Improving Transplant Listing
Quality Improvement Activity (QIA)

The benefits of transplantation extend to ESRD patients regardless of age, gender, or ethnicity, as well as those with common comorbid conditions, including diabetes and hypertension.

Quality Insights Renal Network 3 (QIRN3) is conducting a Transplant Quality Improvement Initiative to increase the rates of patients on a transplant waitlist by promoting early referral to transplant, and assisting patients and providers to improve referral patterns by addressing barriers identified as the patient moves through the steps identified by Sullivan et al[1].
                                      
PRIMARY GOAL:   Increase the percentage of ESRD patients on the transplant waitlist to 30% from the 2016 national average of 18.5% by 2023

SECONDARY GOAL:  Demonstrate a 2% percentage point improvement over baseline in the number of patients added to the transplant waitlist from January 2019 - September 2019.

Transplant PDSA Monthly Reporting Tool
Online Reporting Tool Demo

Project Calls Schedule

	Date	Time	Call Materials
Kick-off Call	Jan 24, 2019	2:00-3:00 PM EST	Presentation Slides Webinar Recording
Mid-Point	Apr 25, 2019	10:00 - 11:00 AM EST	Presentation Slides
Status Update Call	Jun 20, 2019	10:00 - 11:00 AM EST	Project Update
Status Update Call	Aug 22, 2019	10:00 - 11:00 AM EST
Wrap-up	Oct 24, 2019	10:00 - 11:00 AM EST

ESRD NCC Transplant QIA Learning Action Network (LAN)

Webinar Schedules

Date	Time	Slides	Webinar Recording
Jan 22, 2019	3:00pm - 4:00pm EST	Presentation	Recording
Mar 19, 2019	3:00pm - 4:00pm EST	Presentation	Recording
May 21, 2019	3:00pm - 4:00pm EST	Presentation / Summary	Recording
Jul 16, 2019	3:00pm - 4:00pm EST
Sept 17, 2019	3:00pm - 4:00pm EST
Nov19, 2019	3:00pm - 4:00pm EST

Project Tools
 
*New* Kidney Transplant Toolkit - 2019
*New* Transplant Peer Mentor Program Toolkit
Transplant Project Management Tool
Transplant Six (6) Step Tracker 
Transplant QIA Root Cause Analysis (RCA) –Plan, Do, Study, Act (PDSA) Worksheet
Suggested Interventions to Trial
Transplant Option Tool

Additional Resources
 

• Transplant Designee Role and Responsibilities

 
ESRD Network 3 has 5 transplant centers that perform kidney and/or pancreas transplants in New Jersey and Puerto Rico. However, a transplant center located in Texas is included below. Puerto Rico patients are often referred to this center.
 
Transplant Centers

FACILITY NAME	PHONE	ADDRESS	AVAILABLE RESOURCES
Saint Barnabas Medical Center RWJ-Barnabas Health Livingston	973-322-5938	94 Old Short Hills Road Livingston, NJ 07039	Kidney Transplant Referral Form
Kidney and Pancreas Transplant Center at New Brunswick  Robert Wood Johnson University Hospital	732-253-3699	10 Plum St, 7th Floor New Brunswick, NJ 08901	Transplant Referral Link
Hackensack Meridian Health	551-996-2000	30 Prospect Ave. Hackensack, NJ 07601	Transplant Referral Link
Our Lady of Lourdes Transplant in Camden	856-757-3840	1601 Haddon Ave Camden, NJ 08103	Transplant Referral Form Criteria for Considering Patients for the Kidney Transplant Waitlist
Auxilio Mutuo El Gran Hospital de Puerto Rico	787-771-7575	Avenida Juan Ponce de León, Hato Rey Central, San Juan 00919, Puerto Rico
Methodist Dallas Medical Center  The Transplant Institute	214-947-1800 Toll-free 800-284-2185	1441 N. Beckley Avenue 4th Floor Service Building Dallas, Texas 75203	Kidney Transplant Application Form Kidney Transplant Guidelines

 

• Federal and NJ State Regulations for ESRD Facilities That Pertain to Transplant
• “Talking About Transplant—Questions to Ask Your Patients: A Guide for Dialysis Technicians” 
• NJ Sharing Network
• Organ Procurement and Transplant Network (OPTN)
• United Network for Organ Sharing (UNOS)
• National Kidney Foundation
• Donate Life America
• National Living Donor Assistance Center

 
Articles:       

• Opportunities for Shared Decision Making in Kidney Transplantation
• Impact of Navigators on Completion of Steps in the Kidney Transplant Process: A Randomized, Controlled Trial
• Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Life Donor Transplantation - Recommendations from a Consensus Conference