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 at least 30% of facilities in Network service area
Baseline: 5 year average trend of patients on UNOS waitlist (10/2013-9/2018)
QIA Activity Period: January 2019 - September 2019
Patients on the waitlist PRIOR to January 1, 2019 will not be counted in the rate, only NEW patients to the UNOS waitlist from Jan- Sept 2019 will count towards goal
Final Re-Measure: September 2019 UNOS waitlist data
Goals: Facilities selected for this project will demonstrate a 2% increase on the natural trend of patients on the transplant waitlist
The Network staff will use the 6 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 6 Steps are as follows:
- Interest in transplantation
- Referral call to transplant center
- First visit to transplant center
- Transplant center work up
- Successful transplant candidate
- On waiting list or living donor evaluation
- May Monthly Status Report (Worksheet PDF); Online Submission Form
- April Monthly Status Report (Worksheet PDF); Online Submission Form
- March Monthly Status Report (Worksheet PDF); Online Submission Form
- February Monthly Status Report Worksheet PDF; Online Submission form
- January QIA Contact Reporting: Online Submission Form
• Launch/identify interventions to improve Facility Transplant Referral Process
• Utilize Network-Developed Resource Toolkit
• Develop dedicated Treatment Options “Education Station” Tips PDF (updated 2019); Poster PDF
• Submit Monthly Status Reports to Network on Last Business Day of the month.
• Participate in Network Site Visits
• Participate in Bi- Monthly ESRD NCC Transplant QIA LAN Call Schedule PDF
QIA Resource (All printed materials are FREE) online order form
Transplant QIA 2019 Activity Checklist PDF
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
What is a referral? The CMS definition of a Transplant Referral: “any first-time referral for a patient (i.e., the patient has not already been referred or been placed on a transplant waitlist), and for which either a dialysis facility or transplant center provides an indication that the patient has been referred. Patients who have had transplant failures are considered as restarting the referral process anew, and would be eligible for “first-time” referrals.”
February 20, 2019
2019 Transplant QIA Kickoff Webinar (for new facilities)
During this webinar the requirements of the entire project were reviewed.
Slides; Recording; Post-Test
January 10, 2019
2019 Combined Home Therapies QIA and Transplant QIA Kickoff Slides
June 13, 2019 2:00 - 3:00 Network Treatment Options QIAs Mid Point webinar
National ESRD NCC Webinars (free CE to registered attendees):
Printable 2019 National ESRD NCC LAN QIA Call Schedule PDF
2019 ESRD NCC Transplant LAN Calls
One Continuing Education Credit Opportunity for each NCC webinar/recording
Upcoming Dates: (Registration Page)
March 19, 2019 3:00pm-4:00pm ET
May 21, 2019 3:00pm-4:00pm ET
July 16, 2019 3:00pm-4:00pm ET
September 17, 2019 3:00pm-4:00pm ET
November 19, 2019 3:00pm-4:00pm ET
March 19, 2019
Best Practices on Promoting Kidney Transplant in the Dialysis Setting | View Recording
- Feel confident to discuss kidney transplant as a treatment option for all dialysis patients.
- Understand how to refer, support, and achieve active listing status for a patient.
- Understand keys to success when assisting dialysis patients to kidney transplant.
- Understand the interdisciplinary approach to achieving kidney transplant.
January 22, 2019
Applying Best Practices and Theory to Improving Transplant Discussions | View Recording
- Understand the need for better transplant education for ESRD patients and their support systems.
- Explain what the Trans-theoretical Model of Behavioral Change (TTM) theory is and how it can be applied to helping patients pursue transplant and living donation.
- Review health literate transplant and living donation education and resources to help patients make informed treatment choices.