Thank you to all the facilities involved in the Patient Safety Quality Improvement Activity. The Network has recently implement a new process to collect feedback form facilities involved in all quality improvement activities. At the end of each month the Network will provide facilities a link to complete a Monthly summary report. This is a place for facilities to provide feedback to the Network that can be shared with CMS.
The NCC LAN call discussed kidney transplant form the facility perspective, exploring the challenge and barriers that facilities face when trying to get patient interested in transplant all the way through the evaluation phase.
The most common areas facilities identified barriers are:
- Tracking and Monitoring patient interest
- Getting patient interested in transplant
- Keeping patient active on the waitlist
Patient are provided with modality education when they first begin renal replacement therapy and again made aware of their options at their 30 day care plan. Most patient have not completely acclimated to their new lifestyle in the first 30 days of treatment and have not even considered a modality change. After the 30 day care plan, transplant and modality is only addressed on an annual basis.
Facilities may find it difficult to track and monitor patient interest in transplant since it is often a small check box in a the pages long care plan. One best practice that was identifies was to checking in with patient often, and after any life even change to see if they are now thinking about transplant. Educating patient often will allow a facilities to identify barriers and debunk any misconceptions a patient may have during treatment.
Facilities may want to consider creating a tracking tool that allows them to monitor their entire patient population on a central location. The tracker should consist of who is interested or uninterested in transplant. The date the patient was last educated, if a referral was made and date it was made, along with patient transplant status.