RaDIANT Health Systems Intervention

Part of paid clinical trials in Atlanta, Georgia.

Sponsor
Indiana University
Study ID
NCT07033117
Status
Recruiting
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Conditions

  • End Stage Renal Disease (ESRD)
  • Kidney Disease

Eligibility Criteria

Sex
ALL
Age
18 Years - 80 Years
Healthy Volunteers
Accepted

Interventions

  • Performance Feedback Reports on Referral and Evaluation Closures — OTHER
    Performance feedback reports will reflect each transplant center's performance related to kidney transplant evaluation initiation and referral closure. These reports aim to help centers understand common reasons why patients do not initiate the evaluation process or failed to proceed beyond the evaluation process, and to identify patterns in referral and evaluation closure practices. Reports will be individualized and distributed quarterly to the transplant center champion by the intervention lead.
  • Dialysis Facility Awareness Campaign — OTHER
    As part of the intervention, dialysis centers will participate in an Awareness Campaign designed to educate staff about transplant center quality improvement efforts and how they may be contacted as part of the project. This campaign may include brief webinars or informative documents distributed via platforms such as IPRO Learn.
  • Patient Contact via Preferred Method — OTHER
    Transplant centers will contact patients using their preferred method of communication.
  • Phone Call to Dialysis Facility During the Patient's Dialysis Session — OTHER
    Facilities will enhance their patient communication procedures by making a phone call to the dialysis facility during the patient's dialysis session if the patient has not responded to initial outreach attempts. This additional step increases the likelihood of reaching the patient during a time when they are accessible and can engage in scheduling or follow-up.
  • Phone Call to Provider — OTHER
    Transplant centers will enhance their outreach procedures by making a phone call to the referring provider (e.g., nephrologist, medical assistant) or another provider involved in the patient's care (e.g., primary care provider) in the event of self-referral if the patient has not responded to initial outreach attempts or "no-shows" an initial evaluation appointment. This additional step ensures that the referring provider is informed of the patient's progress and can assist in re-engagement or decision-making prior to referral closure.
  • Transplant Referral Communication Platforms or Email to Communicate Patient Status and No-Show — OTHER
    Transplant center staff will utilize transplant referral communication platforms and/or email to communicate updates to dialysis staff regarding patient status (e.g., unable to contact the patient or no-show) before referral closure.
  • Audit and Tracking of Patient Contact Attempts Prior to Referral Closure — OTHER
    Transplant center staff will continue internally tracking the frequency that a patient is contacted before closure and the date of closure, in alignment with center standard practice. This intervention introduces an audit process to be conducted before closure to ensure that all contact attempts (including one or more attempts to contact the patient directly, one or more phone calls to the alternate preferred contact, or one or more attempted contacts to the dialysis unit to connect with the patient), in alignment with center communication procedures, are appropriately executed.

Study Details

The overarching goal of the proposed study is to determine whether the addition of structural interventions at the health system level targeting upstream barriers in the transplant process will improve access to transplant evaluation start.

Key Dates

Start date
Oct 27, 2025
Status verified
May 2026
Primary completion
Mar 31, 2027
Completion
Jul 31, 2027

Study Design

Enrollment
14,000 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Multi-Component Intervention
    Five participating transplant centers will multicomponent intervention in their management of patients referred to their transplant center for a kidney transplantation. The intervention will consist of: (1) required performance feedback reports on closed referrals; and a set of optional components that may be implemented variably by centers, including; (2) contacting patients via their preferred method; (3) phone calls to the dialysis facility during the patient's dialysis session; (4) phone calls to the referring or other provider; (5) use of a multi-module, secure, web-enabled software application called Transplant Referral EXchange (T-REX) or secure email to communicate patient status and no-show information; and (6) communication tracking and audit. Dialysis facilities in GA, NC, SC, and IN will receive resources to support an awareness campaign to support implementation of intervention activities within transplant centers.

Primary Outcome Measure

Change in transplant evaluation start within 6 months of transplant referral [ Time Frame: Baseline, Post Intervention (Up to one year) ]

Locations (5)

FacilityCityStateZIPSite coordinators
Emory Transplant CenterAtlantaGeorgia30322
Stephen Pastan, MD
[email protected]
(855) 366-7989
Piedmont Transplant InstituteAtlantaGeorgia30309
Ana Rossi, MD
[email protected]
(404) 605-4600
IU Health Transplant - IndianapolisIndianapolisIndiana46202
Jonathan Fridell, MD
[email protected]
(317) 944-4370
Duke Transplant CenterDurhamNorth Carolina27710
Goni Katz-Greenberg, MD
[email protected]
(855) 855-6484
MUSC Mid-Carolinas Transplant CenterLancasterSouth Carolina29720
Prince Mohan, MD
[email protected]
(843) 792-5097

Find similar trials in Atlanta, GA

By research site
Emory Transplant Center· Atlanta, GAPiedmont Transplant Institute· Atlanta, GAIU Health Transplant - Indianapolis· Indianapolis, INDuke Transplant Center· Durham, NCMUSC Mid-Carolinas Transplant Center· Lancaster, SC

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