Skip Navigation Link

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Improving the understanding, detection, and management of kidney disease.

Indian Health Service (IHS) Activities

Quality Improvement/Evidence of Therapy

This section describes current quality improvement and evidence of therapy programs of the Federal government related to chronic kidney disease.

Indian Health Service (IHS)

The IHS Kidney Disease Program is building implementation tools, clinical documentation, and quality improvement procedures into the medical information system. For example, the program offers "Quick Guide Cards" for health professionals on various diabetes related topics, including CKD. Each set includes an overview, resources (e.g. algorithms), and several 'How To' short video tutorials.

The program is also incorporating new data to validate the Modification of Diet in Renal Disease study equation in American Indians and Alaskan Natives. Additionally, IHS developed several CKD encounter form templates as well as referral forms for nephrology consultation, renal nutrition, and vascular access placement to better treat patients.

Access IHS's 2011 Best Practice: Screening for Chronic Kidney Disease Document and Treatment Algorithms for Diabetes and CKD from the IHS CKD and Diabetes Hub.

Contact Information
Andrew S. Narva, MD, FACP, FASN
Chief Clinical Consultant for Nephrology
Phone: 301-594-8864
Email: narvaa@niddk.nih.gov
Web: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=home

Back to Top

Public Education & Outreach

This section describes current patient outreach and education programs of the Federal government related to chronic kidney disease.

Indian Health Service (IHS)

The IHS Kidney Disease Program provides information for patients, families, and communities about dialysis and transplantation, as well as links to other organizations and agencies. IHS's Division of Diabetes Treatment and Prevention provides educational resources about kidney disease in their online catalog, such as Taking Care of Your Kidneys, a 15-page booklet that informs patients on kidney damage due to bladder and kidney infections.

Access CKD patient education resources through the IHS CKD and Diabetes Hub or the IHS Online Catalog.

Contact Information
Andrew S. Narva, MD, FACP, FASN
Chief Clinical Consultant for Nephrology
Phone: 301-594-8864
Email: narvaa@niddk.nih.gov
Web: http://www.ihs.gov/MedicalPrograms/Diabetes/index.cfm?module=home

Back to Top

Delivery & Payment of CKD Care

This section describes delivery and payment of care related to chronic kidney disease.

Indian Health Service (IHS)

The IHS's Division of Diabetes Treatment and Prevention has published Indian Health Diabetes Best Practice: Screening for Chronic Kidney Disease, which outlines for IHS providers the best methods for identifying and evaluating patients with chronic kidney disease (CKD), managing and monitoring patients with CKD and diabetes, and evaluating the progression of CKD. IHS also has written best practices for health care organizations, essential elements of best practices for CKD programs, and guidance on evaluating and sustaining CKD programs.

Individuals living on reservations receive care for diabetes and hypertension, two leading causes of kidney failure, in IHS clinics across the United States. Those with progressive kidney failure are covered by the Medicare ESRD program and, if eligible, IHS contract health services.

Access additional best practice documents from the IHS CKD and Diabetes Hub.

Contact Information
Andrew S. Narva, MD, FACP, FASN
Chief Clinical Consultant for Nephrology
Phone: 301-594-8864
Email: narvaa@niddk.nih.gov
Web: http://www.ihs.gov/MedicalPrograms/Diabetes/

Back to Top

Professional Education & Outreach

This section describes education and outreach to health professionals of the Federal government related to chronic kidney disease.

Indian Health Service (IHS)

The IHS Kidney Disease Program implements continuing education programs for physicians, advanced practice nurses, physicians assistants, nutrition professionals, pharmacists, and laboratory professionals. IHS has also developed concise summaries of evidence-based guidelines on treatment of chronic kidney disease (CKD) and complications, including Indian Health Diabetes Best Practice: Screening for Chronic Kidney Disease.

The program also promotes case management of CKD within the diabetes program. An annual three-day CKD case-management workshop was established and is open to any health professional who is interested and has the support of his/her supervisor to implement change. Additionally, several CKD case-management models, coordinated by a variety of health care professionals, were established throughout IHS. IHS also offers clinical guidelines, protocols for patient education, and treatment protocols for anemia, which are available online for health professionals to facilitate implementation of care.

Access continuing education courses on CKD and provider education videos, podcasts, and other resources through the IHS CKD and Diabetes Hub. Additional provider resources are available through the IHS Online Catalog.

Contact Information
Andrew S. Narva, MD, FACP, FASN
Chief Clinical Consultant for Nephrology
Phone: 301-594-8864
Email: narvaa@niddk.nih.gov
Web: http://www.ihs.gov/MedicalPrograms/Diabetes/

Back to Top

Surveillance

This section describes surveillance activities and programs of the Federal government related to chronic kidney disease.

Indian Health Service (IHS)

The burden of kidney disease among diabetics has been monitored for several years by the IHS Diabetes Program through a yearly chart audit, and includes measure of kidney function, abnormal protein excretion, and blood pressure control. The IHS Diabetes Care and Outcomes Audit ("the Audit") is a process for assessing diabetes care and health outcomes for American Indians and Alaska Natives with diagnosed diabetes. IHS, Tribal, and Urban Indian health care facilities nationwide voluntarily participate in this process each year by performing a self-audit of medical records for their patients with diabetes. By carefully reviewing the results of individual audits, facilities can identify areas for improvement and implement strategies to work toward the goal of providing all diabetes patients with the highest quality of care, as outlined in the IHS Standards of Care for Patients with Type 2 Diabetes.

Contact Information
Karen L. Sheff, MS
Biostatistician/Data Manager
Phone: 505-248-4965
Email: Karen.Sheff@ihs.gov
Web: www.ihs.gov/MedicalPrograms/Diabetes/

Back to Top

Page last updated: October 10, 2012