Resource Center for New Clinicians
The Resource Center for New Clinicians, AKA “Things I should have learned during my fellowship if I wasn’t too busy seeing patients and writing papers…” is a primer on transplant programs for young clinicians, created by the American Society of Transplantation’s Trainee and Young Faculty Community of Practice. These videos have been designed for young clinicians by young clinicians, and presented by experts in the field.
After years of training and working in a supervised setting, many of the challenges young clinicians face during their early years in the workforce are related to the non-academic issues of the transplant world; specifically the fiduciary and administrative aspects of transplantation. These topics are not historically included in formal didactic sessions. This series of short videos is designed as a primer for early career transplant providers, addressing in a clear and concise manner the major regulatory and administrative issues commonly seen in transplant centers.
Program Creators: Alejandro Diez, MD, Ohio State University and Monica Grafals, MD, MPH, Georgetown University Hospital
Advisor: Christin Rogers, PharmD, Beth Israel Deaconess Medical Center
Reviewers: Trainee Young Faculty Community of Practice Executive Committee, AST Education Committee
Click on a section below to watch the video and download the accompanying resources. Email kburke@myAST.org with questions.
1. Basics of Transplant Center Organization: Roles, Leadership, and Collaborative Success (35 min)
Executive Director, Transplant Center
University of California, Davis
Luke Preczewski addresses the basics of transplant center organization with a focus on the human resources required for effective leadership and collaborative success. In his talk Mr. Preczewski identifies key personnel and relationships required of all transplant centers and addresses major roles and responsibilities of these personnel. An overview of structure of an effective practice with attention to concepts such as fractional FTE’s, measuring productivity, and building effective partnerships between the clinical and administrative personnel.
- Speaker handout
- Recommended reading: Collins J. “Good to Great”. Harper Collins: New York, 2001
2. Organ Allocation Overview (27 min)
John J. Friedewald, MD
Past Chair, OPTN/UNOS Kidney Committee
Josef Stehlik, MD, MPH
Associate Professor of Medicine, Medical Director, Heart Transplant Program
University of Utah School of Medicine
Director, ISHLT Transplant Registry
John Friedewald and Josef Sehlik review the major themes within the organ allocation policy in the United States. In their talk, Drs. Friedewald and Stehlik present an overview of the National Organ Transplant Act and Organ Procurement Transplant Network. Particular attention is devoted in examining the development of today’s allocation policies and algorithms as a way to maximize the benefits of transplantation as they relate to both abdominal and thoracic organs.
3. UNOS/CMS regulations (19 min)
Laura Murdock-Stillion, MHA, FACHE
The Ohio State University Wexner Medical Center
Laura Murdock-Stillion provides a broad overview of the regulatory framework within the field of transplantation in the United States. In her talk, Ms. Murdock-Stillion examines the roles that the Organ Procurement Transplantation Network (OPTN), United Network of Organ Sharing (UNOS), Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) play in regulating the practice of solid organ transplantation. Particular attention is devoted to introducing key UNOS bylaws and policies as well as the concept of CMS’s Conditions of Participation and Program Audits.
- Speaker handout
- Helpful link: Department of Health and Human Services Division of Transplantation
- Helpful link: Centers for Medicare and Medicaid Services
- Helpful link: The Joint Commission
4. Scientific Registry of Transplant Recipients (SRTR) (21 min)
Jennifer Milton, BSN, MBA
University Transplant Center
Jennifer Milton discusses the Scientific Registry of Transplant Recipients or “SRTR”. In her talk Ms. Milton presents a general overview of the SRTR and provides a general approach to understanding the concept of Program Specific Reports and how these reports are utilized by patients and regulators. Particular attention is devoted to examining how these reports have been utilized as a tool for comparative analysis of centers and a critical tool for quality assurance.
- Speaker handout
- Helpful link: SRTR
- Helpful link: UNOS
- Recommended reading: Program Specific Reports: Friend or Foe? The Intended and Unintended Consequences of Scientific Registry of Transplant Recipient Program Specific Reports
5. Outpatient Management (24 min)
Angie Korsun, RN, MSN, MPA
University of Iowa Hospitals and Clinics
Chief Administrative Officer
Angie Korsun discusses the critical elements of outpatient transplant patient management. In her talk, Ms. Korsun addresses the basic elements of pre-transplant care; including patient evaluation, selection and waitlist management and contrasts this approach with the basic elements of post-transplant care delivery.
- Speaker handout
- Recommended reading: (book chapter) Evaluation of potential renal transplantation. In: Handbook of Kidney Transplantation, 4th ed., Danovitch GM (Ed), Lippincott, Williams & Wilkins, Philadelphia 2005
- Recommended reading: Kasiske BL, Cangro CB, Hariharan S et al. The evaluation of renal transplantation candidates: Clinical practice guidelines. Am J Transplant 2001; 1(Suppl 2): 3–95.
6. Billing Basics (30 min)
Andrea Tietjen, MBA, CPA
Director of Transplant Finance and Data
In this installment, Andrea Tietjen introduces the basic fiduciary principles that are involved in the practice of transplantation. This talk addresses the concepts of Organ Acquisition Costs, Billing for Transplant Services and Medicare Cost Reporting. Special attention is given to the logistics of execution and reimbursement of specific procedures in the post-transplant period.
- Speaker handout
- Recommended reading: M. Abecassis. Financial Outcomes in Transplantation—A Provider's Perspective. American Journal of Transplantation Volume 6, Issue 6, pages 1257–1263, June 2006
Faculty disclosures are included in each video/handout.
Posted: March 2015
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