Patient navigation for kidney transplant

The front door
you were never given.

TransplantCheck maps your barriers, finds your resources, and tracks every step — so nothing falls through the cracks while you wait.

Built with input from transplant social workers, nephrologists, and patients at 8 centers.
The reality today

The system wasn't
built for you.

Most patients are handed a phone number on a sticky note and told to call. Then they wait — alone — through a process that wasn't designed to follow up.

75%
of eligible ESRD patients are never referred for transplant evaluation.
3–5yrs
average wait — while one social worker carries a caseload of 150 patients.
1
phone number on a sticky note is what most patients get. Nobody follows up.
It doesn't have to be this way.
How it works

Three steps.
One path forward.

01

Assess

A 10-area life assessment — housing, food, transport, insurance, support, and the things doctors don't ask about.

02

Connect

AI-matched local resources — insurance-aware. We facilitate, with drafted emails and call scripts, not just a list.

03

Follow through

Track every referral from sent to resolved. Reminders, status updates, and a record you can actually share.

What you get

Every tool a patient needs —
in one place.

Transplant Center Intelligence

SRTR data, wait times, and outcomes — filtered by your location, your insurance, and your situation. Not a directory. A decision tool.

SRTR-aware Multi-list ready

Daily Journal

Eight experiential check-in domains. Not medical data — an emotional compass for the long wait. Private by default.

Private 2-min check-in

S.T.O.I.C.K. Support

One small concrete action when you're struggling. AI-guided, never a wall of text.

Vibe Guides — ESRD Edition

Plain-English articles: waitlist, multi-listing, living donors, self-advocacy. No jargon.

Progress Tracking

Waitlist position, center requirements, and what's next — in language a human can read.

For patients

Free for patients.
Always.

You deserve more
than a referral.

We don't just hand you a list. We facilitate — drafted emails, call scripts, follow-ups — until something actually happens.

Your insurance
matters.

Medicaid, Medicare, private, uninsured — every recommendation respects your coverage and points you somewhere real.

You're not alone
in this.

Built by an LCSW who sat in a chair next to dialysis patients for years. The tool exists because the alternative wasn't enough.

For centers

Close the loop
your social workers can't.

For dialysis centers and transplant programs: closed-loop referral tracking, population-level barrier analytics, and a 48-hour deployment.

  • Closed-loop referral tracking — sent → opened → resolved.
  • Population-level barrier analytics across your panel.
  • 48-hour deployment, BAA-executed, EHR-friendly.
Request enterprise demo
Referral activity · Center 03 Live
M. Alvarez · Housing referral Closed
D. Williams · Transport — dialysis to clinic Closed
J. Patel · Insurance — secondary coverage Action needed
R. Okonkwo · Food security — 2 weeks Sent · 3d
L. Tran · Multi-listing eval at Center 11 Closed
For transplant centers

Seven gaps standard care leaves open.
Seven we close.

For dialysis programs, transplant centers, and CCBHC partners: the care-pathway leaks we measured against the platform we built to fix them. KDQOL-36, Zarit Burden, transportation SDOH, post-transplant adherence — surfaced, trended, actioned.

Gap 01

Pre-transplant 50+ task list

Fill

Tasklist with deadline pings + clinic upload pipeline. Lab results auto-flag missing items. Patients stop falling off the list.

Gap 02

Psychosocial readiness scored once

Fill

Re-scored quarterly and trended for the transplant team. The eval-day score stops being the only datapoint.

Gap 03

Post-transplant non-adherence

Fill

Daily immunosuppression check-in with push reminder, log, and missed-dose escalation to the clinic. The #1 driver of graft loss has a workflow.

Gap 04

KDQOL-36 captured, never actioned

Fill

CMS-required instrument auto-served quarterly, trended, and flagged when scores drop below your threshold. Quality measure becomes a workflow, not a checkbox.

Gap 05

Caregiver burden invisible

Fill

Zarit Burden Interview monthly. Intervention pathway when the score crosses threshold. Caregiver collapse stops being the surprise that ends a transplant.

Gap 06

Transportation SDOH unflagged

Fill

Geo + appointment cross-reference detects gaps before the missed dialysis session. Connects out to patient transport partners.

Gap 07

Center-to-patient phone tag

Fill

In-app secure messaging with the center coordinator, voice-to-text supported. High-friction phone tag becomes a logged conversation.

What it moves

Six numbers your quality director will care about.

40-60% → 80%+
Pre-transplant task completion
industry baseline → target
75-85% → 92%+
Medication adherence
post-transplant immunosuppression
+3-5 pp
1-year graft survival lift
correlated to adherence target
−30%
Missed dialysis sessions
via transport gap intervention
0 → flagged
Caregiver intervention rate
Zarit-flagged → resource hand-off
40% → 90%+
KDQOL-36 quarterly capture
CMS quality measure

Targets reflect the gap-to-fill model above; per-cohort outcomes vary and are not a clinical guarantee. We measure honestly, surface the data to your team, and adjust per quarter.

Walk through the gap analysis →
Built by
You deserve more than a referral. You deserve a connection.
Matthew Sexton, LCSW — Founder. Dialysis social worker.
Free weekly

Free kidney transplant tips.

One email per week. Practical advice on navigating the waitlist — multi-listing, living donors, center selection, and what to actually ask your team.

No popups. Unsubscribe anytime. We never share your email.

Thank you — first email arrives this week.

Common questions

What people ask first.

What is TransplantCheck?

Patient navigation for people on the kidney transplant waitlist. Maps barriers, finds resources, tracks every step. Built with input from transplant social workers, nephrologists, and patients at 8 centers.

Is it free for patients?

Yes. Patients can start the assessment at no cost.

Can transplant centers use it?

Yes - HealthcareCheck-grade infrastructure for transplant programs that want to white-label patient navigation. Schedule a center call.

Who built it?

Matthew Sexton, LCSW and LICSW. Former transplant social worker. Named inventor on the architecture patent.

Does it replace clinical care?

No. TransplantCheck is a navigation tool - it surfaces what to do next, who to call, and what resources exist. Clinical decisions stay with your transplant team.