Transplantation improves morbidity and mortality in ESRD patients regardless of age, gender, or ethnicity, as well as those with common comorbid conditions, including diabetes and hypertension.  The intent of the Transplant Coordination QIA is to promote early referral to transplant, and assist patients and providers to improve referral patterns by addressing barriers identified as the patient moves through the 7 steps to wait listing.

Overarching Goal: By 2023 increase the percentage of ESRD patients on the transplant waitlist to 30% from the 2016 national average of 18.5%. 

2020 Improve Transplant Coordination QIA

The Network will work to effect a 1.25% increase in Transplant Wait Listing over the 2019 Network Performance Rate. The Network will work with 200 interventional clinics to improve processes to facilitate and expedite the largest number of patients to a transplant wait list.

2020 Transplant Benchmark Facilities

2020 Transplant Interventional Facilities

2020 Transplant Observational Facilities

Project Participant List

Project Paperwork

Transplant Coordination Materials

Don't Miss a Minute

Modality Decision Matrix  

Algorithm Transplant Medically Ineligible 

Algorithm Transplant Patient Denied for Transplant 

Transplant Lobby Day Tips

Transplant Center Criteria

Project Requirements

Enrolled facilities will work to develop and improve processes to improve number of patients waitlisted in their facility with ultimate goal being 40% of total eligible census active on wait list. The Network will provide the facilities data to monitor progress to goal and interventions with resources. The Facility will engage patients and staff via use of the Huddle Board to progress to goals. The Facility will submit bi monthly feedback in the form of a survey to asses patient impact, feedback, intervention, implementation, effectiveness and sustainability.

Transplant Eligibility Spreadsheet Job Aide

Transplant March/April To Do List

Transplant June/July To Do List

How  to Make a Huddle Board

Nominate a Patient Facility Representative

Webinars

 

Additional Resources

Transplant Resources and Materials

 

Patient Facility Representatives

Research and best practices have demonstrated that units with active participation of patients as members of the health care team achieve better clinical outcomes more readily. This year, the Network is requesting that each facility in the Improve Transplant Coordination QIA designate at least one patient, or preferably, one patient per shift to take the lead on special projects. We will provide training for these patients to supervise these programs in the clinic. Patients should be viewed as role models in the unit as far as the ability to lead and become "the unofficial spokesman" on the care team.

In this role, the patient will:

  • Provide contact information to the Network.
  • Participate in educational and information web conference presentations with the Network.
  • Review educational materials designed for patients in the target facilities and throughout the Network community.
  • Distribute and review resources with patients.

Recruit and Nominate Patient Facility Representatives

Patient Facility Representative Resources and Materials

NCC: Is Kidney Transplant Right For Me?

Transplant Center Criteria

National Kidney Foundation: The Big Ask The Big Give 

UNOS What You Need to Know About Transplantation

National Living Donor Assistance Program

Patient and Healthcare Team

IPRO ESRD Network of the Ohio River Valley
Network 9 (IN,KY,OH)

Deb DeWalt, MSN, RN
Quality Improvement Director
216-755-3053
ddewalt@nw9.esrd.net

Sue Swan-Blohm, BS, OCDT
Quality Improvement Coordinator
216-755-3054
sswan-blohm@nw9.esrd.net