A Look into a New Approach to Transplant Program Evaluation —the COIIN Project

AbstractPurpose of ReviewCurrent kidney transplant program performance assessment metrics are reviewed, including their use by regulatory entities, and a new approach to program assessment, the Collaborative Innovation and Improvement Network (COIIN), is described.Recent FindingsCurrent kidney transplant program performance assessment is based on 1-year patient and graft survival data. Program specific reports used by the OPTN, CMS, and third-party payers have resulted in risk-averse clinical decision making by transplant programs limiting the transplantation of less than ideal kidneys and access to transplantation for increased risk recipient candidates. In response, HRSA has funded the COIIN project as an alternative performance monitoring approach based on a data-rich, real-time, collaborative, monitoring framework. The goal is to reduce risk-avoidance decision making allowing the transplantation of a broader range of kidneys into appropriate recipients.SummaryThe COIIN project is a 3-year effort being piloted in a diverse group of transplant programs as an alternative to current performance metrics. If successful, this may replace the current performance monitoring system.

Source: Current Transplantation Reports - January 25, 2017 Category: Transplant Surgery Source Type: research