists and health care professionals.

Resources in PDF Format:


Chronic Care Model


Resource in PDF Format:

A nationally recognized improvement model adopted as the design foundation of our project.

You can also visit the IHI website - for more information about the System Change Model (adapted Chronic Care Model).

  • AHRQ
  • ATOP
  • NV Healthie
  • NHA
  • NRHI
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  • QIO - Learn More - NM