Transplant Growth and Management Collaborative

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Transplant Growth and Management Collaborative

• Change Package Strategies

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Purpose of Project

• Learn about transplant center best practices that
  influence high organ transplantation rates and
  efficiency in recovered organ use, while
  maintaining expected or higher than expected
  patient and graft survival outcomes
• Study transplant centers policies, procedures,
  management, administrative and other clinical,
  behavioral, cultural, organizational and
  financial practices associated with high
  performance in organ acceptance, transplantation
  and outcomes

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Location of Selected Centers and Organ Programs
Heart Kidney Liver Lung Pancreas
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Strategies/Drivers for Growth, Volume and/or
Quality

• Institutional Vision and Commitment
• Dedicated Team
• Aggressive Clinical Style
• Patient and Family Centered Care
• Financial Intelligence
• Aggressive Management of Performance Outcomes

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Strategy/Driver 1 Institutional Vision and
Commitment

• Hospital leadership demonstrates a commitment to
  making transplantation an institutional priority
  and to assuring the necessary resources to make
  this vision a reality.

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Strategy/Driver 1 Institutional Vision and
Commitment

• Key Change Concepts
• Establish transplantation as a strategic priority
• Develop and implement business/strategic plan to
  secure institutional resources
• Actively educate internally about goals, expected
  outcomes and accountabilities
• Commit to providing a comprehensive,
  multi-disciplinary approach to the full continuum
  of transplant care
• Organize transplant services into a service line

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Strategy/Driver 2 Dedicated Team

• Create and support a collaborative and rewarding
  work environment to attract and retain highly
  dynamic, committed and skilled specialists in
  transplantation.

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Strategy/Driver 2 Dedicated Team

• Key Change Concepts
• Organize around and empower committed surgeons
  and physicians who are aligned with the
  institutions vision to build and grow the
  transplant program
• Recruit, train, and retain program staff that are
  specialized, dedicated, and committed
• Establish and live by a collegial,
  non-hierarchical team approach to quality care

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Strategy/Driver 3 Aggressive Clinical Style

• Assure program growth through advanced clinical
  practices in organ and patient acceptance and
  waitlist management and collaborate with
  referring physicians and OPOs on optimal care for
  donors and patients.

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Strategy/Driver 3 Aggressive Clinical Style

• Key Change Concepts
• Create high threshold for rejecting organ offers
  and potential recipients
• Maintain preparedness by building, managing and
  optimizing your waitlist
• Reach out and collaborate with referring
  community and professional staff
• Partner with OPOs to implement best practices
• Actively market program to increase referrals and
  organ offers

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Strategy/Driver 4 Patient and Family Centered
Care

• Establish institution-wide practices, systems and
  mechanisms to organize care around the needs of
  patients and families in an effort to provide the
  best possible care to every patient and family
  everyday.

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Strategy/Driver 4 Patient and Family Centered
Care

• Key Change Concepts
• Remove patient access barriers and streamline
  workflow to provide more efficient care
• Educate patients and their families early and
  often
• Dont forget the family Involve and support
  families throughout the entire transplant
  process

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Strategy/Driver 5 Financial Intelligence

• Achieve transplant program financial strength
  through a detailed understanding of program
  finances, sound financial management, and
  excellent payer relations.

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Strategy/Driver 5 Financial Intelligence

• Key Change Concepts
• Track and understand your program finances,
  reimbursement mechanisms, performance, and volume
  
• Negotiate payer contracts with awareness of
  program strategy, finances, and strengths
• Develop and maintain constructive, mutually
  beneficial payer relationships
• Provide transplant-specific counseling and
  coordination to patients and families

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Strategy/Driver 6 Aggressive Management of
Performance Outcomes

• Optimize transplant program performance through
  the implementation and use of protocols, research
  and innovation, and data-driven quality
  improvement/ performance.

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Strategy/Driver 6 Aggressive Management of
Performance Outcomes

• Key Change Concepts
• Implement protocol-driven, standardized care
• Be on the cutting edge be a research leader and
  innovator
• Implement data-driven continual quality
  improvement

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Referral to Listing (Median Days)
Median Days