Care Pathways

Chronic Kidney Disease Care Pathway

Overview of the care pathway

We can divide the chronic kidney disease care pathway into 2 phases:

  1. Baseline / pre-treatment
  2. First measurement post-treatment
  3. Long-term follow-up

The backbone of the care pathway is summarized in the figure below, for this flow we relied mainly on the ICHOM standard set of Patient-Centered Outcome Measures for Chronic Kidney Disease.



From your EMR to scheduling or billing, Awell easily connects with your systems so you can create powerful clinical guidelines that tie disjointed systems together.


The following patient-reported-outcomes are visualized in the care pathway:

  • Modified Self-AdministeredComorbidity Questionnaire (SCQ)
  • The Optum SF-36v2 Health Survey
  • PROMIS-Global Health
  • PROMIS-29
  • RAND 36-Item Short-FormQuestionnaire (SF-36)
  • PROsetta Stone


The chronic kidney disease care pathway offers numerous benefits that will increase efficiency on the one hand and improve the quality of care for both patient and provider on the other.

  • Automatic data collection based on the ICHOM Standard Set
  • Automatic scoring calculations
  • Integrated with your systems (Electronic Medical Record, scheduling, medical billing, online pharmacy & fulfilment, e-prescribing, insurance eligibility....)
  • Decreased administrative burden for the care team
  • Automatic alerts to the care team if patients reports alarming Patient-reported-outcomes
  • Patient can access information brochures about treatment, symptoms, etc

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