Initiatives / GRAFT / Transplant Eligibility Pilot
Transplant Eligibility Pilot · ISP 2026007
A support barrier shouldn't end a transplant evaluation.
Increase access to transplant evaluation by helping transplant programs put existing and emerging approaches to modifiable caregiver and social-support barriers into practice.
Why this program
The case for acting now.
Patients may face delays in transplant evaluation when caregiver or social-support requirements can't be met through traditional support models.
GRAFT helps transplant programs implement approaches that address support barriers, so appropriate patients can continue evaluation.
Existing efforts are advancing solutions to caregiver and social-support barriers, creating an opportunity to move them into real-world practice.
Who it's for
The people this program serves.
Patients being considered for transplant whose evaluation may be delayed or limited by a caregiver or social-support barrier that can be addressed.
Priority indicators
In their words
- “As someone considering transplant, I want support needs identified before they prevent me from moving forward.
- “As someone without a traditional caregiver, I want my support needs assessed, not my family structure.
- “As someone receiving support, I want my transplant team to know when my needs have been addressed.
The journey
Every step, from start to finish.
Each Implementation Support Program finds what works and scales it rapidly. Here is the path this one follows.
What it involves
Barriers in, support out.
- No designated caregiver
- Limited caregiver availability
- Transportation limitations
- Temporary housing needs
- Medication management
- Care coordination needs
- Support-needs assessment
- Individualized support activation
- Connection to existing and emerging resources
- Return to the transplant program for reassessment
- Shared learning across hubs
What we measure
Every step, measured.
Also measured
- Support barriers identified
- Support activated
- Barriers resolved
- Patients reassessed
- Time to reassessment
Timeline
16 weeks per hub, from activation to impact report.
Timing depends on partner alignment and on governance, protocol and IRB requirements.
Our commitments
Independent and non-promotional.
Transplant eligibility and clinical decisions remain with transplant programs, patients and their healthcare professionals. GRAFT does not suggest caregiver requirements are unnecessary, and it does not guarantee eligibility or access.
Implementation Support Programs are sponsored separately from AHIS campaigns, and every sponsor is named here once an agreement is signed. The program follows a defined protocol, run under AHIS governance and the MONARCH operating standard for implementation measurement. Sponsors may help identify implementation challenges, populations or outcomes of interest. Design, governance and evaluation stay independent. Sponsors receive aggregate, de-identified results only.
Overseen by the AHIS Board in Phase 1 of AHIS governance, and by the Implementation Advisory Committee from Phase 2. Impact reports are shared publicly, including what didn't work.
Get involved.
Join as a transplant implementation hub or a support partner.
