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RENEW—a renal redesign project in predialysis patient care

Citation

Chow, JSF and Jobburn, K and Chapman, M and Suranyi, M, RENEW a renal redesign project in predialysis patient care, Clinical kidney journal, 9, (5) pp. 748-754. ISSN 1753-0792 (2016) [Refereed Article]


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Copyright 2016 The Authors Licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) https://creativecommons.org/licenses/by-nc/4.0/

DOI: doi:10.1093/ckj/sfw081

Abstract

Background: An ageing population and geographical growth, along with an increase in the number of people that reside in specific location, are increasing the demand for renal replacement therapies. Hospital-based haemodialysis units are struggling to cope with the associated physical, staffing and cost demands. Home-based dialysis therapies are known to be more cost effective with superior social, physical health and survival outcomes.

Methods: ‘RENEW, a renal redesign project, examined the pre-dialysis health care experience of renal patients to find opportunities to improve patient care outcomes and increase the uptake of home-based dialysis therapies. This article details two crucial parts of the approach to change management: (i) diagnostics—an inclusive, client focused, multidisciplinary approach to identify issues relating to the pre-dialysis journey—and (ii) solution design—an inclusive problem-solving approach to identify and marry solutions to the issues identified during diagnostics.

Results: Based on feedback from patients/caregivers and staff interviews, utilizing a clinical redesign methodology, a new model of care was developed, implemented and subsequently embedded into clinical practice. The results have been evident via improved care coordination, enhanced patient preparation for dialysis, improved patient psychosocial welfare and, importantly, an increased number of patients planned for and commencing home dialysis. This has empowered patients by giving them the confidence, knowledge and skills to be actively engaged in their own care. The project resulted in significant expenditure avoidance.

Conclusion: Change management strategies with successful implementation are vital components of evolving clinical practice to achieve both clinical and organizational goals.

Item Details

Item Type:Refereed Article
Keywords:change management, clinical redesign, dialysis, home dialysis
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Nephrology and Urology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Urogenital System and Disorders
Author:Chow, JSF (Associate Professor Josephine Chow)
ID Code:115054
Year Published:2016
Deposited By:Health Sciences
Deposited On:2017-03-06
Last Modified:2017-09-18
Downloads:9 View Download Statistics

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