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TEAMWORK & VOLUNTEERISM: Solutions

Dept. Urology Dept. Nephrology Medicine Institute Cleveland Clinic Interdepartmental Clinical Collaborations Wellness Institute Dept. Pastoral Care Services Dept. Social Work Pharmacy Division of Nursing Nutrition Services

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TEAMWORK & VOLUNTEERISM: Solutions

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  1. Dept. Urology Dept. Nephrology Medicine Institute Cleveland Clinic Interdepartmental Clinical Collaborations Wellness Institute Dept. Pastoral Care Services Dept. Social Work Pharmacy Division of Nursing Nutrition Services Institutional Services (Pt. Education, OPSA, Sponsored Research, etc.) Corporate Communications Governmental & Community Relations Diversity Bioethics Biostatistics Cleveland Clinic Lerner College of Medicine Lerner Research Institute TEAMWORK & VOLUNTEERISM: Solutions

  2. Partnerships and Sponsors: Church Fraternity Sorority Community Organizations Corporate Individuals

  3. Increase awareness of preventive health Increase health screenings Promote healthy lifestyles Promote participation in clinical trials by minorities Promote awareness of family medical history Health Literacy Saves Lives Solutions: Dedicated Health Literacy Education

  4. Solutions:Promote and Empower Patients Toward Compliance Patient Compliance: How To Improve It

  5. Solution:Promotion of Family Support Systems and Awareness of Family Medical History

  6. Solutions:Individual & Community Empowerment

  7. Solution:Outcomes Research

  8. Analysis of Disparities in Kidney Transplantation by Race at Cleveland Clinic Section of Renal TransplantationMinority Men’s Health Center C. Modlin, C. Zaramo, J. Alster, L. Zhou, D. Goldfarb, S. Flechner, and A. Novick

  9. Health Disparities in Renal Graph Survival in Tx Patients by Race and Source of Allograft Cadaveric (CAD) Living Related (LR)

  10. Dialysis 1st Week Post-Tx Significant Disparities in Dialysis following the First Week of Post Renal Transplantations (Post-Tx, p<0.001*) 100 *p< 0.0001 80 52.14% 60 Percentage (%) 40 15% 8.16% 20 5.14% 0 African American (CAD) Caucasian (CAD) African American (L) Caucasian (L) Race/ Ethnicity

  11. Post-Tx Serum Creatinine (CAD) P<.0001 @ 7 days P<.008 @ 12 mos.

  12. Racial disparities in deceased donor kidney transplantation are compounded by longer pre-transplant dialysis duration in African American patientsHo Yee Tiong*#, Charles Modlin#, Joan M. Alster**,Ismail R. Saad#, Barbara Mastroinni, Kathy Savas, and Stuart M. Flechner#Cleveland, OH#Cleveland Clinic Glickman Urological Institute, Section of Renal Transplantation;Minority Men’s Health Center**Cleveland Clinic Department of Quantitative Health Sciences • Conclusions: • Lower deceased donor allograft survival in AA recipients compared with non-AA recipients occurs despite equivalent donor allocation and immunosuppression. • Medicaid insurance status and days on waiting list may be surrogate factors for socio-economic status that are different between AA and non-AA recipients.  • Longer pre-transplant dialysis duration in AA patients compounds the impact of race on allograft survival difference and should be specifically targeted in programs to improve outcomes.

  13. Through Our Research, We Have Concluded that education of AA’s with kidney disease: • The merits and advantages of kidney transplantation over maintenance dialysis • The benefits of living donor renal transplantation over deceased donor transplantation • The merits of preemptive renal transplantation • Educating family members of those with kidney disease regarding early screenings for kidney disease in families

  14. Cleveland ClinicMinority Organ Donation and Kidney Transplantation Initiatives

  15. Promotion of Organ Donor Registration in African Americans

  16. An Innovation to Promote Organ Donation in African American Populations: Methodology/Interventions. Outreach contest strategically targeted towards twenty-eight 28 (n=28) NE Ohio BMVs (March 1st 2007 to June 30th, 2007) to promote, encourage and assist in outreach educational programs regarding organ donation and registry/issuance.

  17. Transplantation ProceedingsVolume 40, Issue 4 , Pages 1001-1004, May 2008

  18. Culturally Sensitive & Competent Team to Promote Organ Donor Registration

  19. Cleveland Clinic – Lifebanc Community Partnership to: • Promote Organ Donor Awareness • Increase Registration among African Americans • Promote Prevention

  20. AA Kidney Failure in NE Ohio • >1800 patients in Northeast Ohio are on waiting list for organ transplant, >50% African American. • Numerous factors persistently limit acceptance of organ donation among AAs: • distrust of health care providers, • limited awareness and health literacy, • poor health among compatible potential living donors in AAs.

  21. Specific Aim 1: Focus Groups • To gain a deeper understanding of NE Ohio AAs’ knowledge, attitudes and ideas about chronic kidney and organ donation • Surveys, • Community Conversations/ Focus Groups • Teleange Thomas • Yolanda Hamilton: Lifebanc Multicultural Council • Robert Allen • Greg Lockhart • Dr. Modlin & MMHC

  22. Organ Donation Grant Focus Groups MODLIN • http://www.youtube.com/watch?v=DSK9HR8ijqI

  23. Solution:Public Media Campaign

  24. Green Chair Organ Donation Message • http://www.youtube.com/watch?v=nIUxZsB7DOU

  25. Solution: Promotion of Living Kidney Donation in African Americans

  26. Laparoscopic Living Donor Nephrectomy

  27. Solution: Promotion of Living Kidney Donation in African Americans • http://www.youtube.com/watch?v=jy0CsHLL8YE

  28. Living Related Renal Transplantation

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