Full Report

Considerations for sustainability
and integration
Pilot and improvement team members have
brought forward a number of considerations to
support the integration and long term sustainability
of the pilot projects:
• A central information resource should be available
to help staff address questions related to the
CPGs and referral process. This would likely be an
individual – such as the NP renal coordinator – who
staff can rely on for direction, clarity and problem
solving. A binder that contains all CPGs should also
be available at each health centre.
• The Department should establish a clinical practice
steering committee made up of medical directors
and nurse practitioners to help develop, continually
update and prioritize the ongoing use of CPGs; and
to oversee ongoing staff orientation and training
regarding any modifications to the guidelines.
• The Department should continue to support staff
to practice at the full extent of their scope, using
clinicians such as nurse practitioners strategically
to support case management.
• NWT should prioritize the expansion of the renal
improvement project to address other diseases,
the treatment of which would clearly benefit from
the use of CPGs and referral processes.
• Now that the position of renal care coordinator
has been established, NWT should prioritize the
development of an effective territorial renal patient
database. The Department should reassess the
effectiveness of the WOLF system as a database
considering the challenges identified in this project.
Making the Case for Change
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