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 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

Partnerships/Collaborations

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

Reporting Forms:

Monthly Six Step Report (Required for all facilities not owned by DaVita, Fresenius or DCI) (Worksheet PDF); Online Submission Form

Project Interventions

Transplant QIA 2019 Activity Checklist  PDF
Specific Interventions will be launched every 3 months and tracked as part of  the QIAs PDSA cycle.
Participate in Bi- Monthly ESRD NCC Transplant QIA LAN: Call Schedule PDF
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
Utilize MEI's Patient Interest Checklists  0-30 days PDF     > 1 year PDF
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

June 25, 2019
Webinar: Mid-Point Transplant and Home Therapies QIA Review
Slides PDFRecordingPost-test
On this webinar, we reviewed : QIA Activities and Goals; Transplant Champions; Home Therapies Champions; Promising Practices; Network Treatment Options QIAs Materials; Common Barriers; Tips to Engage Patients

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

 

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)
September 17, 2019 3:00pm-4:00pm ET 
November 19, 2019 3:00pm-4:00pm ET

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

July 16, 2019
City Dialysis Transplant Journey |View Recording

June 18, 2019
PFE LAN: Quality Assessment and Performance Improvement (QAPI)
View the PowerPoint slides; Listen to the recorded webinar (Once you click the link, scroll down and hit the play button to start the webinar recording.)

May 21, 2019
Transplant: The Hope and the Wait | View Recording

March 19, 2019 
Best Practices on Promoting Kidney Transplant in the Dialysis Setting | View Recording

January 22, 2019
Applying Best Practices and Theory to Improving Transplant Discussions | View Recording

Patient and Healthcare Team

For more information:

Anna Bennett
Quality Improvement Coordinator
Emergency Manager
(516) 209-5474
abennett@nw2.esrd.net

Jeanine Pilgrim
Quality Improvement Director
(516) 209-5365
jpilgrim@nw2.esrd.net