Improving Transplant Referral Process and Patient Care
Enhancing the efficiency of transplant referrals and patient care through process mapping, addressing late referrals, improving clinic practices, and optimizing communication among healthcare providers. Emphasis on timely actions, documentation, and patient education for better outcomes in renal health.
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Presentation Transcript
Transplant First KQuIP Berkshire Kidney Unit SSN Patricia Nare 09/03/2020
RBH renal team Process Mapping Pre- LCC Problems identified LCC Problems identified Transplant referral
PRE-LOW CLEARANCE CLINIC Not looking to the plot Not looking to proteinuria Not using CKD calculator Beliefs a patient need to earn a transplant Late referral to LCC GP education give/refresh
LOW CLEARANCE CLINIC (LCC) No Standardized practice Delay transplant referrals no standard process/different opinions Late referral (eGFR<15/person unsuitable) Revisit transplant list decisions Listed as unfit (BMI++) and no review or revisited Patient unfit but no justification is given to the decision Ask/inform patients about LRD Need audits for transplant status Unit time to look to audits Geography difficult to make clinic for all Why does it need to be seen first in LCC and only then have education Education process very long
Not looking to 1/CR plot Cardiology work up - delays Late referrals for cardiology and other Nobody chasing results for cardiology or other Not acting in time for cardiology reports or other Poor Documentation and no reference in clinic letters of the plan No referral to transplant until eGFR<15 Epo virtual clinic Info to hand in clinic (leaflets, booklets)
