|
Dialysis Key
Performance Indicators (KPI) |
Points |
Score |
If ‘0’, what
intervention best addresses this |
|
|
|
|
|
|
Patient-Directed Questions |
|
|
|
1 |
Are you currently feeling
‘pretty good’ about things? |
1 |
|
|
2 |
Are your diet and fluid
intake free of major restrictions? |
1 |
|
|
3 |
Is your blood access is a
native arteriovenous fistula? |
1 |
|
|
4 |
Is your dialysis free of
cramp, nausea and headache…etc? |
1 |
|
|
5 |
Are you part or full-time
employed or retired by choice? |
1 |
|
|
6 |
Have you remained out of
hospital for the last 3 months? |
1 |
|
|
|
Process-directed
Questions |
|
|
|
7 |
≥7 sessions/each 2 wks …
(all inter-dialytic breaks <48hrs) |
1 |
|
|
8 |
≥18 total hrs /each wk …
(within any frequency regimen) |
1 |
|
|
9 |
2 mth Kt/V ≥1.3 or PRU
≥70% (or PRU ≥50% if ≥5 x HD/wk) |
1 |
|
|
10 |
Mean inter-dialytic
weight gains ≤2.5% dry weight |
1 |
|
|
11 |
Mean pre-HD systolic BPs
≥105 and ≤150 |
1 |
|
|
12 |
No intra-dialytic saline
has been used in last 4 wks |
1 |
|
|
|
Laboratory-directed Questions |
|
|
|
13 |
2 mth Hb ≥110 and ≤125
g/L |
1 |
|
|
14 |
2 mth T’Sat ≥20% and
≤45% ± Ferritin ≥300 and ≤500 µg/L |
1 |
|
|
15 |
2 mth pre-HD Ca x PO4
product ≤4.0 (if SI) or ≤50 (if US) |
1 |
|
|
16 |
2 mth calcium in normal
range and PTH ≥2 to ≤4 x normal |
1 |
|
|
17 |
2 mth albumin ≥35 g/L |
1 |
|
|
18 |
2 mth CRP is normal for
the local laboratory |
1 |
|
|
|
Chart-directed Questions |
|
|
|
19 |
No anti-hypertensive
medications are necessary |
1 |
|
|
20 |
No phosphate binder
medications are necessary |
1 |
|
|
Note: This sheet is designed to be filled in
at each clinic visit and will serve:
1.
As part of the Patient Medical Record
2.
As a serial reflection of patient
progress, service performance and interventional identification
Authored by Prof John Agar. Copyright
© 2012
Nocturnal Haemodialysis Program, Barwon Health.
All rights reserved. Revised: July 1st 2012