Signals From [Space]: Kidney Care

Welcome to "Signals from [Space]." For fans of T-Minus 10 , the show with 10-minute takes on the future of education in healthcare, Signals is where we'll dig deeper into a single topic or theme covered on the show. From care model innovation and community building to emerging technology and health equity, today's frontiers are tomorrow's realities, and the people we meet and learn from on T10 will ultimately be the ones who help us get there. Without further ado, let's light this candle.

Signals From [Kidney Care].        

Kidney care is getting personal, for patients and their care teams, thanks to tailwinds from payors, competition and technology innovation. In my recent conversation with Monogram Health 's Chief Medical Officer, Dr. Shaminder Gupta (Shammi to his friends), he laid out the barriers to education and treatment selection for people with kidney disease and kidney failure. Dr. Gupta also discussed how Monogram Health supports care teams in over 30 states to educate their patients, delay disease progression, experience home dialysis options, and design care plans with social support and individual goals in mind. Dr. Gupta discusses how the current dialysis education approach often scares patients away from home dialysis due to a lack of available hands-on education and shortened time to make a decision. Shammi also mentioned the disconnect between what physicians think and what patients want, underlining the importance of considering the whole person beyond their treatment prescription. (?? Link to Voyage )

Signals        

• Worldwide,?850 million people?have kidney disease — more than double the number of people living with diabetes. (American Society of Nephrology )
• By 2030, the?Centers for Disease Control expect?16.7% of Americans ages 30 and over to have kidney disease. (CDC Data )
• Each year, Medicare spends?more than $100 billion?on kidney care — that's 1 in 5 Medicare dollars. (USRDS )
• 340 people begin dialysis every day in the US — and spend twice as many days in the hospital as transplant patients. (USRDS)
• An Executive Order signed in 2019 is shaking up Kidney Care, from the way kidney disease is managed to how (and where) we treat kidney failure. (AAKH ) (CMMI )

Voices        

These are voices from the community who joined me on T-Minus 10 to share their perspectives, stories and sources of optimism.

• EP20: Why Education and Data Are About Asking the Right Questions, with Lucy Chen , PharmD, Informatics Manager at Fresenius Kabi (?? Link to Voyage )
• EP19: Crossroads and Paths Ahead in Kidney Care Delivery, with Amar V. Patel , Director of BalboaCare at Balboa Nephrology (?? Link to Voyage )
• EP12: Innovations in Health Professional Training, with Dr. Yolanda Becker , Director of Professional Career Development and Professor of Medical Education and Surgery at Anne Burnett Marion School of Medicine at Texas Christian University , (Fmr.) President of United Network for Organ Sharing (UNOS) , (Fmr.) Director of Kidney & Pancreas Transplant Program at UChicago Medicine (?? Link to Voyage )
• EP09: Leveraging New Technologies to Support Frontline Kidney Care, with Dr. mandeep sahani , Chief Medical Officer at TeleNeph LLC and CEO at Desert Kidney . (?? Link to Voyage )
• EP07: Supporting Patients Through Community & Education, with Vanessa Evans , Senior Manager of Advocacy and Communities at Fresenius Medical Care North America ) (?? Link to Voyage )
• EP05: Advocating for the Home Dialyzor Community, with Nieltje Gedney , Executive Director of Home Dialyzors United (?? Link to Voyage )
• EP02: Patient Education & Value Based Kidney Care, featuring Mufaddal Kheda, MD MBA CPE Kheda, (Fmr.) National Director of Kidney Care at ChenMed , Currently serves as Chief Clinical Officer at Evergreen Nephrology . (?? Link to Voyage )
• EP01: Tech-enabled Education Delivery, with Qasim Butt, MD , Interventional Nephrologist at UT Health San Antonio , MedTech investor and Scientific Advisor at IKONA Health . (?? Link to Voyage )

Key Terms in 30 Words or Less        

Value-based kidney care is a healthcare approach that focuses on providing high-quality care to patients with kidney disease while also reducing costs. This approach aims to improve patient outcomes by focusing on treating the underlying causes of kidney disease, rather than just managing the symptoms.

Artificial intelligence is used in chronic care management to analyze large amounts of patient data and make predictions and recommendations for treatment. This can help doctors to provide more personalized and effective care for patients with chronic conditions.

Remote monitoring: Wearable technology and other medical sensors can be used to monitor the health of patients with chronic illnesses, allowing them to receive care from the comfort of their own homes.

Early detection: Technology can be used to identify potential health problems early on, allowing healthcare providers to intervene before the condition becomes more serious.

Personalized care: Technology can be used to collect and analyze large amounts of data about a patient's health, allowing healthcare providers to develop personalized treatment plans that are tailored to the individual's needs.

Education and support: Technology can be used to provide patients with access to information and support, helping them to better understand and manage their condition.

Access to care: Technology can help to connect patients with remote healthcare providers, allowing them to receive the care they need even if they live in a rural area or have limited access to transportation.

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