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To accomplish the goals of the Advancing American Kidney Health initiative, the Centers for Medicare & Medicaid Innovation created the End Stage Renal Disease (ESRD) Treatment Choices (ETC) payment model to encourage preventative kidney care, home dialysis, and kidney transplants. In support of the ETC payment model, the Centers for Medicare & Medicaid Services in collaboration with the Health Resources & Services Administration has established the ESRD Treatment Choices Learning Collaborative (ETCLC) with the goal of improving the quality of life of people with end stage renal disease through kidney transplantation.

The ETCLC will bring transplant centers, Organ Procurement Organizations (OPOs), donor hospitals, patients, and donor families together to reduce the disparity in performance among OPOs and transplant centers with the goal of increasing kidney recoveries by OPOs and utilization of kidneys by transplant centers. Together, ETCLC members are guided by a national network of quality improvement coaches who lead QI Teams to identify best and promising practices that drive recovery and utilization performance and spread these practices throughout the kidney transplant community using the Kidney Donation and Utilization Change Package.

ETCLC members are supported by a National Faculty and Leadership Coordinating Council made up of thought leaders and organizations in the field of organ recovery and transplant. People on dialysis, transplant recipients, and donor family members have an important voice and role in the ETCLC by identifying patient and family education needs around organ donation and transplant. To learn more, scroll down.

ETCLC Participants

Click Here to Proceed to the ETCLC Progress Tracking System

Click Here to Register for the ETCLC Progress Tracking System

Interested in Enrolling in the ETCLC?

Click on the Form below, fill it out and return it to: TAQILINFO@HSAG.COM

Frequently Asked Questions

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

The ETCLC invites you to register to be an organ, eye, and tissue donor today by visiting

Please share your decision with loved ones.


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 nonuse rate of all procured kidneys with a KDPI >= 60 by 20%.

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


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


  • Kidney currently affects more than 1 in 7 — or 15% — of American adults, with people of color at greater risk for kidney failure. 

  • 37 million Americans have kidney disease. 

  • About 807,000 Americans are living with kidney failure. 

  • More than 245,000 Americans are living with a kidney transplant.

  • There are more than 90,000 Americans on the kidney transplant waiting list.

Source: American Kidney Fund

Link: Quick kidney disease facts and stats | American Kidney Fund

Organizations Participating in ETCLC

Click below to see which organizations have enrolled in the ETCLC.

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.

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