RaDIANT Health Systems Intervention
Status
Invitation-only
Conditions
Kidney Disease
End Stage Renal Disease (ESRD)
Treatments
Other: Audit and Tracking of Patient Contact Attempts Prior to Referral Closure
Other: Phone Call to Dialysis Facility During the Patient's Dialysis Session
Other: Patient Contact via Preferred Method
Other: Performance Feedback Reports on Referral and Evaluation Closures
Other: Phone Call to Provider
Other: Transplant Referral Communication Platforms or Email to Communicate Patient Status and No-Show
Other: Dialysis Facility Awareness Campaign
Study type
Interventional
Funder types
Other
NIH
Identifiers
Details and patient eligibility
About
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.
Enrollment
14,000 estimated patients
Sex
All
Ages
18 to 80 years old
Volunteers
Accepts Healthy Volunteers
Inclusion criteria
- Five large transplant centers (Emory Transplant Center and Piedmont Transplant Center in Atlanta, GA; Medical University of SC; Duke University in Durham, NC; and Indiana University in Indianapolis, IN) ~800 referring dialysis center referring to these transplant centers
Exclusion criteria
- Individuals referred, initiating evaluation, and waitlisted at non-participating start centers
Trial design
Primary purpose
Health Services Research
Allocation
N/A
Interventional model
Single Group Assignment
Masking
None (Open label)
14,000 participants in 1 patient group
Multi-Component Intervention
Experimental group
Description:
Five participating transplant centers will multicomponent intervention in their management of patients referred to their transplant center for a kidney transplantation. The intervention will consist of: (1) required performance feedback reports on closed referrals; and a set of optional components that may be implemented variably by centers, including; (2) contacting patients via their preferred method; (3) phone calls to the dialysis facility during the patient's dialysis session; (4) phone calls to the referring or other provider; (5) use of a multi-module, secure, web-enabled software application called Transplant Referral EXchange (T-REX) or secure email to communicate patient status and no-show information; and (6) communication tracking and audit. Dialysis facilities in GA, NC, SC, and IN will receive resources to support an awareness campaign to support implementation of intervention activities within transplant centers.
Treatment:
Other: Transplant Referral Communication Platforms or Email to Communicate Patient Status and No-Show
Other: Dialysis Facility Awareness Campaign
Other: Phone Call to Provider
Other: Performance Feedback Reports on Referral and Evaluation Closures
Other: Patient Contact via Preferred Method
Other: Phone Call to Dialysis Facility During the Patient's Dialysis Session
Other: Audit and Tracking of Patient Contact Attempts Prior to Referral Closure
Trial contacts and locations
5
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