Advertisement

The Nephrology Interdisciplinary Team: An Education Synergism

  • Jane S. Davis
    Correspondence
    Address correspondence to Jane S. Davis, DNP, Department of Nephrology, University of Alabama at Birmingham, 3605 Oakdale Road, Birmingham, AL 35223.
    Affiliations
    Division of Nephrology, University of Alabama at Birmingham, Birmingham, AL; and Metropolitan Nephrology, Alexandria, VA
    Search for articles by this author
  • Kim Zuber
    Affiliations
    Division of Nephrology, University of Alabama at Birmingham, Birmingham, AL; and Metropolitan Nephrology, Alexandria, VA
    Search for articles by this author
      Patients with kidney disease often have a poor understanding of their condition. The interdisciplinary team can effectively educate these patients to slow disease progression and enhance self-management. The kidney community needs large, well-designed studies to determine the best way to educate patients and hopefully stem the tide of a rapidly increasing population of kidney patients. Congress authorized payment to eligible providers for kidney disease education for Medicare beneficiaries. However, this benefit is not being optimally used. In addition, reimbursement denials were 14-17% in 2011 and 20-23% in 2012. This is more than 4 times the usual Medicare denial rate for current procedural terminology (CPT) codes.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Advances in Chronic Kidney Disease
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Koester L.
        Exploring the reasons for the tiny percentage of patients on home hemodialysis.
        Nephrol Nurs J. 2013; 40 (quiz 49): 43-48
        • Lewis A.L.
        • Stabler K.A.
        • Welch J.L.
        Perceived information needs, problems, or concerns among patients with stage 4 chronic kidney disease.
        Nephrol Nurs J. 2010; 37: 143-148
        • Mendelssohn D.C.
        Coping with the CKD epidemic: the promise of multidisciplinary team-based care.
        Nephrol Dial Transplant. 2005; 20: 10-12
        • Heatley S.A.
        Optimal referral is early referral.
        Perit Dial Int. 2009; 29: S128-S131
        • Strand H.
        • Parker D.
        Effects of multidisciplinary models of care for adult pre dialysis patients with chronic kidney disease: a systematic review.
        Int J Evid Based Healthc. 2012; 10: 53-59
        • Hain D.J.
        • Sandy D.
        Partners in care: patient empowerment through shared decision making.
        Nephrol Nurs J. 2013; 40: 153-157
        • Sec Alt P.
        • Schatell D.
        Teaching self-management: New Conditions emphasize patient participation in care. In: How to make the new Conditions for Coverage work in your dialysis clinic.
        Nephrology News & Issues. 2009; 6: 36-41
        • King K.
        • Witten B.
        • Brown J.M.
        • Whitlock R.W.
        • Waterman A.D.
        The Missouri Kidney Program's patient education program: a 12-year retrospective analysis.
        Nephrol News Issues. 2008; 22 (48-52, 54): 44-45
        • Young H.N.
        • Chan M.R.
        • Yevzlin A.S.
        • Becker B.N.
        The rationale, implementation, and effect of the Medicare CKD education benefit.
        Am J Kidney Dis. 2011; 57: 381-386
      1. National Kidney Foundation. Strategic Plan 2013-2018. Available at: http://www.kidney.org/about/strategic_plan/2013. Accessed May 23, 2014.

        • Coresh J.
        • Byrd-Holt D.
        • Astor B.C.
        • et al.
        Chronic kidney disease awareness, prevalence, and trends among U.S. adults, 1999-2000.
        J Am Soc Nephrol. 2005; 16: 180-188
        • Fadem S.Z.
        • Walker D.R.
        • Abbott G.
        • et al.
        Satisfaction with renal replacement therapy and education: the American Association of Kidney Patients Survey.
        Clin J Am Soc Nephrol. 2011; 6: 605-612
        • Juergensen E.
        • Wuerth D.
        • Finkelstein S.H.
        • Juergensen P.H.
        • Bekui A.
        • Finkelstein F.O.
        Hemodialysis and peritoneal dialysis. Patient's assessment of their satisfaction with therapy and the impact of the therapy on their lives.
        Clin J Am Soc Nephrol. 2006; 1: 1191-1196
        • Hartzler A.
        • Pratt W.
        Managing the personal side of health: how patient expertise differs from the expertise of clinicians.
        J Med Internet Res. 2011; 13: e62
        • Finkelstein F.O.
        • Yalamanchili H.B.
        • Kliger A.S.
        Patient perceptions and experiences of ESRD care: quality and satisfaction.
        Am J Kidney Dis. 2013; 61: 366-367
        • Harris L.E.
        • Luft F.C.
        • Rudy D.W.
        • Kesterson J.G.
        • Tierney W.M.
        Effects of multidisciplinary case management in patients with chronic renal insufficiency.
        Am J Med. 1998; 105: 464-471
        • Mason J.
        • Khunti K.
        • Stone M.
        • Farooqi A.
        • Carr S.
        Educational interventions in kidney disease care: a systematic review of randomized trials.
        Am J Kidney Dis. 2008; 51: 933-951
        • Nunes J.A.W.
        Education of patients with chronic kidney disease at the interface of primary care providers and nephrologists.
        Adv Chronic Kidney Dis. 2013; 20: 370-378
        • Becker B.N.
        Focusing on health literacy might help us cross the quality chasm.
        Am J Kidney Dis. 2009; 53: 730-732
        • Dageforde L.A.
        • Cavanaugh K.L.
        Health literacy: emerging evidence and application in kidney disease care.
        Adv Chronic Kidney Dis. 2013; 20: 311-319
        • Gordon E.J.
        • Wolf M.S.
        Health literacy skills of kidney transplant recipients.
        Prog Transplant. 2009; 19: 25-34
        • Kutner N.G.
        • Johansen K.L.
        • Zhang R.
        • Huang Y.
        • Amaral S.
        Perspectives on the new kidney disease education benefit: early awareness, race and kidney transplant access in a USRDS study.
        Am J Transplant. 2012; 12: 1017-1023
      2. Fed Regist. 2009: 74(226): 2003.

        • Jacobs C.
        Costs and benefits of improving renal failure treatment—where do we go?.
        Nephrol Dial Transplant. 2006; 21: 2049-2052
        • Zuber K.
        • Davis J.
        • Rizk D.V.
        Kidney disease education one year after the Medicare Improvement of Patients and Providers Ace: a survey of US nephrology practices.
        Am J Kidney Dis. 2012; 59: 892-894