QI Program | Chronic conditions

Diabetes cycle of care QIP: Chronic kidney disease

EA hours: 0.5
MO hours: 2
RP hours: 5
Total hours: 7.5
Diabetes cycle of care QIP: Chronic kidney disease
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    Diabetes-related chronic kidney disease (CKD) is the leading cause of kidney failure among Australians.1 Australian guidelines for CKD management recommend an annual Kidney Health Check for all people with diabetes, to facilitate early detection.2 A review of kidney health is also built into the annual diabetes cycle of care to help prevent and manage kidney-related complications.1

    Join our diabetes experts as they provide information to help you and members of your practice to optimise the review and management of kidney health as part of the cycle of care checklist for your patients with type 2 diabetes (T2D).

    In this practice-wide quality improvement exercise, we guide you through a stepwise process of reviewing and enhancing your team’s performance against a range of evidence-based benchmarks in kidney health.

    How long should it take?

    This education is designed to take place over multiple weeks. It does not need to be completed in one sitting. You can stop at any time, and progress will be saved. You can find education you have started on your Dashboard.

    Please select the revelant version for your profession:

    GPs only

    Practice staff

    Diabetes Cycle of Care program advisory

    Ralph Audehm
    A/Prof Ralph Audehm

    A/Prof Audehm has over 35 years as a full time GP with interest in chronic disease management and quality improvement in general practice. He has close links to the Department of General Practice, University of Melbourne, and participates in research and teaching of medical students.

    Dr Kean-Seng Lim

    Dr Lim is a general practitioner and GP Principal in a small group practice in Mt Druitt. He is a past President of AMA (NSW), a Wentwest Clinical Council member and President of the Mt Druitt Medical Practitioners Association. He is co-founder of CareMonitor, a cloud-based patient provider partnership platform, and Chief Medical Advisor to PENCS. He has been heavily engaged in the Western Sydney PCMH implementation project, is a member of the Wentwest Clinical leaders group, and currently co-chairs the Western Sydney Value Based Urgent Care Subcommittee.

    Shereen Faiyaz
    Shereen Faiyaz

    Senior practice nurse and practice manager with special interest in chronic disease. 
    Diabetes nurse educator (DNE) in Victoria.

    Kirralee Newby

    Practice manager of two practices in NSW. 
    Previously Corporate State Compliance Manager for 50 practices. 
    Surveyor, Quality Practice Accreditation.

    Learning outcomes

    On completion of this QIP, you will be able to:
    Outline the annual diabetes cycle of care checklist for patients with type 2 diabetes.
    Assess current measurements for kidney health related targets in the annual diabetes cycle of care.
    Using a team-based approach, decide on quality improvement targets and actions related to kidney health in T2D.
    Implement and reflect on practice-wide quality improvement initiatives for kidney health in T2D.

    References

    1. Chronic Kidney Disease (CKD) Management in Primary Care (5th edition). Kidney Health Australia, Melbourne, 2024.
    2. The Royal Australian College of General Practitioners (RACGP). Management of type 2 diabetes: A handbook for general practice. East Melbourne, Vic: RACGP, 2025.
    3. American Diabetes Association Professional Practice Committee. Chronic Kidney Disease and Risk Management: Standards of Care in Diabetes—2025. Diabetes Care 2025;48(Suppl 1):S239-S251
    Chronic kidney disease

    This topic is one of 4 stand-alone topics that can be completed in any order, in the ‘Diabetes cycle of care’ suite of quality improvement activities focused on people with type 2 diabetes.

    Sponsored by
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