Table 1.

Tasks carried out by navigators at each step in the transplant process

StepTasks
Step 1. Suitability for referral to transplant centerPatients with absolute contraindications to kidney transplantation listed in their medical records were told why they were not candidates for transplantation
Step 2. Interest in transplantationPatients were educated about the advantages and disadvantages of transplantation, the steps in the transplant process, and what to expect after transplantation. Navigators also shared their personal experiences with dialysis and transplantation
Step 3. Referral call to transplant centerPatients were encouraged to call the local transplant center even if they did not have a formal referral from their nephrologists. They were given the phone numbers of the transplant center, a list of the information that they might be asked to provide, and questions to ask
Step 4. First visit to transplant centerPatients were given directions to the transplant center, a list of things to take, and questions to ask. In addition, navigators explored transportation options for getting to the transplant center and reminded patients of upcoming appointments
Step 5. Transplant center workupNavigators explained what to expect in a transplant center workup. Navigators also monitored completion of specific aspects of the workup, communicated with transplant center staff about outstanding tasks, and encouraged patients to complete the workup in a timely fashion
Step 6. Successful transplant candidateNavigators served as an ongoing source of support and information. Navigators also educated patients about how to discuss living donation with potential donors
Step 7. On waiting list or evaluate potential living donorNavigators served as an ongoing source of support and information. Navigators monitored patients’ status on the waiting list and results of living donor evaluation