1. WHAT’S NEW IN CHRONIC KIDNEY DISEASE Thomas G. Ferguson, MD State Lead, CKD 4/30/13

2. HOW DO PATIENTS BECOME INCLUDED IN THE REGISTRY? Lab with GFR ≤ 60 from any source Wait ≥ 90 days Repeat GFR GFR ≤ 60 included in the database

3. NEW GUIDELINES CHANGES IN THE CLASSIFICATION SYSTEM OLD CLASSIFICATION Stage 1 GFR ≥ 90 Stage 2 GFR 60 - 89 Stage 3 GFR 30 - 59 Stage 4 GFR 15 - 29 Stage 5 GFR < 15 NEW CLASSIFICATION Stage 1 GFR ≥ 90 Stage 2 GFR 60 – 89 Stage 3a GFR 45 – 59 Stage 3b GFR 30 – 44 Stage 4 GFR 15 – 29 Stage 5 GFR < 15

4. NEW GUIDELINES CHANGES IN THE eGFR EQUATION OLD EQUATION MDRD EQUATION Unable to give a value for GFR > 60 NEW EQUATION EPI EQUATION Able to give values of GFR > 60 Needed for new classification system

5. NEW GUIDELINES URINE PROTEIN (ALBUMIN) / CREATININE New classification system recognizes risk with abnormal urine protein (albumin) / creatinine ratio—increased proteinuria Appropriate actions required for abnormal ratio

6. INSTITUTE FOR HEALTHCARE IMPROVEMENT Open School for Healthcare Providers 22 hour online course in Quality Safety Handoffs Management Certification

7. INSTITUTE FOR HEALTHCARE IMPROVEMENT Google IHI Click on Open School Click on log in Free to students, residents, and faculty With a sponsor (champion), can apply as an institution