A National Surveillance Project on CKD Management in the Canadian Primary Care: Overview and representativeness

Bello, AK (NPI); Ronksley, PE; Tangri, N; Singer, A; Grill, A; Nitsch, D; Queenan, JA; Lindeman, C; Soos, L; Freiheit, E; Mangin, D; Drummond, D.11

Background

Although healthcare is provincially/territorially administered in Canada, existing national networks such as the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) are facilitators for the conduct of nationally-based quality improvement (QI)-based studies to improve chronic kidney disease (CKD) care.

Objectives

1) Determine the current practice pattern on risk identification and process of care for CKD based on established quality indicators, and 2) investigate the care variation across patients and provider demographics, and regional characteristics (intra and inter provincial/territorial variation).

Methods

The CPCSSN is the first pan-Canadian multi-disease surveillance system (collects health information from the primary care EMRs in eight out of the ten provinces and one territory). The data repository contains health information on 1.5 million Canadians. The initial focus of the CPCSSN was to conduct surveillance on eight chronic conditions (diabetes, hypertension, osteoarthritis, COPD, depression, dementia, epilepsy and Parkinson’s disease). The current initiative is targeted to including CKD in the list of chronic conditions for surveillance.