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Chronic Kidney Disease (CKD) Organizational Assessment

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This is for providers in Arizona and California only.

Please complete this CKD organization assessment to identify the steps your organization is performing for CKD screening and monitoring. Please select all that apply.

State:

Our organization’s CKD protocols include:

1. Testing high-risk patients with:
2. Ordering kidney function tests:
3. Select all other protocols you use:

(For the CKD stage listed above, you may refer to the Kidney.org chart.)

4. What organizational barriers, if any, are currently affecting the protocol for CKD?