Provider factors | | ∙ Disagreement about CKD guidelines ∙ Confusion about CKD guidelines ∙ Concerns about data validity ∙ Patients comanaged by nephrologists ∙ Lack of awareness of CDS tools
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Organizational factors | ∙ Practice-wide prioritization of identifying patients with CKD ∙ In-office urine collection and/or albumin testing ∙ Standing orders for laboratory tests ∙ Patient registry used by staff for patient outreach
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Technical factors | ∙ CDS tools customized to workflow of practices by research team during site visits ∙ Research team able to troubleshoot CDS at site visits ∙ Research team demonstrated use of patient registry during site visits
| ∙ CDS tools required “extra clicks” ∙ Risk assessment tool did not always work ∙ Reports and tools did not capture labs ordered by specialists ∙ Use of registry required re-identifying patients
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Patient factors | | |