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.
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.
Welcome to Bakersfield, where the nephrology UBT uses performance improvement tools and the Proactive Office Encounter to keep kidney transplant patients healthy.
of kidney transplant patients who complete their lab work, up from 72 percent 10 months earlier