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Transplant Referral Exchange TREX

TREX applications help providers manage the referral process, while also recording and tracking the progress of patients who are interested in pursuing a kidney transplant.

More Details About TREX

What is TREX?

Transplant Referral Exchange is cloud-based HIPPA compliant suite of application accessed by patients, dialysis, and transplant care providers to manage transplant journey from referral through waitlisting.

How do we do this? We do this by building transplant - dialysis provider synergy while enhancing patient engagement to facilitate successful kidney transplantation.

Our services

Services at a glance
  • For Healthcare Providers

    Applications that help providers manage the referral process, record and track patient progress and allows for bidirectional communicate between the referral source and transplant center

  • For Administrators

    Tools to help administrators manage regulatory surveys such as CMS and UNOS, maximize internal living donor swap capabilities and access administrative operational metrics

  • For Patients

    Those affected by CKD and ESKD can locate and compare transplant centers, check their transplant status, view upcoming appointments and invite those close to them in their transplant journey

TREX Suite of Applications

TREX integrates with other Apex Health Innovations apps and third-party software

TREX Transplant

TREX for Transplant Referral Intake Staff and Coordinators ensures the initial referral meets the transplant
center’s requirements while aligning care settings to support the patient through their transplant journey. TREX
streamlines the referral process, patient tracking and communication all in one location. TREX enables care
teams to efficiently collaborate patient’s transplant journey allowing patient and their social support the
ability to participate via the TREX Patient application.

Quick Look at Features

  • Standardizes and expedites referral intake process with assurance
    complete referrals are received with real-time confirmations
  • Receive a referral from anywhere in the country using transplant
    center’s individualized application and documentation requirements
  • Eliminates communication barriers between your center and your
    referral sources
  • Eliminates staff burden tracking down missing documents
  • Reduces time spent accepting or denying referrals customizable to
    transplant centers inclusion/exclusion criteria

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TREX Dialysis

TREX Dialysis is an application used by CKD and ESKD providers to track patient’s transplant status across the entire census and gain insight into common barriers, and proactively identify where and why a patient is stuck in the referral process. TREX streamlines the referral process, patient tracking and communication all in one location. TREX enables care teams to efficiently collaborate patient’s transplant journey allowing patient and their social support the ability to participate via the TREX Patient application.

Quick Look at Features

  • Standardizes referral processes that provides assurance the referral was received while meeting the referral needs of the receiving transplant center
  • Manages alerts, notifications and reminders of upcoming or incomplete tasks are made easy, allowing clinicians to engage a patient in a more definitive way
  • Provides bi-directional, real-time communication between referring source and receiving transplant center captured in a systematic and organized method, thus allowing full treatment plan collaboration.
  • Increases alignment with CMS mandates and ESRD Network goals and initiatives by providing capability to monitor patient progression and ability to address process barriers and inefficiencies.


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TREX Patient

Many referral candidates are very hesitant in starting their transplant journey and are likely to drop out due to the common barriers that exist along the way. TREX Patient was created with the patient and their social support system in mind. 

Quick Look at Features

  • Proactively engages patients in their transplant journey 
  • Invites patient’s family and friends to learn more about transplant and living donation 
  • Informs patients about risks and benefits of transplant and living donation
  • Increases patient informed decision making by providing transplant center compare features
  • Invites potential living donor to initiate the donation process through our application

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TREX Lite

Provides every transplant center throughout the United States the opportunity to access their TREX transplant dashboard which shows important referral data through the TREX platform. TREX Lite provides the following features below.

Quick Look at Features

  • Active Referrals to Date
  • Faxed Referrals Today
  • Days since Last TREX Referral
  • Historical Referrals
  • Clinics Actively referring to you center
  • Clinics not actively referring to you center

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TREX Donor

Need an easy way to uncover paired-exchange opportunities in your own patient and donor population? The current standard requires constant review and dedicated staff focused on uncovering hidden matches and relationships. TREXDonor reads your lab data and is constantly looking for paired exchanges based on your data and scoring methods.

Quick Look at Features

  • Increase your ability to identify internal paired-exchange opportunities at your center
  • Read patient lab data to constantly look for paired-exchanges based on data and scoring methods
  • Use TREX Donor technology to meet your center-level policies on HIPPA Compliant servers

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TREX QA

TREX QA (Quality Assurance) is a tool used to oversee quality management of the transplant program and the safety of transplant candidates and recipients as provided by UNOS and Federal and State survey processes.

Quick Look at Features

  • Track
  • Ensure
  • Provide
  • Prioritize
  • Maintain

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