RaDIANT Health Systems Intervention

Trial design

Treatments tested in this trial

• Performance Feedback Reports on Referral and Evaluation Closures

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  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.

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• Dialysis Facility Awareness Campaign

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  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.

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• Patient Contact via Preferred Method

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  Transplant centers will contact patients using their preferred method of communication.

• Phone Call to Dialysis Facility During the Patient's Dialysis Session

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  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.

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• Phone Call to Provider

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  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.

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• Transplant Referral Communication Platforms or Email to Communicate Patient Status and No-Show

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  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.

• Audit and Tracking of Patient Contact Attempts Prior to Referral Closure

  Other intervention Other interventionAn intervention that does not fit one of the standard intervention types.

  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.

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