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Emory Transplant Center
Emory Transplant Center
Outreach Coordinators
Karen Bryant, RNOutreach Nurse [email protected]
Brittany MooreTransplant Relations [email protected]
2019 Data
Total Transplants (FY): 301Referrals (FY): 3017
2020 Data
Total Transplants* (FY): 180Referrals* (FY): 1556*ONGOING NUMBERS – AS OF MARCH 19, 2020
Transplant Infection Disease
G. Marshall Lyon Aneesh Mehta
Transplant Providers
• Senior Administrator: Anjali Basu
• Senior Manager of Kidney Clinical Services and Operations/RN: Beth Begley, 404-712-7168
• Referral Management Supervisor: Nikita Green
Electronic Referral Form
One-on-One Consultations
Inpatient Care Transfer Service
• Senior Administrator: Anjali Basu• Senior Manager of Kidney Clinical Services and Operations: Beth Begley, 404-712-7168• Referral Management Supervisor: Nikita Green
Transplant Coordinators
Kelly Sprinkle (pre/post renal at Emory St Joes)Alisha Ciavarelli (post inpatient renal)Samone Williams (post inpatient renal)Tuashawn Harris (pre outpatient renal)Abby Kim-Shin (pre outpatient renal)Brandi Schiffman (pre outpatient renal)Courtney Moran (post outpatient renal)Kymberly Sampson (living donor)Celena O’Connell (manager across organs)
Social Workers
Juanita ConnerAmy Dillion
Temekia CottonFatimah Rasul
Laurastine Foster
Waitlist Team
Katherine HinesShelia Jackson
TeShawna Kusi (Derrico)
Patient Care Coordinators
Tamara DavisClevados Taylor
Lanetta WashingtonTashon Holland
Referral TeamRN –
Kenya PearsonDenise Neal
Ada GhaliTorrie Mango
LPNs -Monica Williams
Felicia StoreyTammy King
Angela Peek (Boyd)
Pre Evaluation Team
Contact
Main Transplant Line1-855-366-7989
Referral Fax404-727-8972
Evaluation Fax404-712-7311
Financial Team Fax404-712-1781
Waitlist Team Fax404-778-4866
Located: 1365 Clifton Road NE Building B, 6th Floor, Atlanta, GA 30322Website: http://www.emoryhealthcare.org/centers-programs/kidney-transplant-program/our-team.html
Brittany [email protected]
Karen [email protected]
Lead RN - Evaluation404-712-3034
Waitlist Team RNJuanita – 404-727-0819
Amy – 404-712-4102
Dialysis Center
Nephrology
Patient self referral
Where does the process start?
Who do I refer?How do I refer?
What do I use/need to refer?
Patients do not have to be on dialysis to qualify for kidney transplantation. We prefer to evaluate and educate patients early in the course of their disease, thus providing the opportunity for preemptive transplantation.
• Stage 4 (GFR <30 ml/min)
• BMI: We accept all referrals for BMIs <38. We provide BMI education for those who do not meet criteria.o BMI equal to/less than 38 prior to scheduling for evaluation.o BMI equal to/less than 35 prior to renal transplantation. o BMI equal to/less than 30 prior to combined Kidney and Pancreas transplant.
• Absence of a systemic illness or medical condition such as severe cardiovascular or peripheral vascular disease, dispersed malignancy, etc.
• Ability to be compliant with a complicated long term medical treatment regimen. Absence of active drug and alcohol abuse.
• Present strong social/family support system.
• Adequate financial plan to obtain the required long-term immunosuppressive medications needed for post-transplant.
*Refer to slide 5 for the link with details
Referral Guidelines
Eligibility Criteria
Emory accepts referrals from dialysis centers, MD offices, and patients who want to self refer.
Required documents with referral:
Primary Insurance cards (front and back copy)
Secondary Insurance Cards (front and back copy)
Form 2728
Recent History and Physical (within 6 months)
• Hospital discharge summary
• Admission H&P
• Last office visit note
Recent Labs (within 3 months)
Completed Referral Form
Medication List
A fax confirmation is sent back to referral source.
Patient’s are contacted in 2 business days once the referral is completed.
The patient, dialysis center, and/or the referring MD can call the main line to get a status update on the patient.
NEW location in Thomasville, GA
Referral Form
A multi-module, web-enabled software application
T-REX: Transplant Referral Exchange
Purpose• To improve access to kidney transplant in the Southeastern United States by:
o Enhancing communication about patients shared across healthcare settingso Providing a platform to electronically manage kidney disease patients at all steps of the transplant process
Collaborators: Apex Health Innovations
Key Features• Real-time communication between staff across healthcare settings• Documenting the use of transplant education materials• Sending/receiving an electronic referral specific to a transplant center’s requirements• Tracking patients’ status in the transplant process (e.g., evaluation completion, waitlist status,
living-donor matching capability)
Emory Transplant Center was first in ESRD Network 6 to pilot test T-REX application.• Pilot testing time period: April 1, 2017 – April 1, 2018
• However, use of T-REX at ETC is STILL ONGOING to receive referrals from Emory Dialysis Clinics
Results of T-REX Pilot Testing at ETC: • High usability and adaptability among dialysis facility and transplant center staff
• T-REX could help streamline efficiency of the transplant process by:
o Enhancing communication between healthcare providers
o Collecting data at each step in the transplant process
Emory Transplant and T-REX
T-REX Version 2.0• Released Fall 2019• Ability to track ESRD patients in the transplant process beyond referral• Fresenius Kidney Care and DaVita are being trained to use the application, going live April 2020
Patients can receive initial transplant evaluations and post transplant follow up care.
Acworth4791 South Main Street, Acworth, GA 30101
Athens1181 Langford Drive, Building 200, Suite 105, Watkinsville, GA 30677
Saint Joseph’s5673 Peachtree Dunwoody Road, Suite 350, Atlanta, GA 30342
Dublin200 Fairview Park Drive, Dublin, GA 31021
Savannah5354 Reynolds Street, Suite 212, Savannah, GA 31405
Thomasville915 Gordon Avenue Thomasville, GA 31792
Locations
Dialysis Center
Nephrology
Patient self referral
Emory Referral Team
I sent in the referral form, now what?
Who has my referral?What can I expect?
What now?
Referral Team
Our team has an individual group solely dedicated to kidney transplant referrals. They are the ones who receive referrals, send confirmations, contact the patients for scheduling, etc.
Once the referral is received, you will receive a confirmation letter sent back to the fax source. If you do not receive this, please feel free to reach out to someone at the transplant center. You are more than welcome to utilize my contact information for questions like this. [email protected]
This is the point where the patient is now involved in this process. The referral team will call the patient to attempt to schedule the evaluation. The patient will need to have a voicemail set up in the event they miss the call. This allows the referral team to provide contact information for a call back.
Dialysis Center
Nephrology
Patient self referral
Emory Referral Team
Patient appointment
Athens
Acworth
Saint Joseph’s
Dublin
Savannah
Thomasville
My patient was scheduled, now what?
How will I know?How can I help?
What can I expect?
Pre Evaluation Appointment
The patient, provider, and dialysis center (if applicable) will be notified of the patients appointment via fax.
We started to include the other care providers in this communication to get assistance in reminding the patient of the appointment, as well as keeping t
Day 1
EKGChest X-RayMid-level provider consultSocial workerFinancial CoordinatorPre Transplant CoordinatorDietician
Day 2
Transplant surgeonTransplant nephrologist
Cardiology
Hepatology
Hematology
Pulmonology
Infectious Disease
Selection Conference This day could include additional testing
ColonoscopyStress Test
GYN/PAP
MammogramDental
MRI/CT Echo
Mental Health
Evaluation Process
Dialysis Center
Nephrology
Patient self referral
Emory Referral Team
Patient appointment
Athens
Acworth
Saint Joseph’s
Dublin
Savannah
Thomasville
Completed Evaluation
My patient completed the evaluation, now what?
Waitlist Process
After completing the evaluation process, the patient will be scheduled for selection conference. This conference occurs every Wednesday at 1:00 PM. This group involves a multidisciplinary team.
YES
NO
NOT YET
The patient will be changed to Active (Status 1).
The patient will be made Not a Candidate (NAC) due to medical, financial, social support, psychosocial, etc.
The patient will be placed on hold and/or placed as Inactive (Status 7) if further testing is required.
The patient will be informed of
the decision the same day. The provider and
dialysis center (if applicable) will
also be informed of the decision.
Monthly HLA Kits
Monthly HLA Kits
All patients who are listed ACTIVE need to send in monthly kits.
Once a patient is listed active, the kits will be mailed a few weeks after.
Please feel free to print and post this flyer in locations that would benefit.
If your patient did not receive a kit and you believe they are active onthe transplant list, please send a message to the email below with the
patients name and DOB.
Transplant Options
I have a donor, now what?- We have an online questionnaire screening at emory.donorscreen.org
I have an approved donor, but not a match…- Emory participates in a organ donor swap called Paired Donor Exchange with National Kidney Registry. The organ travels, not the patient.
HepC+ to HepC-- Emory performs HepC+ organ transplants to patients that are HepC-. Once the transplant is completed, the patient will be treated for the HepC+.
HIV (HOPE Act)- Emory performs HIV to HIV transplants on the waitlist.
Monthly Patient Status Report Sent via fax to all dialysis centers on the last business day of the month.
We ask the dialysis centers to report any changes that they see on the report to be sent Brittany [email protected]
Patient has transferred centersPatient is deceasedPatient has been transplanted at another centerPatients medical condition has changed
Referral ConfirmationOnce a referral is faxed into the transplant center, a confirmation letter is faxed back to the referral source.
Selection ConferenceOnce a decision is made for a patient during selection conference, the patient is called the same day. A letter is also mailed to the patient.
A letter is mailed and faxed to the provider and dialysis center (if applicable) with the outcome of the conference.
Day to DayWhen the patient comes in for an evaluation, they are provided contact information to use if they have questions, to provide updates on personal information, and/or to speak with a coordinator regarding status. Most processes we have in place cover each of the concerns or updates that patients have.
Communication
Resources
MAP: Medication Assistance Program
1-855-366-7989
GTF: Georgia Transplant Foundation
Gatransplant.org
LifeLink Foundation: lifelinkfound.org
UNOS: United Network for Organ Sharing
Unos.org
Donate Life America: donatelife.net
