This Transplant Change Package was created by collecting best practices from highly effective outpatient dialysis facilities and transplant centers. It identifies proven roads to success (Primary Drivers) and actionable resources (Secondary Drivers) to support small changes or ideas to help dialysis facilities reach transplant referral and wait list goals. The Network encourages dialysis facilities to review the Change Package with the IDT during monthly Quality Assessment and Performance Improvement (QAPI) meetings to design a plan for the facility.
Network 17 Transplant Centers
- University of California (UC) San Francisco Transplant Center: https://www.ucsfhealth.org/clinics/connie-frank-transplant-center-at-ucsf
- UC Davis Transplant Center: https://health.ucdavis.edu/transplant/
- California Pacific Medical Center (CPMC) Transplant Center: https://www.sutterhealth.org/cpmc
- Queens Transplant Center―Hawaii: https://www.queens.org/the-queens-medical-center/services/transplant-center/transplant-center-qmc
- Stanford Health Care Kidney Transplant Program: https://stanfordhealthcare.org/medical-clinics/kidney-transplant-program.html
Transplant Medication Resources
- American Society of Transplantation (AST) Medication Access and Drug Shortage Concerns During the COVID-19 Pandemic
- Patients should always contact the transplant center that they are working with. There are financial coordinators that may be able to provide advice.
- Most pharmaceutical companies have assistance programs for their medications. It can sometimes be a lengthy process and take a month or two for approval, but often patients can get the medications for free:
- Astellas Pharma US, Inc.: https://www.astellas.com/us/patients-and-caregivers/resources-and-contacts
- Novartis: https://www.novartis.us/our-products/patient-assistance
- Pfizer: https://www.pfizerrxpathways.com/
- UNOS link to pharmaceutical company patient assistance phone numbers for frequently prescribed transplant medications: https://transplantliving.org/financing-a-transplant/prescription-drug-assistance/
- COBRA: Even though the premiums are extremely expensive, patients can apply for premium assistance through the American Kidney Fund (AKF). If the patient qualifies, AKF may reimburse patients for the medical premium only.
- Medicare will cover medication costs for the first 3 years. The patient may also be able to move into a Medicare supplement plan.
- Good Rx (https://www.GoodRx.com): Provides coupons to lower the cost of prescriptions.
- National Kidney Foundation prescription resources: https://www.kidney.org/patients/resources_Prescription
- Cornerstones4Care.com: https://www.cornerstones4care.com/. This is a program for patients requiring insulin after transplant.
California Specific Resources
Patients can apply for Covered California or Medi-Cal by going to: https://c4yourself.com/c4yourself/index.jsp.
Patients can apply for MRMIP (Major Risk Medical Insurance Program) through the State of California by going to: https://www.dhcs.ca.gov/services/Pages/MajorRiskMedicalInsuranceProgram.aspx. AKF may be able to assist with the premium costs.
Partnering Along the Road to Transplant (English/Spanish): Use this handout to educate on ways to improve communication between patients and their providers and ease the transplant process for patients.
Ascent to Transplant videos for patients and healthcare providers:
Understanding the Kidney Allocation System: Wednesday February 19, 2020
Arizona Mayo Clinic Transplant physicians, Dr. Khamash and Dr. Jadlowiec, share a wealth of information on the essentials to understanding the Kidney Allocation System. This presentation may be viewed at the link below:
- Play recording (56 mins.)
Considering a Transplant? Let's Get Started!
This tri-fold brochure can easily fit into a pocket and can be used to track progress and keep details organized as a patient prepares for transplant evaluation.
- Network 17 2019/2020 Transplant Referral Guide
The Transplant Referral Guide is a tool to help guide dialysis patients,
their family members and care partners to the transplant centers that could
most likely meet their needs. It provides location and contact information, as well as easy-to-compare eligibility criteria for the transplant centers in the Network 17 service area.
- Quality Assessment and Performance Improvement (QAPI) Quality Improvement Activity (QIA) Monitoring Form
Use the Quality Assessment and Performance Improvement (QAPI) Quality Improvement Activity (QIA) Monitoring Form for tracking education, referrals, work-ups, and waitlist status for transplant and for discussion of progress toward goals during QAPI meetings.
- PDSA Cycle Intervention
Use this Plan-Do-Study-Act (PDSA) tool to guide you in your transplant QIA rapid-cycle improvement process.
- Transplant Refusal Follow-up: Why Not Consider a Transplant
Use this one-page document to educate patients and understand the reason patients are refusing to be referred for transplant.
- Transplant Waitlist Quality Improvement Toolkit―Coming soon!
Soon you will have access to the Transplant Waitlist QIA Toolkit. The toolkit is a dynamic document that is updated with tools and best practices as they are developed or evolve. Use this valuable resource to help you implement your QIA and as appropriate when rapid cycle improvement opportunities
- 5 Step Transplant Tracker
Use the 5 Steps to Transplant Tracker (XLSX) for tracking patients through the 5 step waitlist process, documenting contacts with transplant centers, monitoring active/inactive status and identifying barriers.
- Transplant Waitlist Quality Improvement Proven Best Practices — Coming soon!
As facilities experience successes toward achieving the Transplant Waitlist QIA goals, their best practices will be made available to you in this dynamic document. Contact the Network with your proven best practices, so that they can be shared with others.
- Transplant Waitlist QIA–Other Documents — Coming soon!
Find PowerPoint slides and other documents that may assist you in achieving your Transplant Waitlist QIA goals.
- Tips for Engaging Patients and Hosting a Successful Transplant Lobby Day
This one-pager provides simple, easy-to-follow steps for hosting a successful Transplant Lobby Day.
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