Emory Kidney/Pancreas Transplant Center: Listing Procedure
Patient cases will be presented at the weekly Kidney/Pancreas Transplant Selection Committee meeting one week after the Day Two Evaluation visit. The history/physical, chest X-ray, EKG, labs, diagnostic test results and consultation reports will be presented. The committee decision will be one of four possible outcomes:
1. Medically Approved – pending financial clearance
- Once financial approval is given, the patient will be placed on the waiting list.
- Living donors can proceed with work-up for possible living donor transplantation at this time.
2. On-Hold Green - Patient has minimal requirements to complete prior to approval for listing.
- Committee members will discuss patient’s case and order any further consults/testing that are required for this patient prior to approval for transplantation.
- Recipients with Medicare as their primary insurance can have donors proceed at this point with all testing.
- All recipients can have donors contact the donor line for initial stages of the living-donor process.
3. On-Hold Yellow – Patients have significant requirements to complete prior to approval for listing.
- Committee members will discuss patient’s case and order any further consults/testing that are required for this patient prior to approval for transplantation.
- We will not proceed with the evaluation of potential living donors until the significant barriers to transplant that have been successfully resolved.
4. Denied
- Patient is referred back to referring physician for alternative treatment options.
Patients will be notified of the committee decision via telephone by the pre-transplant coordinator within three business days of the committee meeting. Patients and referring nephrologists will receive a letter and copy of the Transplant Evaluation Summary. This summary indicates the patient’s current transplant status and lists all items that must be resolved in the next 90 days in order for the patient to be approved for transplantation and placed on the waiting list. The referring nephrologists will also receive copies of the laboratory results, diagnostic study reports and consultation reports.
Pre-transplant coordinators will work with the patients to complete any outstanding requirements listed on the Transplant Evaluation Summary within 90 days of the transplant evaluation. If the listed items are not completed within 90 days, the patient’s evaluation status will be changed to inactive. To re-enter our program at a future date the patient must be re-referred by the referring nephrologist. Should the referring physician wish for the Emory Kidney/Pancreas Transplant Program to reconsider this decision, s/he may contact the transplant office at 404-727-0717 or 1-877-509-9877.
