Amber Paulus, PhD, RN, CPHQ’s Post

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Researcher @ Virginia Commonwealth University Nephrology/Healthcare Quality

How can the End Stage Renal Disease Treatment Choices (ETC) Model, the Kidney Care Choices Comprehensive Kidney Care Contracting (KCC CKCC) Model, and the new Increasing Organ Transplant Access (IOTA) Model collaboratively transform the quality of kidney care through transplantation? By leveraging metrics that incentivize kidney transplants, we can rewire local healthcare systems to improve outcomes. Barriers? Participant selection involves randomization for mandatory models (ETC & IOTA), while participation is voluntary for the KCC CKCC model. Achieving the desired outcomes of VBC arrangements is challenging when only portions of providers are aligned with similar objectives. A strategic clustered approach could dramatically overhaul a geographic network of providers, improving access to and utilization of transplantation. By creating local 'neural networks' of providers incentivized for change, this method not only drives sustainable success in value-based kidney care but also establishes transplantation as the gold standard renal replacement therapy for individuals with end-stage kidney disease. Such an alignment achieves the ultimate goal of VBC by providing high-quality care at a lower cost.

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