Transplant is one of several renal replacement therapy option that offers the opportunity for better clinical outcomes with reduced mortality and morbidity and improvement of life. The Network of New England supports the national focus to improve transplant coordination. The goal is to effect a change in the national kidney transplant waitlist over the next five years to achieve 30% inclusion of all patients in the United States with ESRD. The Network staff members will work with 30% (60) of the dialysis facilities in its service area to effect this change. By collaborating with transplant centers and dialysis facilities the Network will establish interventions, which will aid in overcoming barriers and improve communication. Graduation requires a 40% transplant waitlist rate.
Criteria: Include at least 30% of facilities in Network service area (~60 facilities).
Baseline: Period of six months (October 2016 - June 2017) Re-measure: (January 2018 - September 2018)
Goals: Facilities selected for this project will demonstrate a 10% increase in the number of patient on the transplant waitlist.
The Network staff will use the 7 Step process described by Sullivan, et al (2012) to monitor the patient progression through this process of getting on a transplant waitlist. These steps track the patients through their navigation from initial interest in transplant to final placement on the waitlist.
The 7 Steps are as followed:
- Suitability for referral to transplant center
- Interest in transplantation
- Referral call to transplant center
- First visit to transplant center
- Transplant center work up
- Successful transplant candidate
- On waiting or evaluate living donor
Tools and Resources
Provide: Input Key Facility Staff Contact Information into the - Improve Transplant Waitlist QIA collection tool by Friday, February 2, 2018. One Contact form per Facility.
Watch: View the "Five Whys Jefferson Memorial Example" Video (<2 minutes)
- Answer questions in the Improving Transplant Coordination Root Cause Analysis (RCA) Reporting Tool by Friday, February 9, 2018. One assessment per facility.
- Download, review and complete the Plan portion of the PDSA Tool and submit via email to: Sarah Keehner by Friday, March 9, 2018. One assessment per facility.
- During the month of April the facility will be responsible for initiating the "D" portion of the
do into practice.
- Register and participate in the National Coordinating Center (NCC) Transplant LAN Webinar: June 19, 2018 at 3:00- 4:00 PM ET
- Turning a negative into a Positive flyer to help educate patient on the common misconception of receiving a transplant. * English * Spanish
- New England Area Transplant Center Referral Guide - Assists patients and care givers locating transplant centers in New England
- Kidney Health Disparities - link provides of brief over view of the dispirited amongst race found in the ESRD population
- UNOS Kidney Allocation - Questions and Answers for Transplant Candidates Brochure - Brochure provided by United Network for Organ Sharing UNOS. See UNOS Website for more resources and materials.
- Your Life Your Choice - Developed through collaboration of ESRD Patients, Transplant Donors, ESRD Networks, and the ESRD National Coordinating Center.
- The list of Transplant Centers in the New England area.
- Frequently asked questions about transplant
- Suggested list of questions to as the nephrologist, transplant center staff, and transplant surgeon
- National Kidney Foundation Information (NKF) Peer Mentor
- Dialysis Patient Citizens (DPC) Education Center Presentation: The Emotional Ride of the Transplant Process by Dr. Jody Jones: Recording Slides
- DPC Education Center Home page
- May 2018 UNOS Transplant Pro Newsletter