Acute Kidney Injury In Care Transitions (ACT): Pragmatic Clinical Trial

Inclusion Criteria:

* Clinician subjects

  * Hospital clinicians including physicians and advanced practice providers employed by Mayo Clinic and practicing at one of the four study sites
  * Provide care for hospitalized patients with stage 2 or stage 3 acute kidney injury (AKI) who are expected to be discharged home and are not receiving dialysis
* Patient subjects:

  * Adults ≥18 years old
  * Meet KDIGO consensus criteria for stage 2 (moderate) or 3 (severe) AKI
  * Residence within the study catchment area (southern Minnesota, northern Iowa, or western Wisconsin)

Exclusion Criteria:

* Clinician subjects: Physicians and advanced practice providers who:

  * Care exclusively for pediatric patients (\<18 years)
  * Care exclusively for patients on palliative care
* Patient subjects

  * Discharged to hospice care
  * Require outpatient dialysis at discharge
  * Are admitted from or expected to be discharged to a skilled nursing facility
  * Dementia Diagnosis
  * Have undergone solid organ transplant within the past 100 days
  * Decline authorization for use of their medical records for research