Background: The Renal Health Clinical Network (RHCN) in Victoria established a Renal Key Performance Indicator (KPI) working group in 2011. The group developed four KPIs related to CKD and dialysis. The transplant working group of the RHCN developed two additional KPIs. Methods: A data collection and bench-marking program was established with permission to participate from the CEO of each health service. Data is collected monthly by the

Department of Health using a specific website portal. The KPI working group are responsible for analysing data each quarter and ensuring indicators remain accurate and relevant. Each indicator has clear definitions and targets. We report a summary of KPI trends over AZD2014 purchase 2013. Results: Each health service providing end-stage kidney disease management was able to submit data regularly with no additional funding, using “craft groups” already present in each of the services. The KPIs encompassed (1) patient education, (2) timely creation of vascular access, (3) the proportion of patients dialysing at home, (4)

the incidence of peritonitis in PD, (5) incidence of pre-emptive renal transplantation, and (6) timely listing of patients for deceased donor transplantation. Most of the KPIs have been associated with improved performance over time. The most difficult KPIs for units to achieve have been the number of patients dialysing at home (KPI 3) and timely listing of patients for transplantation Leukocyte receptor tyrosine kinase (KPI 6). Conclusions: KPI implementation SAR245409 in vivo has been established in Victoria with no additional funding required. There is some early evidence that use of KPIs has improved the performance of individual units. 208 WEB-BASED CHRONIC KIDNEY DISEASE OUTREACH AND CONNECTING CARE PROGRAM IJ KATZ, S PIRABHAHAR, J KELLY, A O’SULLIVAN,

G YOUSSEF, C LANE, S ONG, F BRENNAN, E JOSLAND, G MANGOS, P SHANMUNGASUNDARAM, S TRANTER, M BROWN St George Hospital and University of New South Wales, Sydney, Australia Aim: To assess a) efficacy and safety of web based management for CKD patients in primary care (PC) versus a nephrology practice b) at a later stage, cost effectiveness and CKD progression in high risk (HR) patients. Background: PC management of early CKD has been shown to be equivalent to nephrologist care. Opportunistic screening of HR individuals and follow up by general practitioners (GPs) is the most sustainable form of care for CKD. A web ‘cloud’ based referral and review system was established in order to deal with the high burden of CKD and chronic diseases (CD). Methods: This program allows GPs and hospital-based doctors to manage patients with or at risk of CKD and receive specialist opinions online. Patient referrals are stratified and HR patients (eGFR < 30 mL/min/1.73 m2) and/or albuminuria (>30 mg/mmol/L) are randomised to nephrologist face to face vs. online consultation. HR patients are followed four monthly. Those referred for other reasons (e.g.