Encourage everyone to take a broad view of health care which addresses the social determinants of health, including food insecurity, lack of transportation, health literacy, and other challenges associated with poverty and discrimination. Encourage the clinical staff to see the clinic’s walls as permeable and to assist patients with these larger issues in their lives. Patient engagement is key.
Create easily digestible patient education. Make CKD patient education a seamless experience in primary care by embedding CKD patient education in the EMR.