The overarching goal of the proposed study is to determine whether the addition of structural interventions at the health system level targeting upstream barriers in the transplant process will improve access to transplant evaluation start.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
14,000
Performance feedback reports will reflect each transplant center's performance related to kidney transplant evaluation initiation and referral closure. These reports aim to help centers understand common reasons why patients do not initiate the evaluation process or failed to proceed beyond the evaluation process, and to identify patterns in referral and evaluation closure practices. Reports will be individualized and distributed quarterly to the transplant center champion by the intervention lead.
As part of the intervention, dialysis centers will participate in an Awareness Campaign designed to educate staff about transplant center quality improvement efforts and how they may be contacted as part of the project. This campaign may include brief webinars or informative documents distributed via platforms such as IPRO Learn.
Piedmont Transplant Institute
Atlanta, Georgia, United States
RECRUITINGEmory Transplant Center
Atlanta, Georgia, United States
RECRUITINGIU Health Transplant - Indianapolis
Indianapolis, Indiana, United States
Change in transplant evaluation start within 6 months of transplant referral
The difference in the proportion of patients starting transplant evaluation within 6 months of being referred from baseline to up to one-year post-intervention
Time frame: Baseline, Post Intervention (Up to one year)
Change in transplant waitlisting
The difference in the proportion of patients waitlisted from baseline and up to one-year post-intervention
Time frame: Baseline, Post Intervention (Up to one year)
Change in transplant receipt among those who were waitlisted
The difference in the proportion of patients who received a transplant among those who were waitlisted from baseline and up to one-year post-intervention
Time frame: Baseline, Post Intervention (Up to one year)
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Transplant centers will contact patients using their preferred method of communication.
Facilities will enhance their patient communication procedures by making a phone call to the dialysis facility during the patient's dialysis session if the patient has not responded to initial outreach attempts. This additional step increases the likelihood of reaching the patient during a time when they are accessible and can engage in scheduling or follow-up.
Transplant centers will enhance their outreach procedures by making a phone call to the referring provider (e.g., nephrologist, medical assistant) or another provider involved in the patient's care (e.g., primary care provider) in the event of self-referral if the patient has not responded to initial outreach attempts or "no-shows" an initial evaluation appointment. This additional step ensures that the referring provider is informed of the patient's progress and can assist in re-engagement or decision-making prior to referral closure.
Transplant center staff will utilize transplant referral communication platforms and/or email to communicate updates to dialysis staff regarding patient status (e.g., unable to contact the patient or no-show) before referral closure.
Transplant center staff will continue internally tracking the frequency that a patient is contacted before closure and the date of closure, in alignment with center standard practice. This intervention introduces an audit process to be conducted before closure to ensure that all contact attempts (including one or more attempts to contact the patient directly, one or more phone calls to the alternate preferred contact, or one or more attempted contacts to the dialysis unit to connect with the patient), in alignment with center communication procedures, are appropriately executed.
Duke Transplant Center
Durham, North Carolina, United States
RECRUITINGMUSC Mid-Carolinas Transplant Center
Lancaster, South Carolina, United States
RECRUITING