Project Guidelines

Transplant is a treatment option that offers the opportunity for better clinical outcomes. This quality improvement activity focuses on increasing the number of patients on the United Network for Organ Sharing (UNOS) Waitlist.

Criteria: Include ALL facilities in the Network service area
Baseline: October 2019 UNOS Waitlisted Patient Rate 
QIA Activity Period: January 2020 - September 2020
Final Re-Measure: September 2020  UNOS waitlist data
Goals: Facilities selected for this project will demonstrate at least a 1.25% increase on the baseline rate of patients on the transplant wait list

The Network staff will use the 5 Step process described by Sullivan, et al (2012) to monitor the patients' progression through the process of getting on a transplant wait list. These steps track the patients through their navigation from their initial interest in transplant to final placement on the UNOS wait list.

The 6 Steps are as follows:

  • Patient's interest in transplant
  • Referral call to transplant center
  • First visit to a transplant center
  • Transplant center work up
  • On waiting list or evaluate potential living donor


National Patient Subject Matter Experts Transplant Affinity Group webpage
New York State Transplant Coalition web page

QIA Reporting to Network

  • ALL QIA Facility Contact Form and RCA Barriers   Online Form (Due January 15, 2020)
  • RCA/PDSA Worksheet  PDF (Barriers to be reported on QIA Facility Contact Form)


Project Interventions

Participate in Bi- Monthly ESRD NCC Transplant QIA LAN
Develop Facility Level RCA and PDSA plan for identified barrier(s) Template PDF
Utilize Network-Developed Resource Toolkit
Materials Order form link
Utilize Treatment Options Conversation Starter with Patients and Staff
Patient 1:1 Education
Staff Treatment Options Education
Join NY Kidney Project ECHO
Identify Staff and Patient QIA Champions
Develop Treatment Options “Education Station” Tips PDF (updated 2019);  Poster PDF
Host Lobby Day(s) with Transplant Facility Staff and QIA Champions
Participate in Network Site Visits (virtual via webex or in person)

QIA Resources

Printed Educational Materials (All printed materials are FREE) online order form
Transplant Resource Toolkit webpage
Peer Mentorship Training Program webpage
Help for Undocumented Patients NYLPI Flyer
Community Dental Clinics in NY State webpage

Transplant Resources

American Society of Transplantation Patient Resources webpage
Ascent To Transplant webpage
Ascent to Transplant Webinar: Kidney Allocation System and Impacts to Patient Care
Donate Life webpage
Transplant Living: Learning Center webpage

National ESRD NCC Webinars (free CE to registered attendees):

 Printable 2019 National ESRD NCC LAN QIA Call Schedule PDF

2020 ESRD NCC Transplant LAN Calls (Registration Page)
One Continuing Education Credit Opportunity for each NCC webinar/recording

Recordings: Recording Page
here if you are already registered in the Learning Management Center (LMC).
Click here to register for the LMC and then access the course.


Patient and Healthcare Team

For more information:

Anna Bennett
Quality Improvement Coordinator
Emergency Manager
(516) 209-5474

Jeanine Pilgrim, BSHSM, CPXP, CPHQ, MPH Candidate 
Quality Improvement Director
(516) 209-5365