Improve Transplant Coordination
Quality Improvement Activities
For questions and comments, please contact:
Sarah Keehner,
RN, BSN, CNN
Quality Improvement Director
(203) 285-1214

Heather Camilleri, CCHT
Quality Improvement Coordinator
(203) 285-1224
 
QIA Facilities:

List of facilities

participating in the Improving Transplant Coronation QIA. 
ACTION REQUIRED:

Please be aware of the dates associated with each activity.

 

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)
 
COMPLETE: Answer questions in the Improving Transplant Coordination  Root Cause Analysis (RCA) Reporting Tool by Friday, February 9, 2018. One assessment per facility.

ATTEND: Join us for the Improving Transplant Coordination QIA Kick-Off Webinar to be held on Thursday, February 15, 2018 from 1:00-1:30 PM.  Project requirements, activities to augment current process, and Q&A session will be available during this webinar. 
Click here to register.

 
Dear Provider,
 
IPRO End Stage Renal Disease (ESRD) 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.

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:
  1.  Suitability for referral to transplant center
  2.  Interest in transplantation 
  3. Referral call to transplant center
  4. First visit to transplant center
  5. Transplant center work up 
  6. Successful transplant candidate 
  7. On waiting or evaluate living donor  
  A priority of the Network is to serve as a resource to both dialysis patients and professionals throughout project activities.  Open communication about existing processes, barriers, and successes is encouraged.  Network staff members are interested in supplementing resources for what is working in your facility, not adding additional burden. However, in order to assess barriers, and identify how the Network can effectively meet needs of the community, completion of the ACTION REQUIRED activities (to the left) is essential for success of the project.
 
CMS Inclusion Criteria
Your facility has been chosen to work with the Network to  increase the number of ESRD patient on the transplant waitlist. The Network will be working with 30% (~60) facilities in our service area to achieve our goal of increasing patient on the transplant waitlist.
Project Goals
Facilities selected for this project will demonstrate a 10% increase in the number of patient on the transplant waitlist.
Project Interventions
*Perform a Root Cause Analysis of barriers 
* Promote peer-to-peer mentoring
* Facility participation in NCC LAN events
* Track and monitor patent progression through theseven        step process
 
We Want to Hear from YOU!
Please contact the Quality Improvement Department if you have questions, comments, or specific barriers that you would like to address.  Let us know if you have identified any best practices that you would like to share with the community.