Skip to end of metadata
Go to start of metadata

End Stage Renal Disease Treatment Choices Learning Collaborative

In July 2019, an Executive Order was signed to launch the Advancing American Kidney Health (AAKH) initiative to transform the way we prevent and treat kidney disease. To accomplish the goals of the AAKH initiative, the Centers for Medicare & Medicaid Services (CMS) created the End Stage Renal Disease (ESRD) Treatment Choices (ETC) payment model to encourage preventative kidney care, home dialysis, and kidney transplants.


To support the ETC model’s focus on increased kidney transplants, CMS, in collaboration with the Health Resources & Services Administration (HRSA), has established the ESRD Treatment Choices Learning Collaborative (ETCLC). The ETCLC will bring transplant centers, Organ Procurement Organizations (OPOs), donor hospitals, patients, and families together to improve quality and generate cost savings to CMS using systematic quality and process improvement methods centered around the Kidney Donation and Kidney Utilization Change Packages.


This work will be supported by a National Faculty and Leadership Coordinating Council made up of more than 20 organizations in the field. To learn more, scroll down.

Want to learn more? Email TAQILINFO@HSAG.COM or call 844.472.4880

Want to enroll in the Collaborative? Click below.


Over a 5-year period, the End Stage Renal Disease Treatment Choices Learning Collaborative intends to achieve the following national aims:


Increase the number of deceased donor kidneys transplanted by 28%.


Decrease the current national discard rate of all procured kidneys with a KDPI >= 60 by 20%.

Decrease the current national discard rate of all procured kidneys with a KDPI < 60 by 4%.


Increase the utilization of high KDPI kidneys recovered (KDPI>=60) by 28%.


  • 1 in 3 Americans are at risk for kidney disease.

  • 37 million people have chronic kidney disease.

  • 660,000 people live with kidney failure.

  • 100,000 people are waiting for a kidney.

            Source: National Kidney Foundation

Organizations Participating in ETCLC

Click below to see which organizations have enrolled in the ETCLC as of 09/30/2022.  

National Faculty

Meet the National Faculty

National Faculty provide subject matter expertise to advise ETCLC participants throughout the improvement process. Led by two national chairs, members of the National Faculty represent transplant nephrologists and surgeons, Organ Procurement Organization professionals, donor hospitals, data analysts and statisticians, and patients.

Leadership Coordinating Council

Meet the National Coordinating Council

The Leadership Coordinating Council is a group of national stakeholders that guide the ETCLC.  Members represent the patient and professional organizations across the kidney community.

  • No labels