End Stage Renal Disease Treatment Choices Learning Collaborative

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The End Stage Renal Disease Treatment Choices Learning Collaborative is a national quality improvement initiative that brings together HRSA, CMS, transplant centers, OPOs, donor hospitals, and donor and recipient patients and families to generate increased quality and cost-savings using systematic quality and process improvement.









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titleABOUT ETCLC



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titleWhat are our aims?

The CMS/HRSA ETCLC will engage transplant centers, Organ Procurement Organizations (OPO), large donor hospitals, patients, and donor family members to identify highly effective practices currently in use and spread the use of these practices throughout the organ procurement, kidney care, and kidney transplant community to achieve the following three AIMs:  

  1. Increase the number of deceased donor kidneys transplanted by 7% over baseline of 17,744 (DCD Kidneys in 2019) in the base period and additional 2% increase in goal of each option period ending with a total increase of 15% over baseline for the total 5-year period.

  2. Decrease the current national discard rate of all procured kidneys from 20% to 15% for the total 5-year period.

  3. Increase the percentage of change for kidneys recovered for transplant in the 60-85 KDPI score group by 2% point over the baseline of 6% data for the base period and an additional 3% in the goal over the baseline each option period ending with a 14% increase for the total 5-year period.


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titleHow can I get involved?

Supported by Quality Improvement (QI) Coaches, National Faculty, and professional and patient advocacy groups organized into a Leadership Coordinating Council, the ETCLC is expected to enroll 80% of transplant centers and OPOs plus the two largest donor hospitals in each OPO’s donor service area into 25 QI Teams, which will participate, collaborate, and change practice to meet the ETCLC AIMs.  Participating institutions will be organized into 25 Quality Improvement (QI Teams), each led by a QI Coach to focus their change efforts on one or more of the AIMs.  

The best way to become involved is to complete and follow the instructions on the form below and someone will reach out to you.

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National Faculty

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





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Leadership Coordinating Council

The Leadership Coordinating Council is a group of 20 national stakeholders that guide the ETCLC.  Members represent the kidney community, hospitals, dialysis services, quality improvement, social work, and patients.



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