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Quality Indicators for Primary Care: An Example for Chronic Kidney Disease

Litvin, Cara B. MD, MS; Ornstein, Steven M. MD

Journal of Ambulatory Care Management: April/June 2014 - Volume 37 - Issue 2 - p 171–178
doi: 10.1097/JAC.0000000000000015
Original Articles

Although clinical guidelines exist for the management of chronic kidney disease, there is some evidence that care provided by primary care physicians is not concordant with these guidelines. To translate guidelines into practice, a set of quality indicators that are valid and feasible is needed. In this study, which was conducted in PPRNet in 2011, a consensus process was used to develop a set of 12 face valid and reliable quality indicators that can be utilized by primary care physicians to measure and improve chronic kidney disease management.

Division of General Internal Medicine and Geriatrics, Department of Medicine (Dr Litvin), and Department of Family Medicine (Dr Ornstein), Medical University of South Carolina, Charleston.

Correspondence: Cara B. Litvin, MD, MS, Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, 135 Rutledge Ave, Charleston, SC 29425 (

This study was supported by the Agency for Healthcare Research and Quality grant K08HS018984. The funding agency had no role in the study design; in collection, analysis, and interpretation of data; in writing of the report; and in the decision to submit the paper for publication.

PPRNet/MUSC has a research and development contract with McKesson and Dr Ornstein is the principal investigator. Dr Ornstein receives salary support from the contract. Dr Litvin does not have any conflicts of interest to report.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins