Improve Transplant Coordination  
Quality Improvement Activity (QIA)
For questions or technical assistance, please contact:
Sarah Keehner,
RN, BSN, CNN
Quality Improvement Director
(203) 285-1214
ACTION REQUIRED:
 The National Coordinating Center (NCC) hosted a Learning and Action Network call on June 19, 2018. If your facility was unable to attend the live WebEx, the Network is asking that you review the presentation recording at your earliest convenience.

Please complete the June Nesletter Monthly Summary Report by July 13, 2018
 

Click here for link
 

PATIENT RESOURCES:

Help alleviate patient worries about transportation to and form transplant clinic

American Organ Transplant Association partner with Greyhound to get patient where they need to be.

Provider RESOURCES:

From the National Kidney Foundation Information:

New Options in Maintenance Immunosuppression: Clinical Update on Managing Kidney Transplant Recipients

Changing Your Transplant Medications

 

 

Dear Provider,
 
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:
  1. Tracking and Monitoring patient interest   
  2. Getting patient interested in transplant
  3. 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.

Project Activities
  • Complete Patient Eligibility Survey
  • Ensure patient's medical ineligibility is well documented
  • Host a lobby day or create an education station for patients
  • Create and single tracking tool to localize all documentation of patient transplant status

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.