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Proposal to Notify Patients Having an Extended Inactive Status

Proposal to Notify Patients Having an Extended Inactive Status. Transplant Coordinators Committee Spring 2014. The Problem. Candidates not consistently informed of their inactive waiting list status Candidates do not understand what it means to have an inactive waiting list status

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Proposal to Notify Patients Having an Extended Inactive Status

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  1. Proposal to Notify Patients Having an Extended Inactive Status Transplant Coordinators Committee Spring 2014

  2. The Problem • Candidates not consistently informed of their inactive waiting list status • Candidates do not understand what it means to have an inactive waiting list status • Longer time inactive = Less likely to receive a transplant • Over half of candidates inactive for 90 consecutive days will be inactive for a year or more

  3. Goal of the Proposal • Promote effective and safe patient care • Increase access to transplant • Improve communication between transplant hospitals and candidates

  4. How the Proposal Will Achieve its Goal • Increase awareness of inactive waiting list status • Inform candidates about what it means to have an inactive status • Allow candidates to be proactive in their plan of care

  5. What Members will Need to Do • Written notification and documentation of date must be kept in medical record • Notification must include all of the following: • Most recent inactive date • Candidate cannot receive organ offers while inactive and • Telephone number of the transplant center • Written notification must be sent within 14 days: • 90 consecutive days inactive • 365 consecutive days inactive • Annually, thereafter, for as long as the candidate remains inactive

  6. Supporting Evidence • Literature reviews suggest: • No benefit from prolonged periods of inactivity • Development of effective strategies for monitoring candidates on the inactive list

  7. Supporting Evidence

  8. Supporting Evidence

  9. Supporting Evidence

  10. Additional Information • Current requirements • Tool to assist programs with tracking candidates

  11. Proposal Summary • Promotes patient safety • Increases access to transplant • Follows existing patient notification policies • Improves quality of patient care and communication

  12. Feedback Received • Allowing other methods of notification • Eliminating 90 consecutive day requirement • Annual notification of inactive patients

  13. Questions? • Laurie Williams, RN, BSN, MSN, Committee ChairWilliamsL@unmc.edu • Name Region # Representative Email • Angel Carroll, MSW Committee LiaisonAngel.Carroll@unos.org

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