Implementation of an agency to improve chronic kidney disease care in Ontario: lessons learned by the Ontario Renal Network.
نویسندگان
چکیده
In 2009, Ontario's Ministry of Health and Long-Term Care initiated the transfer of oversight and coordination of chronic kidney disease (CKD) care to the Ontario Renal Network (ORN) under the auspices of Cancer Care Ontario (CCO). The aim was to replicate the quality improvement and change management practices used for cancer control within CKD. Much of the ORN's first three years were dedicated to building the infrastructure necessary to bridge the gap between provincial policy and clinical practice. This article explores the accomplishments, challenges and lessons learned over that period. The results, which are applicable to the management of chronic diseases in Ontario, Canada, and internationally, confirm that sustainable change takes time and requires strong leadership, transparency, accountability and communication, supported by a solid foundation of data and evidence.
منابع مشابه
بررسی توان خودمراقبتی بیماران تحت درمان با همودیالیز مراجعه کننده به بیمارستان بوعلی اردبیل در سال 1392
Background: Self- care has an important role in management of patients with chronic renal failure. The present study was implemented to determine self-care agency among patients with chronic renal failure undergoing hemodialysis . Methods: In this descriptive cross-sectional study, 139 End stage renal disease patients undergoing hemodialysis in Boali hospital of Ardebil (22 June -22 July 20...
متن کاملThe Council of Academic Hospitals of Ontario (CAHO) Adopting Research to Improve Care (ARTIC) Program: Reach, Sustainability, Spread and Lessons Learned from an Implementation Funding Model
Despite evidence on what works in healthcare, there is a significant gap in the time it takes to bring research into practice. The Council of Academic Hospitals of Ontario's Adopting Research to Improve Care program addresses this research-to-practice gap by incorporating the following components into its funding program: strategic selection of evidence for implementation, education and trainin...
متن کاملManagement of Severe Hyponatremia With a Custom Continuous Renal Replacement Therapy in an Infant With Newly Diagnosed Chronic Kidney Disease
Marie-Michèle Gaudreault-Tremblay, MD, Hassan Faqeehi, MD, Valérie Langlois, MD, Diane Hébert, MD, Dimitri A. Parra, MD, Gail Annich, MD, Elizabeth Harvey, MD and Mathieu Lemaire, MDCM, PhD Division of Nephrology, The Hospital for Sick Children, Toronto, Ontario, Canada; Division of Interventional Radiology, The Hospital for Sick Children, Toronto, Ontario, Canada; Division of Critical Care Med...
متن کاملQuality of Care for Patients With Chronic Kidney Disease in the Primary Care Setting: A Retrospective Cohort Study From Ontario, Canada
BACKGROUND Patients with chronic kidney disease may not be receiving recommended primary renal care. OBJECTIVE To use recently established primary care quality indicators for chronic kidney disease to determine the proportion of patients receiving recommended renal care. DESIGN Retrospective cohort study using administrative data with linked laboratory information. SETTING The study was c...
متن کاملThe Impact of Family-Based Empowerment Pattern on Hemodialysis Patients in Golestan Province in 1394
Introduction: Chronic renal failure is an advanced and irreversible impairment of renal function, which affects 2 to 3 percent of the world's population today. The number of patients with kidney transplant failure is estimated to be about 25,000, according to a report from the Center for the Transplantation of Specific Diseases. Annually, about 4,000 new patients are added to this population, w...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Healthcare quarterly
دوره 17 Spec No شماره
صفحات -
تاریخ انتشار 2015