Background Transplant recipients face many challenges during the post transplantation phase. Lung recipients have the lowest survival rate of all solid organ transplants with a 5 year survival rate of 46%. Therefore it is important that proper care is maintained to promote adherence to a complicated medical regimen.

Objectives The aim of this project is to decrease the missed opportunities to provide comprehensive care as indicated on the Lung Transplant Index for outpatient lung transplant recipients from a 2014 baseline of 101 missed opportunities to less than 24 cumulatively for 2015.

Methods A measurement system was implemented to track the number of times we successfully completed each of 12 care categories. Definitions for each category of comprehensive care were agreed upon by a multidisciplinary team. Transplant coordinators collected the data from the electronic medical record to be analyzed by the Lung Transplant Quality Improvement team.

Results Significant improvement in performance occurred in the lung transplant program. There was an 89.5% decrease in the number of missed opportunities going from 46.7% missed in 2014 to just 4.9% missed in 2015.

Conclusions Adding the ability to track performance via a care index has increased the overall care our patients receive and further indices will be rolled out to other service lines in the future. This project shows the importance of measuring performance and can be quickly and easily applied to other transplant hospitals.⇓

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Figure 1