Clareo Health | The Use of Risk Prediction to Identify Patients at Risk for Chronic Kidney Disease: Patient and Provider Interventions for Patients at High Risk for Chronic Kidney Disease
The Use of Risk Prediction to Identify Patients at Risk for Chronic Kidney Disease: Patient and Provider Interventions for Patients at High Risk for Chronic Kidney Disease
At high risk for CKD as determined by CKD model developed in Phase 1
Age 18-80 as of date of data pull
At least 12 months of health plan coverage
Speaks English or Spanish
We will include both paneled and unpaneled patients
You may not be if
On the research exclusion list between 1/1/2013 and date of the data pull
On hospice, or have conditions that indicate end of life (metastatic cancer, on dialysis, etc.)
Non-English / non-Spanish speaking (those who are excluded from the intervention arm solely due to language barriers will be reported to the IRB at continuing review).
Pregnant patients.
Patients who have a completed both the eGFR and uACR within the 12 months prior to the date of cohort identification.
