A New Combination of Evidence-Based Interventions to Improve Primary Care Diagnostic Safety and Efficiency

Primary care providers' inclusion criteria: * physicians, physicians assistants and advanced practice registered nurses in the 13 clinic locations of UTP are eligible if they care for patients at the time patient enrollment at their clinic begins * agree to participate. Patients' inclusion criteria are: * hemoglobin result \< 10.8 for females and \< 12.5 for males with normal white cell count and platelet count (the prior hemoglobin results must have been in normal range, with a look-back period of two years) * an eGFR value \< 60 (the prior eGFR results must have been in normal range, with a look-back range of two years) * the matching creatinine results must also be in normal range * not pregnant * speak English or Spanish.