Project Guidelines

IPRO’s End-Stage Renal Disease (ESRD) Network of the South Atlantic (Network 6) Transplant Coordination Quality Improvement Activity (QIA) focuses on increasing the rates of patients on the transplant waitlist. The benefits of transplantation extend to ESRD patients regardless of age, gender, or ethnicity, as well as those with common comorbid conditions. As a result, 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.

To support these priorities and goals, the Network will work with at least 30% of the facilities in its service area to implement interventions that target patients, family members/care partners, dialysis/transplant providers, and renal community stakeholders with a goal to sustain at least a 10 percentage point increase in the rate of eligible patients placed on a waitlist for transplant.

Through the Transplant Coordination QIA the Network will work with facilities to promote early referral of patients to transplant evaluation and assist patients and providers in improving coordination of the referral process.

The Network will work with dialysis facilities to implement targeted interventions designed to address barriers identified throughout each of the seven steps of the transplant process:

1. Evaluation of patient suitability for transplant
2. Confirmation of patient interest in transplant
3. Referral call to transplant center
4. First visit to transplant center
5. Transplant center workup
6. Determination of patient as a successful transplant candidate
7. On waiting list or evaluating potential living donor.

These efforts will be supported by participation in the ESRD National Coordinating Center (NCC) Transplant Learning and Action Network (LAN), with a goal to improve information exchange across care settings and an emphasis on communication among transplant centers and dialysis facilities caring for ESRD patients.

Project Interventions

• Utilize Network-Developed Resource Toolkit
• Develop dedicated Transplant “Education Station”
• Submit Reporting Requirements (RCA/CAP, Monthly Collection Tool, Use Forecasting Tool)
• Participate in Network Site Visits
• Establish Peer Mentor Program
• Participate in Network’s Transplant Advisory Committee

Project Resources

South Atlantic Area Transplant Center Referral Guide Printable PDF
Transplant Resource Toolkit Page
Peer Mentorship Training Program Page
Webinar:  Addressing Barriers to Transplant  Slides; Recording

Patient and Healthcare Team

For more information:

Alexandra Cruz
Quality Improvement Coordinator
919-463-4506
acruz@nw6.esrd.net