More than 37 million (15%) of adults in the United States have chronic kidney disease (CKD). One in three American adults is at risk for CKD. Those with hypertension and/or diabetes are at greatest risk. Kidney disease is not only a health burden for those living with the disease, but is also a major economic burden for the U.S. health care system.

In 2018, Quality Insights formally adopted an upstream approach to slowing or stopping the progression of CKD and launched the Kidney Care Project. This project aligns with U.S. Department of Health and Human Services’ (HHS) and the Centers for Medicare & Medicaid Services’ (CMS) 2019 Advancing American Kidney Health initiative, which seeks, in part, to prevent or slow progression to kidney failure, and the 2020 CKD Disparities: Educational Guide for Primary Care.

Through a comprehensive literature review and in collaboration with a diverse technical expert panel (TEP), the Kidney Care team identified best practices and resources for CKD risk stratification and early identification, monitoring and management of CKD, and timely and appropriate referral to nephrology. We have developed an innovative and interactive 6-session e-Learn series teaching directly to the key approaches from the CKD Disparities Educational Guide—Approaches to Identifying CKD, Approaches to Treatment and Monitoring of CKD, Approaches to Centering Care on Patient—as well as addressing the gaps in the Guide (e.g., clinical consequences of included race in widely accepted eGFR equations, documenting social determinants of health, comprehensive medication management, nutrition, etc.).

The Kidney Care e-Learn series launches the end of November 2020 on the Edisco platform and will offer free continuing education credits*. The Quality Insights QIN-QIO communities and coalitions will have access to test and implement the key change ideas taught in the series.

* Quality Insights is accredited as an approver of continuing nursing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. We are also applying for physician, pharmacy and dietitian continuing education credits.

COVID-19 Resources Available from the Quality Insights QPP Project

Quality Insights’ Quality Payment Program (QPP) team has developed a COVID-19 Safety Tips for Your Physician Practice resource as well as a Physician Business Continuity Plan (PDF Version  OR  Word Version ). This customizable tool, developed by some technical assistance contractors (TAC), outlines policies and procedures for an emergency, disaster or major disruption of operations. Download these useful tools today.

Influenza Prevention During the COVID-19 Pandemic
Why are we concerned even more about preventing the flu during COVID? 


Influenza and COVID-19 are both contagious respiratory illnesses, but they are caused by different viruses.

Many people simply are not in the habit of getting the flu shot at all or have a perception that the flu vaccine is unnecessary or unsafe or think that wearing a face covering or mask protects them. In this upcoming flu season, it is likely that flu viruses will spread along with the coronavirus.

The flu vaccine will not prevent COVID-19, but it is important to prevent the risk of getting sick with both COVID-19 and the flu at the same time which increases the risk of severe illness,

First and foremost, masks, social distancing and frequent hand-washing are our first line of defense, but the second line is getting your flu vaccine.

Organization Creates Campaign to Draw Attention to C. diff Infections


Our partner, the Peggy Lillis Foundation, is asking healthcare workers to perceive C. diff infections differently through a new campaign “See C. diff.” C. diff is the most common cause of healthcare-associated infectious diarrhea. See C. diff comes at a pivotal time for the fight against this preventable but too often deadly and disabling disease. While hospital-acquired C. diff infections have been decreasing due to federal and state incentives like antibiotic stewardship programs, community-acquired cases continue to rise. This makes broad public awareness, particularly among family healthcare decision-makers, all the most important. Here are a few ways you can help:

  • Be open to seeing C. diff. The demographics of C. diff infection is changing. Once considered primarily a disease of the elderly, community-acquired C. diff is more likely to be seen in previously low risk groups, including postpartum people, children, young and middle-aged adults, and anyone with current or recent antibiotic use.
  • Every facility can reduce C. diff infections. All across the country, healthcare systems are using innovative bundles to reduce C. diff rates by up to 60%. You and your colleagues can make a difference.
  • C. diff survivors and family members can be your allies. During C. diff Awareness Month (November) and throughout the year, you can invite a C. diff survivor or caregiver to speak to your team. These perspectives can help you and our team provider better, more compassionate care.

Check out PLF’s “See C. diff” campaign site at, where you can find an array of resources including fact sheets, graphics, videos, patient stories and more to assist you.