{"id":"https://openalex.org/W4387964989","doi":"https://doi.org/10.34067/kid.0000000000000277","title":"Pathways Project Pragmatic Lessons Learned: Integrating Supportive Care Best Practices into Real-World Kidney Care","display_name":"Pathways Project Pragmatic Lessons Learned: Integrating Supportive Care Best Practices into Real-World Kidney Care","publication_year":2023,"publication_date":"2023-10-27","ids":{"openalex":"https://openalex.org/W4387964989","doi":"https://doi.org/10.34067/kid.0000000000000277","pmid":"https://pubmed.ncbi.nlm.nih.gov/37889550","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10758509"},"language":"en","primary_location":{"id":"doi:10.34067/kid.0000000000000277","doi":"https://doi.org/10.34067/kid.0000000000000277","is_oa":true,"landing_page_url":"https://doi.org/10.34067/kid.0000000000000277","pdf_url":null,"source":{"id":"https://openalex.org/S4210217782","display_name":"Kidney360","issn_l":"2641-7650","issn":["2641-7650"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","oarl","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney360","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.34067/kid.0000000000000277","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009188336","display_name":"Alvin Howard Moss","orcid":"https://orcid.org/0000-0002-1640-3336","observed_orcids":["https://orcid.org/0000-0002-1640-3336"]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alvin H. Moss","raw_affiliation_strings":["Sections of Nephrology and Palliative Medicine, West Virginia University School of Medicine, Morgantown, West Virginia"],"raw_orcid":"https://orcid.org/0000-0002-1640-3336","affiliations":[{"raw_affiliation_string":"Sections of Nephrology and Palliative Medicine, West Virginia University School of Medicine, Morgantown, West Virginia","institution_ids":["https://openalex.org/I12097938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042401916","display_name":"Glenda Harbert","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Glenda Harbert","raw_affiliation_strings":["Independent Consultant, McKinney, Texas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Independent Consultant, McKinney, Texas","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002280593","display_name":"Annette M. Aldous","orcid":"https://orcid.org/0000-0003-1692-485X","observed_orcids":["https://orcid.org/0000-0003-1692-485X"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Annette Aldous","raw_affiliation_strings":["Milken Institute School of Public Health, George Washington University, Washington, DC"],"raw_orcid":"https://orcid.org/0000-0003-1692-485X","affiliations":[{"raw_affiliation_string":"Milken Institute School of Public Health, George Washington University, Washington, DC","institution_ids":["https://openalex.org/I193531525"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056697512","display_name":"Elizabeth L. Anderson","orcid":"https://orcid.org/0000-0001-6652-1544","observed_orcids":["https://orcid.org/0000-0001-6652-1544"]},"institutions":[{"id":"https://openalex.org/I4210115156","display_name":"Pacific Institute For Research and Evaluation","ror":"https://ror.org/01jfr3w16","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210115156"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth Anderson","raw_affiliation_strings":["Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina","institution_ids":["https://openalex.org/I4210115156"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042944756","display_name":"Amanda C. Nicklas","orcid":"https://orcid.org/0000-0002-8686-2765","observed_orcids":["https://orcid.org/0000-0002-8686-2765"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanda Nicklas","raw_affiliation_strings":["School of Nursing, George Washington University, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, George Washington University, Washington, DC","institution_ids":["https://openalex.org/I193531525"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5014580988","display_name":"Dale Lupu","orcid":"https://orcid.org/0000-0002-3015-0187","observed_orcids":["https://orcid.org/0000-0002-3015-0187"]},"institutions":[{"id":"https://openalex.org/I193531525","display_name":"George Washington University","ror":"https://ror.org/00y4zzh67","country_code":"US","type":"education","lineage":["https://openalex.org/I193531525"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Dale E. Lupu","raw_affiliation_strings":["School of Nursing, George Washington University, Washington, DC"],"raw_orcid":"https://orcid.org/0000-0002-3015-0187","affiliations":[{"raw_affiliation_string":"School of Nursing, George Washington University, Washington, DC","institution_ids":["https://openalex.org/I193531525"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5014580988"],"corresponding_institution_ids":["https://openalex.org/I193531525"],"apc_list":null,"apc_paid":null,"fwci":1.5722,"has_fulltext":true,"cited_by_count":7,"citation_normalized_percentile":{"value":0.82353777,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"4","issue":"12","first_page":"1738","last_page":"1751"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9731000065803528,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9731000065803528,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.011900000274181366,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.006399999838322401,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/kidney-supportive-care","display_name":"kidney supportive care","score":0.9959999918937683},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.7210000157356262},{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.7549999952316284},{"id":"https://openalex.org/keywords/dialysis-centers","display_name":"dialysis centers","score":0.699999988079071},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.5260000228881836},{"id":"https://openalex.org/keywords/best-practice-implementation","display_name":"best practice implementation","score":0.8019999861717224},{"id":"https://openalex.org/keywords/goals-of-care-conversations","display_name":"goals of care discussions","score":0.7850000262260437},{"id":"https://openalex.org/keywords/nurse-practitioners","display_name":"nurse practitioners","score":0.8259999752044678},{"id":"https://openalex.org/keywords/social-workers","display_name":"social workers","score":0.9750000238418579},{"id":"https://openalex.org/keywords/electronic-health-record-documentation","display_name":"electronic health record documentation","score":0.7160000205039978},{"id":"https://openalex.org/keywords/seriously-ill-patients","display_name":"seriously ill patients","score":0.5609999895095825}],"concepts":[{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.7102696895599365},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.5944528579711914},{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.5118998289108276},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.4834666848182678},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.47867709398269653},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.4630442261695862},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4597802758216858},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4521971344947815},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4456327259540558},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.42447373270988464},{"id":"https://openalex.org/C106436119","wikidata":"https://www.wikidata.org/wiki/Q836575","display_name":"Quality assurance","level":3,"score":0.41326117515563965},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.363964319229126},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.30446743965148926},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.19232624769210815},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.18430742621421814},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.1680307388305664},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.13509395718574524},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0},{"id":"https://openalex.org/C2778618615","wikidata":"https://www.wikidata.org/wiki/Q4008393","display_name":"External quality assessment","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007668","descriptor_name":"Kidney","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007676","descriptor_name":"Kidney Failure, Chronic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.34067/kid.0000000000000277","doi":"https://doi.org/10.34067/kid.0000000000000277","is_oa":true,"landing_page_url":"https://doi.org/10.34067/kid.0000000000000277","pdf_url":null,"source":{"id":"https://openalex.org/S4210217782","display_name":"Kidney360","issn_l":"2641-7650","issn":["2641-7650"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","oarl","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney360","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10758509","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10758509","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10758509/pdf/kidney360-4-1738.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney360","raw_type":"Text"},{"id":"pmid:37889550","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37889550","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney360","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.34067/kid.0000000000000277","doi":"https://doi.org/10.34067/kid.0000000000000277","is_oa":true,"landing_page_url":"https://doi.org/10.34067/kid.0000000000000277","pdf_url":null,"source":{"id":"https://openalex.org/S4210217782","display_name":"Kidney360","issn_l":"2641-7650","issn":["2641-7650"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","medline","oarl","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney360","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9907000064849854,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1064485105","display_name":null,"funder_award_id":"#5397","funder_id":"https://openalex.org/F4320306202","funder_display_name":"Gordon and Betty Moore Foundation"},{"id":"https://openalex.org/G1764528110","display_name":null,"funder_award_id":"and #139736","funder_id":"https://openalex.org/F4320306202","funder_display_name":"Gordon and Betty Moore Foundation"},{"id":"https://openalex.org/G3530451752","display_name":null,"funder_award_id":"#8039","funder_id":"https://openalex.org/F4320306202","funder_display_name":"Gordon and Betty Moore Foundation"},{"id":"https://openalex.org/G6722031348","display_name":null,"funder_award_id":"#5397, #8039, and #139736","funder_id":"https://openalex.org/F4320306202","funder_display_name":"Gordon and Betty Moore Foundation"}],"funders":[{"id":"https://openalex.org/F4320306202","display_name":"Gordon and Betty Moore Foundation","ror":"https://ror.org/006wxqw41"},{"id":"https://openalex.org/F4320332427","display_name":"School of Medicine, Stanford University","ror":"https://ror.org/00f54p054"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387964989.pdf","grobid_xml":"https://content.openalex.org/works/W4387964989.grobid-xml"},"referenced_works_count":43,"referenced_works":["https://openalex.org/W1551675929","https://openalex.org/W2035718426","https://openalex.org/W2057788121","https://openalex.org/W2076688289","https://openalex.org/W2115531910","https://openalex.org/W2116257995","https://openalex.org/W2117431822","https://openalex.org/W2118277625","https://openalex.org/W2129854220","https://openalex.org/W2143313661","https://openalex.org/W2144718982","https://openalex.org/W2171958609","https://openalex.org/W2216678156","https://openalex.org/W2464658772","https://openalex.org/W2487035805","https://openalex.org/W2569165906","https://openalex.org/W2605249189","https://openalex.org/W2737971463","https://openalex.org/W2766809004","https://openalex.org/W2785982840","https://openalex.org/W2792708501","https://openalex.org/W2800218564","https://openalex.org/W2912958819","https://openalex.org/W2915251396","https://openalex.org/W2922679921","https://openalex.org/W2982549296","https://openalex.org/W3107590251","https://openalex.org/W3108857866","https://openalex.org/W3128866608","https://openalex.org/W3179134106","https://openalex.org/W3185830352","https://openalex.org/W4200171357","https://openalex.org/W4280638042","https://openalex.org/W4281400105","https://openalex.org/W4285088752","https://openalex.org/W4285524146","https://openalex.org/W4285588852","https://openalex.org/W4290963696","https://openalex.org/W4295693963","https://openalex.org/W4312018702","https://openalex.org/W4319066407","https://openalex.org/W4360603226","https://openalex.org/W4379618973"],"related_works":["https://openalex.org/W3107590251","https://openalex.org/W7140139843","https://openalex.org/W4295693963","https://openalex.org/W3209503786","https://openalex.org/W4200171357","https://openalex.org/W3108857866","https://openalex.org/W4312058303","https://openalex.org/W4412364332","https://openalex.org/W2994681452","https://openalex.org/W3049275851"],"abstract_inverted_index":{"Key":[0],"Points":[1],"A":[2],"multisite":[3,106],"quality":[4,107],"improvement":[5,108],"project":[6,109,131,135],"using":[7],"the":[8,97,130,172,179,183,300,311,329],"Institute":[9],"for":[10,240,352],"Healthcare":[11],"Improvement":[12,39,261],"learning":[13],"collaborative":[14],"structure":[15],"helped":[16,341],"kidney":[17,91,288,305],"care":[18,27,70,93,216,243],"teams":[19,53,342],"identify":[20],"seriously":[21],"ill":[22],"patients":[23,180,275,286,353],"and":[24,37,48,75,84,178,202,210,220,235,259,266,309,344,359,369,375],"implement":[25,270,328],"supportive":[26,92],"best":[28,57,121,333,367],"practices.":[29,122,334],"Helpful":[30],"approaches":[31,272],"included":[32],"needs":[33],"assessment,":[34],"Quality":[35,257],"Assurance":[36,258],"Performance":[38,260],"tools,":[40],"peer":[41],"exchange,":[42],"clinician":[43],"role":[44,200],"modeling,":[45],"data":[46],"feedback,":[47],"technical":[49,228],"assistance.":[50],"Dialysis":[51],"center":[52],"tailored":[54,227],"implementation":[55,117],"of":[56,69,82,90,118,285,313,320],"practices":[58,174,340,368],"into":[59],"routine":[60],"dialysis":[61,113,250],"workflows":[62],"with":[63,110,287,365],"nephrologist":[64],"prerogative":[65],"to":[66,72,115,140,175,194,213,230,254,263,273,304,327],"delegate":[67],"goals":[68],"conversations":[71],"nurse":[73,208],"practitioners":[74,209],"social":[76,211],"workers.":[77],"Background":[78],"Despite":[79],"two":[80],"decades":[81],"national":[83],"international":[85],"guidelines":[86],"urging":[87],"greater":[88],"availability":[89],"(KSC),":[94],"uptake":[95],"in":[96,138,151,252,292,347],"United":[98],"States":[99],"has":[100],"been":[101],"slow.":[102],"We":[103],"conducted":[104],"a":[105,191,293,337],"ten":[111],"US":[112],"centers":[114,251],"foster":[116],"three":[119,330],"KSC":[120,165,332,366],"This":[123],"article":[124],"shares":[125],"pragmatic":[126],"lessons":[127,143,158],"learned":[128],"by":[129],"organizers.":[132],"Methods":[133],"The":[134,155],"team":[136],"engaged":[137],"reflection":[139],"distill":[141],"key":[142,157,339],"about":[144],"what":[145],"did":[146,148],"or":[147],"not":[149,363],"work":[150],"implementing":[152],"KSC.":[153],"Results":[154],"seven":[156],"are":[159,362],"(":[160,167,187,204,223,246,267],"1":[161],")":[162,169,189,206,225,248,269],"systematically":[163],"assess":[164],"needs;":[166,186],"2":[168],"prioritize":[170],"both":[171],"initial":[173],"be":[176],"implemented":[177],"who":[181,276],"have":[182],"most":[184],"urgent":[185],"3":[188],"use":[190,255],"multifaceted":[192],"approach":[193],"bolster":[195],"communication":[196],"skills,":[197],"including":[198],"in-person":[199],"modeling":[201],"mentoring;":[203],"4":[205],"empower":[207],"workers":[212],"conduct":[214],"advance":[215,242],"planning":[217,244],"through":[218],"teamwork":[219],"warm":[221],"handoffs;":[222],"5":[224],"provide":[226],"assistance":[229],"help":[231],"sites":[232],"improve":[233,264],"documentation":[234],"electronic":[236],"health":[237],"record":[238],"processes":[239,262],"storing":[241],"information;":[245],"6":[247],"coach":[249],"how":[253],"required":[256],"KSC;":[265],"7":[268],"systematic":[271],"support":[274],"choose":[277],"active":[278],"medical":[279],"management":[280],"without":[281],"dialysis.":[282],"Conclusions":[283],"Treatment":[284],"disease":[289],"is":[290],"provided":[291],"complex":[294],"system,":[295],"especially":[296],"when":[297],"considered":[298],"across":[299],"continuum,":[301],"from":[302],"CKD":[303],"failure":[306],"on":[307,336],"dialysis,":[308],"at":[310],"end":[312],"life.":[314],"Even":[315],"among":[316],"enthusiastic":[317],"early":[318],"adopters":[319],"KSC,":[321,380],"18":[322],"months":[323],"was":[324,354],"insufficient":[325],"time":[326],"prioritized":[331],"Concentrating":[335],"few":[338],"focus":[343],"see":[345],"progress":[346],"targeted":[348],"areas.":[349],"However,":[350],"effect":[351],"attenuated":[355],"because":[356],"federal":[357],"policy":[358],"financial":[360],"incentives":[361],"aligned":[364],"goals.":[370],"Clinical":[371],"Trial":[372],"registry":[373],"name":[374],"registration":[376],"number":[377],"Pathways":[378],"Project:":[379],"NCT04125537.":[381]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2023-10-28T00:00:00"}