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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.


  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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