Strategy 6: Quality Assurance & Performance Improvement

Optimize transplant program performance through the on-going implementation and use of protocols, research and innovation, and data-driven quality improvement/performance.

To read more details about this strategy, download the full Transplant Resource Guide

This section has been reviewed and updated as of December 2018. To see past content, click on the Archive tab below.

  • Tools & Templates

    Quality Tools

    • Agenda QADownload – Cleveland Clinic
    • Case Review for LungsDownload
    • Causal Contributing Factors Track and TrendsDownload
    • Process and Outcomes MeasuresDownload
    • QAPI MatrixDownload
    • QAPI Report CardDownload – Cleveland Clinic
    • Quality Assessment and Performance Improvement Template Download
    • RCA Transplant InfectionsDownload – Cleveland Clinic
    • Transplant Center Quality Plan Download
    • Transplant Listing ChecklistDownload – Methodist University Transplant Institute
    • Transplant Quality Assurance Performance Improvement PlanDownload – Methodist University Transplant Institute
    • Patient Safety / M&M / Occurrence ReviewDownload
    • Process Improvement Initiative Project List Example Download
    • Performance Improvement Project Template Download
    • Event Analysis Template Download
    • QAPI Metrics – Download
    • Protected Case ReviewDownload
    • The Holistic Approach to Clinical Problem Using Fishbone Format: A Simple Way for Clinical ReasoningDownload

    Provider – Evaluation of Transplant Programs

    • Transplant Program Evaluation Worksheet Download


    • Living Donor Nephrectomy Dashboard ExampleDownload
    • Living Donor Nephrectomy Regulatory Scorecard ExampleDownload
    • Compliance Dashboard Example Download

    Meeting Agenda Examples

    • Transplant Performance Improvement Steering Committee Meeting Agenda –Download
    • Heart Transplant QAPI Committee Meeting Agenda ExampleDownload

    Survey Readiness

    • Survey Interview QuestionsDownload – compiled by Transplant Administrators
    • CMS Surveyor Worksheet- Organ Transplant Program Quality Assessment and Performance Improvement WorksheetDownload


    • Making sense of SRTR & CUSUM (PPT) – Download
    • Heart QAPI Template (PPT) – Download
    • Introduction to Quality “What is Quality? And Why Do I Care?” (PPT) – Download
    • CMS Webinar Series: “Comprehensive Program and 5 Key Aspects” (PDF) – Download
    • CMS Webinar Series: “Adverse Events: Through Analysis” (PDF) – Download
    • Use of SRTR’s CUSUM Charts: When Should I Hit the Panic Button? (PPT) – Download – Jon Snyder, PhD; Nicholas Salkowski, PhD and Andrew Wey, PhD
    • Making Sense of SRTR Risk Adjustment Models (PPT) – Download – Jon Snyder, PhD

    Video Links

    • Karnofsky Scale Watch Video
    • Comparing Lean and Quality Improvement: HOW DOES LEAN COMPARE TO IHI’S APPROACH TO QI? Watch Video – Institute for Healthcare Improvement
    • An Illustrated Look at Quality Improvement in Health Care – Watch Video – Institute for Healthcare Improvement
  • Data Integrity
    • Data Dictionary for TIEDI Fields – TCRDownload
    • Liver Forms LayoutsDownload
    • ASHRM White Paper Series “Serious Safety Events” A Focus on Harm Classification: Deviation in Care as LinkDownload
    • Quality Assessment and Performance Improvement (QAPI) Program: A Resource Guide for Transplant SurveyorsDownload
  • Quality Links
    • CMS, CoP for Transplant ProgramsLink
    • CMS Surveyor Training: Transplant Transition Webinars – View
    • OPTN PoliciesView
    • The Scientific Registry of Transplant Recipients (SRTR), Publications, Presentations, and Posters – View
    • Institute for Healthcare Improvement (IHI) – Link
    • Agency for Healthcare Research and Quality (AHRQ) – Link
    • UNOS ConnectLink
    • UNOS Transplant Pro: Patient SafetyLink
  • Relevant Literature
    • Appraisal of the Karnofsky Performance Status and Proposal of a Simple Algorithmic System for its EvaluationArticle – Péus, D., Newcomb, N. and Hofer, S. (2013). BMC Medical Informatics and Decision Making, 13(1).
    • A Look into a New Approach to Transplant Program Evaluation—the COIIN ProjectArticle (subscription) – Klassen, D., McBride, M. and Tosoc-Haskell, H. (2017). Current Transplantation Reports, 4(1), pp.59-66.
    • Metrics and Data Analysis in Transplantation: Quality Improvement via TransparencyArticle – Fishman, J. (2017). American Journal of Transplantation, 17(6), pp.1435-1436.
    • Technical Efficiency and Organ Transplant Performance: A Mixed-Method ApproachArticle – de-Pablos-Heredero, C., Fernández-Renedo, C. and Medina-Merodio, J. (2015). International Journal of Environmental Research and Public Health, 12(5), pp.4869-4888.
    • Quality Measurement and Improvement in Liver TransplantationArticle – Mathur, A. and Talwalkar, J. (2018). Journal of Hepatology, 68(6), pp.1300-1310.
    • Quality Metrics in Solid Organ TransplantationArticle (subscription) – Brett, K., Ritchie, L., Ertel, E., Bennett, A. and Knoll, G. (2018). Transplantation, 102(7), pp.e308-e330.
The Alliance welcomes submissions to the Transplant Resource Guide & Tools.
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