On completion of this activity, you should be able to:
Identify patients who are at increased risk of reduced kidney function
Recall the commonly prescribed medicines that may require dose adjustment in reduced kidney function
Implement appropriate actions if reduced kidney function is detected, using shared decision making and a person-centred holistic approach to patient management.
Find up to five of your patients with a diagnosis of hypertension, CVD or diabetes.
For each patient, review their record for their most recent Kidney Health Check, eGFR result, and Medicines Review (see data collection template below).
Actions you could consider from the results of your mini-audit:
If there is no Kidney Health Check documented within the past 2 years, consider offering them one.
If a documented Kidney Health Check indicates CKD, make sure the CKD diagnosis has been coded into the practice software.
If a recent eGFR is less than 60mL/min/1.73m2, consider if this is acute or chronic kidney impairment and review their currently prescribed medicines.
If there is no medicines review (MBS items 900, 903, 245 and 249) within the past 12 months, consider referring for an HMR or RMMR.
Note: to be eligible to claim 2.5 hours of Measuring Outcomes you must review a minimum of five patients.
3. Measure the Outcomes
Keep a record of the five patients you identified and document any changes to management that were made (keep this record securely within your practice).
4. Claim your CPD hours
Complete the CPD response form to log your hours.
You will be asked to provide responses to the following questions to provide evidence that you have competed the activity:
Evidence required for claiming Educational Activity hours:
Review the HMR report in the case scenario. Which of these recommendations (if any) would you incorporate into a medication management plan? What do you consider the highest priority for Ben's medication management? Is anything missing that you think is important?
A certificate confirming your participation and the number of CPD hours awarded will be provided within 30 days.
Participating in this MAIA topic on medicines and the kidneys is voluntary. It provides you with the opportunity to receive accredited RACGP or ACRRM hours for educational activities, reviewing performance and measuring outcomes. By participating in this topic, you agree to complete our response form which is required as evidence for your continuing professional development hours.
Data collected will be used to inform improvements to MAIA and could also be used in external publications and presentations. Individual responses will remain confidential, and no individuals will be identified in publications or presentations. Data will be securely stored in deidentified format at the University of South Australia. Identified data will be used for the sole purpose of CPD recording only.
On completion of this activity, you should be able to:
Identify patients who are at increased risk of reduced kidney function
Recall the commonly prescribed medicines that may require dose adjustment in reduced kidney function
Implement appropriate actions if reduced kidney function is detected, using shared decision making and a person-centred holistic approach to patient management.