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The Collaborative Innovation and Improvement Network (COIIN) is a three-year study exploring an innovative approach to transplant performance monitoring that:

  • Reduces the risk-avoidance behaviors associated with the current monitoring system;
  • Removes current performance flagging criteria for participating kidney transplant programs;
  • Develops and tests an alternative, data-rich quality monitoring framework;
  • Supports a collaborative approach toward performance improvement and effective practices.

The overall aim of the project is to increase transplantation, with a particular focus on utilization of deceased donor kidneys with a KDPI score greater than 50 percent.

The pilot study protocol was designed with input from the COIIN Advisory Council, site visits to practice model hospitals, and a collaborative “think tank” meeting held at UNOS in June 2016.

Fifteen to 20 deceased donor kidney transplant programs participated in each of the two study cohorts. 


Journal article shares preliminary findings from kidney utilization COIIN (2/2019)

COIIN participants share process improvements at learning congress (2/2019)

Next phase of COIIN underway (10/2017)

Hospitals chosen for second phase of COIIN project (6/2017)

Hospitals selected for first phase of COIIN project (10/2016)

COIIN project studying effective practices at model hospitals, OPOs (4/2016)

Advisory council formed for project to increase kidney utilization (1/2016)