Date of Graduation

Spring 5-22-2015

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


This CNL project explored ways to improve communication and workflow, thus, decreasing the “physician referral to kidney transplant list” process by the Kidney Transplant Team. The existing processes takes nearly double the time of the national standard of ninety days. This is a time sensitive issue for those in need of a kidney transplant; therefore, our objectives include improved quality of care, improved patient safety by offering time sensitive lifesaving treatment options, staff satisfaction with clearly defined processes, and increase productivity. Beginning in January of 2015, the Lean Transformation Team began conducting a series of meetings using lean tools to guide the Kidney Transplant Team. These tools include process mapping, 5s, and PDSA. The tools helped identify improvement areas and problem solve new, more efficient processes, in this case, standardization of flow. Standardization of flow will then be implemented paralleled with optimizing roles. An evaluation process will be conducted by both the director and the team, and eventually LMHS through an audit. The project remains in its early stages due to a short delay by EMR implementation, but staff are encouraging and optimistic about the changes thus far. It is recommended the project be extended from nine months to twelve due to the timing of the EMR implementation. The projects expected completion is December 2015.