Transformed Team Tracks Kidney Transplant Patients Follow-up Care

  • Hosting a short-term special clinic for post-transplant patients, enabling them to get all their follow-up care in one visit
  • Creating an Excel spreadsheet of post-transplant patients and their follow-up needs
  • Making outreach calls to patients with care gaps

What can your team do to fill patient care gaps? What else could your team do to proactively meet patient needs?

 

Members of the Stockdale Medical Offices nephrology department always met or exceeded regional goals in their discipline. So it was a rude awakening when patient care data showed they were merely average—and that wasn’t good enough. By analyzing the metrics and scouring patient records, the team was able to come up with a plan to provide kidney transplant patients with the right care at the right time. Services include flu shots, renal ultrasounds and lab work.

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Live, non-archived content
TTP Blurb
UBT dramatically improves the percentage of kidney transplant patients getting follow-up screenings and services.
Why This Matters
Regular follow-up care is crucial for kidney transplant patients, who are at risk for a host of complications, including cancer and pneumonia.
Test of Change
Team hosted a special clinic for post-transplant patients, enabling them to get all their follow-up care in one visit
Short Teaser

Strategies for keeping members in tip-top shape.

Medium Teaser

A mediocre track record on managing kidney transplant patients spurs a Bakersfield nephrology team to take action to ensure members get necessary follow-up screenings and services.

Long Teaser

A mediocre track record on managing kidney transplant patients spurs a Bakersfield nephrology team to take action to ensure members get necessary follow-up screenings and services.

Nav Section
Landing Page Title
Transformed Team Tracks Transplant Patients
Topics
Chronic Disease Management
Preventive Care
Quality
Region
Southern California
Communicator
Laureen Lazarovici
Editor (if known)
Tyra Ferlatte
Keywords
kidney transplant
Kern County
Bakersfield
Date of publication
This has been edited
0
Department
Outpatient
Content Type
Team-Tested Practice
Content Goal
Inform
High Res Photo Set
Big Number
98%
Explanation

of kidney transplant patients who complete their lab work, up from 72 percent 10 months earlier