Working with a network of renal care providers, the BC Renal Agency plans and coordinates kidney care services and supports new initiatives, research and education to improve quality of life for people with kidney disease.
All BC patients have access to the same level of care and a variety of treatment options, and have amongst the best health outcomes for kidney patients in Canada. BC is one of the only places in North America offering a fully coordinated system of renal care for kidney patients.
BC has one of the lowest ratios in Canada of dialysis stations per capita as a result of early identification and treatment, in addition to the growing numbers of patients using home-based therapies. Early treatment and education have been proven to slow the progression of disease.
Reduction in Dialysis Growth: In the late ’90s, the number of patients who required dialysis was growing by 16 per cent per year. Thanks to early identification and intervention – two areas in which the BCPRA leads the country – the growth in BC’s dialysis population is now 3 - 5% per year. A CKD clinical practice guideline, physician education and the funding of pre-dialysis clinics across the province, in addition to a provincial lab strategy, account for this dramatic reduction. The achievement is all the more significant since the number of people diagnosed with early stage kidney disease has grown 13% per year since 2001.
Almost one-third of dialysis patients in BC are on independent therapies—the highest rate in Canada. Patients on peritoneal dialysis and home hemodialysis experience better health outcomes, improved quality of life and fewer visits to hospitals.
BC Renal Agency and BC Transplant have partnered to create a fully integrated model of care for chronic kidney disease (CKD) patients in BC — a first in the world. The new model of care integrates the transplant and renal clinical information management system, utilizes best practice clinical pathways for kidney patients, and supports knowledge sharing between renal and kidney transplant professionals.
The BC Renal Agency operates the only province wide registry in Canada, PROMIS, for kidney and transplant patients. PROMIS supports all aspects of renal care planning and delivery.
BCPRA’s patient-focused, activity-based funding model is unique in Canada. This model provides a more accurate assessment of costs and enables flexible, patient-focused, multidisciplinary care based on patient needs.
BC provides the most extensive financial support for renal medications in Canada, ensuring that every dialysis patient receives the medications essential to their kidney care.
Our provincial medication reconciliation program is the first of its kind for chronic outpatients in BC. The program is designed to prevent medication errors.
BCPRA has developed provincial renal program guidelines, which provide a methodology and set of principles for health authorities and institutions to follow in the management and ongoing development of care programs. Marking a national first, these guidelines have been formally endorsed by the BC Ministry of Health. The guidelines support equitable distribution of high quality renal care to patients across BC, and guide prioritization for new program development.