This change package is intended to support dialysis facilities and End State Renal Disease (ESRD) Networks in increasing the number of patients referred to transplant centers, evaluated for kidney transplantation, and placed on transplant waitlists. The change package includes actionable change ideas, collected from top-performing dialysis facilities related to patients’ being placed on transplant waitlists. The change ideas are intended as a menu of interventions from which leaders can choose to implement within their facilities.