Transplant Administration PDF
Preview Transplant Administration
T Transplant r a n Administration s p l a Lisa Norris, Ms, MBa, Principal, Transplant Leadership institute LLC, san antonio, TX, Usa n t This timely new book, written by a transplant administrator with over sixteen years A of experience, along with other expert contributors, covers the specifics of each Transplant aspect of transplant administration. information is provided that will enable new d administrators to quickly master essentials, help more seasoned administrators m evaluate and improve their programs, and generally provide a knowledge base, i focused on best-practices in light of regulatory requirements, for transplant surgeons, n aspirant administrators and hospital administrators. i s Administration • Comprehensively covers all aspects of transplant program administration, t r including management, finance, staffing, quality improvement, patient intake, a communication and collaboration with clinical staff, and more. t i o • Emphasizes practical application of best practices; uses bullet lists and other features to highlight essential information for each topic covered. n • accompanying “Toolkit”, available via the book’s companion website, provides forms, a procedural manual, program assessment materials and more which buyers can use “out of the box” or adapt for use in their own program. While the book and its supplemental materials have been created specifically with the Us transplant community in mind, they still have considerable value for transplant administrators and related professionals outside the Us. For instance, transplantation and health policy researchers, hospital management staff who are tasked with starting a transplant program from scratch and who need ready-made materials they can adapt to suit their own regulatory environment, and others. This book is accompanied by a companion website: N www.wiley.com/go/norris/transplantadmin o The website includes the online tools: Lisa Norris r • admin policies r • Clinical policies i s • Kidney policies • other organ policies • Web content forms Titles of Related Interest Liver Transplantation: Clinical Assessment and Management Neuberger, isBN 9781118277386 Primer on Transplantation, 3rd Edition Hricik, isBN 9781405142670 ISBN 978-1-118-34663-1 9 781118 346631 Norris_Transplant_9781118346631_hb.indd 1 24/01/2014 10:26 Transplant Administration Transplant Administration Lisa Norris, MS, MBA ManagingDirectorandPrincipal,TransplantLeadershipInstituteLLC SanAntonio,TX,USA Thiseditionfirstpublished2104(cid:2)C 2014byJohnWiley&Sons,Ltd Registeredoffice: JohnWiley&Sons,Ltd,TheAtrium,SouthernGate,Chichester, WestSussex,PO198SQ,UK Editorialoffices: 9600GarsingtonRoad,OxfordOX42DQ,UK TheAtrium,SouthernGate,Chichester,WestSussexPO198SQ,UK 111RiverStreet,Hoboken,NJ07030-5774,USA Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformationabouthowto applyforpermissiontoreusethecopyrightmaterialinthisbook,pleaseseeourwebsiteat www.wiley.com/wiley-blackwell Therightoftheauthortobeidentifiedastheauthorofthisworkhasbeenassertedinaccordance withtheUKCopyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,or transmitted,inanyformorbyanymeans,electronic,mechanical,photocopying,recordingor otherwise,exceptaspermittedbytheUKCopyright,DesignsandPatentsAct1988,withoutthe priorpermissionofthepublisher. Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks.All brandnamesandproductnamesusedinthisbookaretradenames,servicemarks,trademarksor registeredtrademarksoftheirrespectiveowners.Thepublisherisnotassociatedwithanyproductor vendormentionedinthisbook.Itissoldontheunderstandingthatthepublisherisnotengagedin renderingprofessionalservices.Ifprofessionaladviceorotherexpertassistanceisrequired,the servicesofacompetentprofessionalshouldbesought. Thecontentsofthisworkareintendedtofurthergeneralscientificresearch,understanding,and discussiononlyandarenotintendedandshouldnotberelieduponasrecommendingorpromoting aspecificmethod,diagnosis,ortreatmentbyhealthsciencepractitionersforanyparticularpatient. Thepublisherandtheauthormakenorepresentationsorwarrantieswithrespecttotheaccuracyor completenessofthecontentsofthisworkandspecificallydisclaimallwarranties,includingwithout limitationanyimpliedwarrantiesoffitnessforaparticularpurpose.Inviewofongoingresearch, equipmentmodifications,changesingovernmentalregulations,andtheconstantflowof informationrelatingtotheuseofmedicines,equipment,anddevices,thereaderisurgedtoreview andevaluatetheinformationprovidedinthepackageinsertorinstructionsforeachmedicine, equipment,ordevicefor,amongotherthings,anychangesintheinstructionsorindicationofusage andforaddedwarningsandprecautions.Readersshouldconsultwithaspecialistwhere appropriate.ThefactthatanorganizationorWebsiteisreferredtointhisworkasacitationand/ora potentialsourceoffurtherinformationdoesnotmeanthattheauthororthepublisherendorsesthe informationtheorganizationorWebsitemayprovideorrecommendationsitmaymake.Further, readersshouldbeawarethatInternetWebsiteslistedinthisworkmayhavechangedordisappeared betweenwhenthisworkwaswrittenandwhenitisread.Nowarrantymaybecreatedorextended byanypromotionalstatementsforthiswork.Neitherthepublishernortheauthorshallbeliablefor anydamagesarisingherefrom. LibraryofCongressCataloging-in-PublicationData Norris,Lisa,author. Transplantadministration/LisaNorris. p.;cm. Includesbibliographicalreferencesandindex. ISBN978-1-118-34663-1(cloth) I.Title. [DNLM:1.TissueandOrganProcurement–organization&administration–UnitedStates. WO660] RD120.7 617.9’54–dc23 2013042098 AcataloguerecordforthisbookisavailablefromtheBritishLibrary. Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprint maynotbeavailableinelectronicbooks. Coverimages:Fromlefttoright–iStockfile#345106(cid:2)C Hohenhaus,iStockfile#18034935 (cid:2)C uchar,iStockfile#21237619(cid:2)C Squaredpixels,iStockfile#5002422(cid:2)C Platinus.Background imageiStock#1224549(cid:2)C Nikada. CoverdesignbyMeadenCreative Setin9.5/13ptMeridienbyAptaraInc.,NewDelhi,India 1 2014 Contents ListofContributors,vii Preface,xi Acknowledgments,xv AbouttheCompanionWebsite,xvii 1 OrganAllocation:NOTA,theOPTN,andPolicyDevelopment,1 KennethAndreoniandCiaraSamana 2 OrganizationalStructures,17 LisaNorris 3 HumanResources,27 LisaNorris 4 ClinicalServices,39 LisaNorris 5 RegulatoryandComplianceIssues,51 MargueriteBrown 6 TransplantFinance,75 LisaNorris 7 ManagedCareContracting,97 MindyScharlin 8 QualityAssessmentandPerformanceImprovement,115 LisaNorris 9 TransplantInformationManagementandTransplant InformationSystems,129 LaurenE.Kearns 10 StrategyandMarketing,155 LisaNorris 11 ManagingandLeadingtheTransplantEnterprise,171 LisaNorris v vi Contents Appendix1 HumanResources:ListsofTransplantStaffDuties,181 Appendix2 HumanResources:Medical/SurgicalDirectorJob Description,191 Appendix3 HumanResources:In-PatientTransplantCoordinator Orientation,195 Appendix4 HumanResources:Post-TransplantCoordinator Orientation,199 Appendix5 HumanResources:Pre-TransplantCoordinator Orientation,201 Appendix6 HumanResources:TransplantSocialWork Orientation,203 Appendix7 RegulatoryandComplianceIssues:Surveyor Worksheet—OrganTransplantProgramQuality AssessmentandPerformanceImprovement,207 Appendix8 TransplantFinance:KidneyOrganProcurement Ratesfor2013,217 Appendix9 ManagedCareContracting:UNOSRFIExample,219 Appendix10ManagedCareContracting:SampleLettertoClaims Department,223 Appendix11ManagedCareContracting:SampleManagedCare Contract,225 Appendix12InsuranceApprovalForm,229 Index,231 List of Contributors KennethAndreoni,MD,isapediatricandadultmulti-organabdominal transplantsurgeonatUniversityofFloridaandShandsHospital.Heisthe currentsurgicaldirectorofkidneyandpancreastransplantation,andpar- ticipatesinlivertransplantation.Hisfacultyacademicappointmentswere previouslyatTheOhioStateUniversityandtheUniversitiesofNorthCar- olina and Arizona. He completed a transplant surgical fellowship at The Ohio State University, general surgery training and transplant research fellowshipatJohnsHopkinsUniversityHospital,andmedicalschooltrain- ingatYaleSchoolofMedicine.KenhasbeeninvolvedinUNOSNational Committees for over 10 years and is currently the President of UNOS. Ken was the founding chair of the UNOS Kidney Paired Donation, prior chair of the Kidney Committee and involved in the development of a deceasedkidneygraftDonorRiskIndex.Hehasbasicsciencepublications incytomegalovirusdrugtherapies,ischemia-reperfusioninjury,andmany clinical transplant publications. Ken is currently involved in developing a local pediatric transition healthcare program with focus on transition of pediatrickidneytransplantrecipientstoadulthealthcare. Marguerite Brown, BSN, MSN, has over 30 years experience in the field of transplantation and has served in a variety of roles including the direct care of patients, procurement of donor organs, and administrative responsibilities as a director for transplant services in multi-organ pro- gramslocatedinacademichospitalsettings.Shespentthemajorityofher careeratStanfordUniversityMedicalCenterculminatinginherpositionas the Administrative Director for Transplant Services. Marguerite currently provides interim transplant management services and has been a quality consultant for centers engaged in systems improvement agreements with CMS.SheearnedherBachelor’sdegreeinnursingfromColumbiaUniver- sity and her Master’s degree as a Cardiovascular Clinical Nurse Specialist at UCSF. She has published articles and book chapters on organ donor managementandprocurementoftheheartandlungs. Lauren E. Kearns, MSN, RN-BC, has over 35 years of experience in nursing, which includes 20 years experience in healthcare management vii viii ListofContributors and the field of transplantation. She is currently the Director of Trans- plantServicesfortheUniversityofNorthCarolinaHealthCareSystem,in Chapel Hill, North Carolina. Lauren serves on the Board of Directors for CarolinaDonorServices,andNCDonateLife.LaurenreceivedherBache- lor’sDegreeinNursingfromtheUniversityofIllinoisandearnedherMas- ter’sDegreeinNursingfromtheUniversityofNorthCarolina,ChapelHill, specializing in Health Care Systems/Informatics. Lauren earned a Post- Master’s Certificate in Nursing Education and is currently enrolled in the DoctoralProgramforInformationScienceatUNC-CHSchoolofInforma- tion and Library Science. She has maintained current certification with theAmericanNursesCredentialingCenter(ANCC)inNursingInformatics since2004.LaurenisanAdjunctProfessor–CourseCoordinatorforHealth- careInformaticsattheUniversityofNorthCarolina–ChapelHill(UNC-CH) SchoolofNursing. Lisa Norris, MS, MBA, has over 20 years of experience in healthcare managementandhasover16yearsofexperienceinthefieldoftransplan- tation.SheiscurrentlytheManagingDirectorandPrincipalofTransplant LeadershipInstituteLLC,theleadingrecruitmentandsearchfirmserving the fields of transplantation and organ procurement. She has served as a transplant administrator at a number of prestigious institutions: CHRIS- TUS Transplant Institute in San Antonio, Texas; UNC Center for Trans- plant Care at the University of North Carolina Health Care System in Chapel Hill, North Carolina; University of Maryland Medical System in Baltimore, Maryland; and the University of Colorado Hospital in Denver, Colorado. She has been a Region 8 administrator on the UNOS Trans- plant Administrator’s Committee and has held various board positions withothertransplant-relatedorganizations.LisaisagraduateoftheUni- versity of Colorado, Boulder, and earned a MS degree from Northeastern UniversityandaMBAfromtheLeedsSchoolofBusinessattheUniversity ofColorado. Ciara J. Samana, MSPH, served as a policy analyst and the Liaison to theKidneyTransplantationCommitteefortheUnitedNetworkforOrgan Sharing. Previous work includes development of a new, national kid- ney allocation system for the Organ Procurement and Transplantation Network (OPTN). Prior to joining UNOS, Ms. Samana was an associate at the Lewin Group where she focused on evidence-based analyses for clinical topics of national importance for the Agency for Healthcare Research and Quality and analysis of the clinical, economic and market valueofinvitrodiagnosticsforalargemedicaldevicesindustryassociation. Ms. Samana’s experience includes systematic evidence analysis, research on national access to pediatric subspecialists, and the contribution of
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