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%.
2019 Improve Transplant Coordination QIA
The Network will work with 30% of dialysis facilities in the Network service area and demonstrate a 10% increase in the number of eligible patients waitlisted.
Transplant Coordination Materials
Algorithm Transplant Medically Ineligible
Algorithm Transplant Patient Denied for Transplant
Project Requirements
Implement Network interventions to improve the process for patients to get waitlisted. Complete monthly paperwork and determination of eligible patients as requested. Support the use of the Patient Ambassador Program.
Transplant Eligibility Spreadsheet Job Aide
Transplant March/April To Do List
Transplant June/July To Do List
Webinars
Improve Transplant Coordination 2018 Kick Off
Improve Transplant Coordination Patient Ambassador Kick Off 2018
Dr. Anne Huml: 7 Steps to Wait-listing
Living Donation PAC Call April 2018
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.
Patient Facility Representative Resources and Materials
Improve Transplant Coordination Patient Ambassador Kickoff New and Improved
Living Donation PAC Call April 2018
NCC: Is Kidney Transplant Right For Me?
National Kidney Foundation: The Big Ask The Big Give
UNOS What You Need to Know About Transplantation
National Living Donor Assistance Program
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