RaDIANT Health Systems Intervention to Improve Access to Kidney Transplant Evaluation and Listing

What this Trial Is About

This research aims to evaluate whether adding system-level changes to the kidney transplant process can improve how quickly patients start transplant evaluations. The study focuses on addressing barriers in the referral and evaluation steps for patients with end-stage renal disease or kidney disease who are referred for transplantation at five large transplant centers. It is led by Indiana University and involves multiple centers in Georgia, North Carolina, South Carolina, and Indiana. The intervention includes several components transplant centers will receive detailed performance feedback reports on referral and evaluation closures, contact patients using their preferred communication methods, make phone calls to dialysis facilities during patient sessions, and reach out to referring or other healthcare providers if needed. They will also use a secure web-based platform or email to share patient status updates and track all communication efforts before closing referrals. Dialysis centers will participate in an awareness campaign to support these activities. Participants will be involved through their referral to transplant centers, where researchers will monitor the start of transplant evaluations within six months of referral. They will also track changes in waitlisting and transplant receipt over up to one year post-intervention. The study includes ongoing monitoring of referral closures and patient contacts to assess the interventions impact on improving access to kidney transplantation. The total participation period varies depending on referral and evaluation timing.

RaDIANT Health Systems Intervention