Saturday, June 29, 2013

KIDNEY STORIES: NKF'S INITIATIVE TO END THE WAIT

KIDNEY STORIES: THE NATIONAL KIDNEY FOUNDATION'S 10 YEAR PLAN TO END THE WAIT
http://www.youtube.com/watch?v=3TrW5bRlX9s&feature=player_embedded#action=share
The National Kidney Foundation’s 10 year plan to End the Wait:
Organ Donation & Transplantation RECOMMENDATIONS
Improve Outcomes of First Transplants

Financial - Cover immunosuppressive drugs for life

Education - Educate CKD Stage 4 patients about
staying as healthy as they can
the opportunities for and benefits of early transplantation
the possibility of living donations and
… the identification of potential living donors
Medical Practice -
Evaluate Stage 4 CKD patients for a transplant prior to the initiation of dialysis
Increase Deceased Donation

Financial - Ensure that OPOs have the discretion and funding to assist donor families with expenses directly related to the donation, which may include some funeral expenses

Education - Facilitate awareness of all appropriate hospital personnel about the optimal care for potential donor families

Medical Practice -
Minimize discard and maximize utilization of donated organs
Identify, recover and utilize organs from Extended Criteria Donors and from Donation after Cardiac Death donors nationwide
Increase Living Donation

Financial -
Guarantee that all living donors, without qualification, are reimbursed for all expenses involved in the donation, including lost wages. This includes non-directed donors and potential donors who are evaluated but don’t ultimately donate.
Guarantee living donors access to health care coverage for any medical expense or disability related to the donation
Guarantee living donors life insurance coverage for death related to the donation
Guarantee that living donors get their jobs, or equivalent jobs, back
Guarantee that living donors will not be discriminated against in obtaining health and life insurance
Establish a specific billing code for post-donation care of living donors
Education -
Create an NKF Living Donor Council to support the needs of living donors and potential donors
Create a “Living Donation Breakthrough Collaborative" to stimulate best practices for living donation
Inform the general public about new developments in living donation and transplantation

Medical Practice -
Increase staff and physical resources at transplant centers to minimize the time waiting for a living donation
Evaluate more than one potential living donor for a single recipient when feasible
Collect, maintain and analyze data on living donors annually, consisting of, at least, blood pressure, eGFR, proteinuria and Hb A1C
Make the donation and transplant system and processes more efficient and equitable Medical Practice -
Eliminate regional variations in the rates of consent, living donations, early transplantation, access to transplantation and follow-up care
Eliminate racial and other disparities in donating, listing, remaining active on the waiting list and receiving a transplant
Maintain uniform organ donation laws across the United States
THE NKF CONTENDS THAT IF THEY ARE SUCCESSFUL WITH THIS INITIATIVE, A PERSON ON THE LIST WILL NOT HAVE TO WAIT MORE THAN 1 YEAR ON THE LIST!
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