Improving Transplant Listing
Quality Improvement Activity (QIA)

Network Project Lead: Karen Ripkey, RN, BSN, CNN

Project Description and Goals

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 . As a result, the following aim with a 5-year target has been set to guide national health promotion and management to improve the health of all people in the United States living with ESRD: by 2023 increase the percentage of ESRD patients on the transplant waitlist to 30% from the 2016 national average of 18.5%. The intent of the transplant coordination QIA is to promote early referral to transplant, and assist patients and providers to improve referral patterns by addressing barriers identified as the patient moves through the steps identified by Sullivan et al .  The networks shall increase the number of patients on a transplant waitlist by participating in the ESRD NCC transplant LAN, and assisting dialysis facilities in the implementation of interventions to support patients through the process of being placed on a waitlist.  

Seven Steps to Kidney Transplantation 

  1. Patient suitability for transplant (defined as absence of absolute contraindication identified in the medical record)
  2. Patient interest in transplant
  3. Referral call to transplant center
  4. First visit to transplant center
  5. Transplant center work-up
  6. Successful transplant candidate
  7. On waiting list or evaluate potential living donor  

Monthly Reporting Link

PDSA Worksheet to Use for Monthly Reporting Link

Transplant QIA Toolkit

Webinars State and Federal Regulations

Patient Brochure: "Road to Kidney Transplant" Quality Improvement Toolkit
Articles 5 Diamond Patient Safety Program Transplantation Module

Patient Stories


Patient Subject Matter Expert (SME) Recommendations Websites with Resources for Patients and Professionals CMS Conditions for Coverage