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The Collaborative Improvement and Innovation Network project to drive quality improvement

Tosoc-Haskell, Henrisa; Sisaithong, Kristen; Carrico, Robert

Current Opinion in Organ Transplantation: February 2019 - Volume 24 - Issue 1 - p 73–81
doi: 10.1097/MOT.0000000000000596

Purpose of review The purpose is to describe an approach for improvement using an organized collaborative improvement framework where participants learn, apply, and share improvement ideas supported through a 3-year Organ Procurement Transplant Network (OPTN) project called Collaborative Improvement and Innovation Network (COIIN). The COIIN project, proposed as an alternative approach to monitoring transplant performance, supported collaboration, and improvement in 58 transplant hospitals and partner organ procurement organizations. The aim was to increase transplantation with a focus on increasing the utilization of moderate-to-high (50–100%) Kidney Donor Profile Index (KDPI) kidneys.

Recent findings Preliminary findings show increases in transplant rate and utilization of moderate-to-high KDPI kidneys was achieved in many participating organizations. Preliminary COIIN project results suggest that an improvement approach that supports collaborative improvement can be effective in driving improvement.

Summary The COIIN project involved the development of a change package of key interventions for three key areas: waitlist management, organ-offer acceptance, and care coordination. Additionally, a balanced scorecard approach using outcome, process, and relationship measures, was used and effective in driving improvement. The preliminary COIIN outcome and process results suggest that collaborative improvement does drive improvement and was well received in the transplant community.

Video abstract In the video, two of the authors describe the content of the review and present the main topics discussed in the article (

Department of Organizational Excellence and Member Quality, United Network for Organ Sharing, Richmond, Virginia, USA

Correspondence to Henrisa Tosoc-Haskell, 700 N. 4th Street, Richmond, VA 23219, USA. Tel: +1 804 782 4800, +1 804 982 6041; e-mail:

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