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Michigan Quality Improvement Consortium …

November 2016 Eligible PopulationKey ComponentsScreening Testing for diagnosis and stagingRisk Factor Management &Patient EducationCore Principles of Treatment [D] clinical plan based on CKD stage and and Level of EvidenceFor patients at increased risk for CKD ( , diabetes mellitus, hypertension, family history of kidney disease, age > 55 years, obesity, metabolic syndrome, history of acute kidney injury) assess for markers of kidney damage: Measure blood pressure [A] at least two times/year. Urine dipstick for each routine health exam:Optimize management of comorbid conditions ( diabetes mellitus/glucose control, hypertension, urinary tract obstruction, cardiovascular disease)3, on therapeutic lifestyle changes: weight maintenance if BMI < 25, weight loss if BMI > 25, exercise and physical activity, nutrition therapy, moderation of alcohol intake, smoking management of risk patient of serious progressive nature of CKD and its medications for dose adjustment, drug interactions, adverse effects, and therapeutic levels.

Screening Testing for diagnosis and staging Risk Factor Management & Patient Education Core Principles of Treatment [D] Clinical plan based on CKD stage and

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