PHS99 - Registry adopted as Public Policy for proper risk management in Chronic Kidney disease in Colombia

Abstract

This article presents results about risk management indicators performed to HIC (Health Insurance Companies) for CKD (chronic kidney disease) and its precursor diseases based on the analysis of large databases achieved through the implementation of registry as public policy in Colombia. Also presents the economic incentives perceived by them thanks to the good results in risk management CAC (Cuenta de Alto Costo) collects information from HIC in Colombia. By law, they report all patients diagnosed with HTA (hypertension),DM (diabetes) or CKD in a structure with 81 variables. After the data collection there is an audit process and finally, a database of approximately 3.050.000 records is obtained which is analyzed and allows the measurement of risk management indicators including: early diagnosis of CKD, effectiveness in clinical management, progression detention of CKD (less incidence) and calculating the prevalence of CKD5. The early diagnosis of CKD is the number of patients with HTA or DM studied for CKD corresponding to 38.25 %. The incidence of CKD5 corresponds to 11.01 per 100.000 affiliates. The effectiveness in clinical treatment corresponding to the proportion of patient with controlled HTA is 66.54% and finally, the calculation of ERC5 prevalence corresponds to 668 ppm. With these results we can determine the economic incentives for risk management which is distributed among the country’s HIC corresponding to USD 44,284,255. Quality record of information as public policy, allows results based evaluation which improves attention quality. Of the 52 health insurance companies existing in Colombia, 25% exceed country risk management goals for all indicators and receive a larger sum of money for risk management. Risk management as a public policy in Colombia encourages results based competence and contributes to achieve savings in the attention of the disease through the implementation of nephroprotection programs.