A Study of Acute Kidney Injury in Care Transitions

AKI in Care Transitions (ACT) Trial

This research is being done to develop materials and processes that will help facilitate education and kidney care coordination for AKI survivors.

Inclusion Criteria:

- Participants will be recruited from those identified by a developed electronic health record list of patients with stage III AKI (severe) during a hospitalization based on serum creatinine rise or urine output decline from Olmsted County.

Exclusion Criteria:

• Dementia.
• Non-English speaking.
• Expected to be dismissed to a skilled nursing facility or hospice at discharge.
• Expected to need dialysis at discharge.
• Primary Care Transitions Program enrollment.
• Transplant recipients within 100 days of transplant.
• Can only have one time enrollment.