Stage of Change 6: Execute and Measure Your Impact

Periodic assessment of implementation strategies and interventions are an integral part of a any care improvement plan. The following can support these assessments.

Educate practice staff in CKD assessment and management.

Tools:

Resources:

Engage practice staff in the refinement and application of the implementation strategy in their own workflows

Tools:

 

RE-AIM (Reach, Effectiveness, Adopt, Implement, Maintain)

Tools:

  • RE-AIM (Reach-Effectiveness-Adoption-Implementation-Maintenance), 2019, Resources and Tools, strategies to enhance the quality, speed, and public health impact of efforts to implement evidence-based care transformation.

 

PDSA (Plan, Do, Study, Act)

Tools:

 

CFIR (Consolidated Framework for Implementation Research)

Tools:

Utilize electronic health record and claims data to illustrate CKD care among patients with hypertension and/or diabetes in the care team's patient panel.

Tools:

Ensure the care team receives ongoing feedback about the agreed upon CKD interventions/quality metrics.

Tools:

We're here to help!

We can offer practical support on Change Package implementation, as well as provide more information about NKF's resources and initiatives.

References

  • 77. Bullock A, Burrows NR, Narva AS et al. Vital Signs: decrease in incidence of diabetes-related end-stage renal disease among American Indians/Alaska Natives—United States, 1996–2013. MMWR 2017 (66)1:26-32.
  • 78. Fernandez ME, Ten Hoor GA, van Lieshout S et al. Implementation mapping: using intervention mapping to develop implementation strategies. Front. Public Health 2019 7:158.
  • 79. Damschroder LJ, Reardon CM, Opra Widerquist MA et al. The updated consolidated framework for implementation research based on user feedback. Implement Sci. 2022 Oct 29:2-16.