Download - TUESDAY, · tuesday, april 21, 2015 4:00pm-7:00pm early registration wednesday, april 22, 2015 7:00am-12:00pm–plenary sessions 7:00am-4:30pm registration desk open 7:00am-8:30am

TUESDAY, APRIL 21, 2015

4:00PM-7:00PM EARLY REGISTRATION

WEDNESDAY, APRIL 22, 2015

7:00AM-12:00PM–PLENARY SESSIONS

7:00AM-4:30PM REGISTRATION DESK OPEN

7:00AM-8:30AM OPENING OF EXHIBIT HALL AND CONTINENTAL BREAKFAST WITH EXHIBITORS

7:00AM-8:00AM

Kidney Paired Donation (KPD)

Session overview - TBD

Mark Aeder, M.D.

Associate Professor of Surgery, University Hospital of Cleveland, OH

Vice Chair, OPTN/UNOS Kidney Transplantation Committee

Ruthanne Leishman, RN, M.P.H.

KPD Program Director, United Network for Organ Sharing (UNOS), Richmond, VA

Moderator: James Pittman, RN, M.S.N.

8:00AM-8:20AM

Welcome to the 23rd Annual United Network for Organ Sharing (UNOS) Transplant Management Forum

Amy Peele, RN

Chair, UNOS Transplant Administrators Committee

8:20AM-9:25AM

OPTN/UNOS President’s Address

Carl Berg, M.D.

Medical Director of Abdominal Transplantation, Professor in Medicine, Duke University Health System, Durham, NC

Moderator: Amy Peele, RN

9:30AM-10:00AM, Break With Exhibitors

10:00AM – 11:00AM

Transplantation Global Perspective: Where Are We? Where Are We Going?


Nancy Ascher, M.D., Ph.D.

Professor and Chair, Department of Surgery, University of California San Francisco

Isis Distinguished Professor in Transplantation


11:00AM-12:00PM

Vascular Composite Allograft (VCA) Transplants: Results That Changes Lives

Hear a brief overview of where we are as an industry with VCA followed by national data as well as an overview of the

new UNOS VCA policies. You’ll be treated to a touching story of how a VCA transplant changed the lives of two very

special women. You do not want to miss this session!

Helen Nelson, RN, B.S.N., CCTC, CPTC

Vice President, Organ Donation Services, New England Organ Bank, Waltham, MA

Carmen Blandin Tarelton

Face Transplant Recipient, Thetford Center, VT

Marinda Snow Righter

Donor’s Daughter, Cambridge, MA

Moderator: Mike Seely, RN, M.S., CPTC

12:00PM–1:00PM, Lunch With Exhibitors

1:00PM–2:00PM, BREAKOUT SESSIONS I

Transplant 101

Crash Course for New Transplant Administrators

This interactive session is relevant to new transplant administrators. The following key success factors will be reviewed

and discussed.

Regulatory compliance and oversight – CMS, OPTN, TJC

Operational best practices including human resources requirement. Building relationships with surgical and

medical directors, and OPO and medical center executives

Basics of strategic planning

Quality oversight and improvement – building and maintaining program’s stability

Amy Peele, RN

Chair, UNOS Transplant Administrators Committee

Gene Ridolfi, B.A., RN, M.H.A.

Program Administrator of the Transplant Center & Mechanical Circulatory Support Program, Barnes-Jewish Hospital, St.

Louis, MO

Moderator: Melissa Roberts, M.S.N., RN, CPTC

Transplant 201

Aligning Incentives: Models for Surgeon/Physician/Hospital Enterprises that Create Shared

Goals/Histocompatibility With Physician Colleagues

Creating tighter alignment between transplant physicians and the hospital is required with the new cost and quality

demands in the post-reform environment. Learn strategies that create incentives for alignment such as employment,

affiliation arrangements, clinical co-management and the use of information technology.

Tracy Giacoma, RN, M.S.N., M.B.A., FACHE

Vice President, Transplant Services, Methodist Dallas Medical Center, TX

Moderator: Angela Marquez, M.P.H.

OPO/Transplant Center Relationship

Understanding the OPO Cost Report


Lloyd Jordan Jr., C.P.A.

CEO and Executive Director, Carolina Donor Services, Greenville, NC


2:05PM–3:05PM, BREAKOUT SESSIONS II

Transplant 101

Managed Care Contracting: Strategies and Tools for Successful Contracting

Learn about today’s managed care contracting issues and get concrete tools to make your transplant program efficient

and successful. We’ll focus on three areas of importance: finance, contract language and building relationships.

Mindy Scharlin, M.P.H.

Assistant Director, Transplant and Specialty Services Contracting, Stanford Health Services, CA

Moderator: Gene Ridolfi, B.A., RN, M.H.A.

Transplant 201

Trifecta Cost Report – Organ Procurement Organization, Histocompatibility Lab and Transplant Center Cost

Reports

Transplant hospital, organ procurement organization and histocompatibility laboratory costs and revenues are significantly

shaped by Medicare Cost Reporting. The cost reports for each entity are unique; however share similarities and

differences that can impact one another’s finances significantly. Learn the basic elements of each type of cost report and

how they relate to one another.

John Rogers, B.S.

Director of Reimbursement, University of California, San Diego Medical Center

Lloyd Jordan Jr., C.P.A.

CEO and Executive Director, Carolina Donor Services, Greenville, NC



Using Social Media to Affect Behavior – A Case Study of Increasing Organ Donation Through Facebook

Refractory public health problems that may have solutions rooted in communication or education are amenable to re-

approach using social networks and social media. See several recent examples including the application of a Facebook-

based strategy to increase organ donation registration rates.

Andrew Cameron, M.D., Ph.D.

Director of Liver Transplantation, The Johns Hopkins Hospital, Baltimore, MD

Moderator: Brigitte Sullivan, M.B.A.

3:10PM–3:40PM, Break With Exhibitors 3:25PM – Prize Drawings (You must be present to win.)

3:45PM–4:45PM, BREAKOUT SESSIONS III

Transplant 101

Continual Survey Readiness of a QAPI Program

Do you struggle with what a successful QAPI program is? Are your process improvements driven by putting out fires?

Attend this session and learn about the building blocks for a successful QAPI program, utilizing your performance

measures to improve your program, and a process for continual readiness for regulatory surveys.

Kristine Dahl, RN, B.S.N.

Senior Quality Coordinator, Houston Methodist J.C. Walter Jr. Transplant Center, TX


Transplant 201

Value of the Transplant Education Coordinator Position as Measured by Efficiency and Quality

Find out how to develop and implement a dedicated Education Specialist into a Transplant/MCS program. We will explore

the numerous impacts of this role, including financial benefits, increase in productivity and overall staff satisfaction.

Natalie Santiago-Blackwell, RN, M.S.N., CCTN

Education Specialist, Tampa General Hospital, FL



Transplant Center & OPO Relationships: Extending Understanding through Collaboration The OPTN is the perfect equation of interdependence; organ procurement plus the transplant network equals a recipient's transplant. These two complex systems involving many isolated and integrated resources uniquely come together creating a single life saving event. Get an overview of the elements essential to collaboration and a specific example expressed in one transplant and OPO experience.

Susan Zylicz, M.H.A., B.S.N., CCTC

Transplant Administrator, Houston Methodist Hospital, TX

Michael Seely, RN, M.S., CPTC

Executive Director, Pacific Northwest Transplant Bank, Oregon Health & Science University, Portland

Moderator: Gene Ridolfi, B.A., RN, M.H.A.

5:15PM–6:45PM, Reception With Exhibitors

THURSDAY, APRIL 23, 2015 – REPEAT BREAKOUT SESSIONS


7:30AM-8:30AM CONTINENTAL BREAKFAST WITH EXHIBITORS

8:30AM-9:30AM, BREAKOUT SESSION IV

QUALITY

Moral Distress

At the end of this session, you will be able to:

Identify the causes of moral distress in your practice area

List 4 physical or psychological signs/symptoms of moral distress

Describe the difference between moral courage, moral integrity and moral distress

Identify one thing you will do to support those who suffer from moral distress to become more resilient

Catherine Rea, RRT, MN

Director of Transplant Service Line, Children’s Medical Center, Seattle, WA

Moderator: Kathy Jo Freeman, RN, M.S.N.

REGULATORY COMPLIANCE

The Perfect Storm: A System Approach to Reducing Variation in Transplant Surgery Find out how to use a systems approach to reduce variation while improving safety and quality of care for transplant

patients.

Edwin Hall

Administrator of Surgical Services, University of Toledo, OH


OPERATIONAL

Ex Vivo Lung Perfusion and Donation Service Area (DSA) Collaboration


Richard Pietroski, M.S., CPTC

Chief Executive Officer, Gift of Life Michigan, Ann Arbor

Moderator: Brenda Barker, RN, B.S.N.

STRATEGY/ PLANNING & FINANCE

Expanding the Lung Donor Pool Using Innovative Technology, Dedicated Procurement Staff and Management

Collaboration

Find out how one center improved the availability of lungs to those awaiting transplant. They were able to decrease

waiting time and standardized their process by adding a dedicated thoracic call team who takes donor offers and helps

manage and optimize donors along with the OPO.

Gail Frankle, RN, D.H.A., CPTC

Senior Director of Transplant Services, University of Minnesota Health, Minneapolis

Moderator: Beth Plahn, RN, B.A., M.H.A.

9:35AM-10:35AM, BREAKOUT SESSIONS V

QUALITY

The School of Hard Knocks: Improving Process Improvement

We will walk through successful examples of process improvements that have occurred as a direct result of well

executed quality methodology. You’ll get practical advice on ensuring that variances in benchmarked data and

recommendations stemming from adverse events become opportunities for center wide growth.

Jennifer Milton, B.S.N., M.B.A.

Executive Director, University Transplant Center, San Antonio, TX


REGULATORY

COMPLIANCE

Mini-Oral Abstracts

Redesigning Transplant Organ Labeling

What are the key risk assessment principles for effective re-design of clinical activities? You will hear about the

re-design of transplant organ labeling as an example to illustrate the application of the key principles.

Jane Holl, M.D., M.P.H, Mary Thompson Harris, MD, Professor of Pediatrics and Public Health, Feinberg

School of Medicine, Northwestern University, Chicago, IL

Kidney Transplant Technology Innovation: Incorporating a Web Based Referral System

In an effort to improve competitiveness and effectiveness, the transplant center implemented the web based

referral system with two goals in mind: to create more time for the clinicians, and to bring a higher level of

reporting accuracy to the transplant process. Web based referral system is a secure portal that allows a health

care provider to enter a transplant referral electronically and to manage the results effectively.

Krista Keuchel-Norrid, RN, B.S.N., Transplant Coordinator, St. John Transplant Center, Tulsa, OK

Analysis of Transplant Survival Data and Improving Patient Survival Outcomes

Attend this session to learn:

o How to do survival outcomes analysis

o Different methodologies for conducting outcomes analysis: SRTR sub-group analysis (what-if scenarios)

o Comparative Effectiveness Analysis, Analysis of Voice of Customer and Voice of Process Data

o How to use QI to improve outcomes: one center’s experience using DMAIC to improve survival outcomes

Zeynep Tulu, M.S., MEMP, CSSBB, and

Tom Caffey, M.B.A., CSSBB, Senior Organizational Excellence/Quality Leaders, University of North Carolina

Hospitals, Chapel Hill

Moderator: Maria Neff, M.S.

OPERATIONAL

Traditionalists, Boomers, GenXers an Y’s…Oh My!

After this presentation you will understand the various generations and their characteristics or viewpoints. We will

explore techniques you can use to avoid generational challenges and work collectively and respectfully. Organizations

with a commitment to diversity ensure that every generation has a voice. True appreciate of generational diversity

allows each individual to contribute and be a part of an inclusive and growing department or organization.

Participants will be able to:

Explain how generational differences influence our views

Describe how generational differences impact the things we say and how we say them

Explain how generational differences can result in unintended miscommunication

Ensure that generational differences don’t lead to miscommunication

Describe how to apply a commonsense approach for addressing generational issues

Sherri Neal

Vice President, Cultural Development & Inclusion, Corporate Affairs, HCA, Nashville, TN



Innovative Strategies for Increasing Living Donation

One of the largest living donor transplant programs in the country shares their multi-dimensional strategies to increase

living donor transplant volume while maintaining quality, safety and operational efficiency.

Andrea Tietjen, M.B.A., C.P.A.

Director of Data and Finance, Barnabas Health Renal & Pancreas Transplant Division, Saint Barnabas Health Care

System, Livingston, NJ

Debbie Morgan, M.S.W., LCSW

Vice President, Barnabas Health Renal & Pancreas Transplant Division, Saint Barnabas Health Care System,

Livingston, NJ

Moderator: Eileen Polito, RN, B.S.N., CNN

10:40AM-11:10AM Break With Exhibitors / Abstract Poster Viewing

11:15AM-12:15PM, BREAKOUT SESSIONS VI

QUALITY

Transplant Quality: From Theory to Practice

Learn about quality theory and then hear how the University of California San Francisco transitioned from their old

practice into TransQIP.

Ryutaro Hirose, M.D.

Professor of Clinical Surgery; Associate Director, Surgical Residency Program, University of California, San Francisco



Controversies and Challenges from the Point of View of an Independent Living Donor Advocate (ILDA)

What are the best practices in implementation of the Independent Living Donor Advocate role? We will cover

ILDA as part of the donor team or outside consultant?

Integration of the ILDA role throughout donor care

Does ILDA have veto power?

Rebecca Hays, M.S.W., APSW

Living Donor Social Worker, Independent Living Donor Advocate, University of Wisconsin Hospital and Clinics,

Transplant Clinic, Madison


OPERATIONAL

International Transplant: A Study in Current Trends and Efforts

The worldwide demand for high quality and safe organ transplantation is growing. In some cultures, transplant carries

challenging barriers. We will discuss the international need for transplant and some examples of what a handful of

U.S. centers are doing in response to the demand.

Yuriko Fujita, M.P.H.

Manager of Business Development/Global Services, New York Presbyterian Hospital, New York, NY

Moderator: Katie Evers, RN, B.S.N., M.B.A.

STRATEGY/ PLANNING &

FINANCE

Knowing Your Business to Plan Your Business: Strategic Development in Transplant

Increasing market share can be extremely challenging for transplant centers and is not always a wise strategy. Learn

how to identify growth opportunities and barriers. You will also get advice on leveraging the Scientific Registry of

Transplant Recipients (SRTR), the UNOS Staffing Survey and Request for Information (RFI).

Jennifer Milton, B.S.N., CCTC, M.B.A.



12:15PM-1:15PM Abstract Luncheon & Award Ceremony

Regional Roundtable Luncheon

1:15PM-1:30PM Heckenkemper Leader In Transplant Administration Award

The Heckenkemper Leader in Transplant Administration Award is presented annually to an individual for distinguished leadership in transplant

program administration. This year’s award is made possible in part by Guidry & East.

1:35PM-2:35PM, BREAKOUT SESSIONS VII

QUALITY

Moral Distress

At the end of this session, you will be able to:

Identify the causes of moral distress in your practice area

List 4 physical or psychological signs/symptoms of moral distress

Describe the difference between moral courage, moral integrity and moral distress

Identify one thing you will do to support those who suffer from moral distress to become more resilient

Catherine Rea, RRT, MN

Director of Transplant Service Line, Children’s Medical Center, Seattle, WA



The Perfect Storm: A System Approach to Reducing Variation in Transplant Surgery Find out how to use a systems approach to reduce variation while improving safety and quality of care for transplant

patients.

Edwin Hall

Administrator of Surgical Services, University of Toledo, OH


OPERATIONAL

Ex Vivo Lung Perfusion and Donation Service Area (DSA) Collaboration


Richard Pietroski, M.S., CPTC

Chief Executive Officer, Gift of Life Michigan, Ann Arbor



Expanding the Lung Donor Pool Using Innovative Technology, Dedicated Procurement Staff and Management

Collaboration

Find out how one center improved the availability of lungs to those awaiting transplant. They were able to decrease

waiting time and standardized their process by adding a dedicated thoracic call team who takes donor offers and helps

manage and optimize donors along with the OPO.

Gail Frankle, RN, D.H.A., CPTC

Senior Director of Transplant Services, University of Minnesota Health, Minneapolis

Moderator: Beth Plahn, RN, B.A., M.H.A.

2:40PM–3:10PM, Break with Exhibitors 2:50PM – Exhibitor Bingo Card Drawing (You must be present to win.)

3:15PM - 4:15PM, BREAKOUT SESSIONS VIII

QUALITY

The School of Hard Knocks: Improving Process Improvement

We will walk through successful examples of process improvements that have occurred as a direct result of well

executed quality methodology. You’ll get practical advice on ensuring that variances in benchmarked data and

recommendations stemming from adverse events become opportunities for center wide growth.

Jennifer Milton, B.S.N., M.B.A.




Mini-Oral Abstracts

Redesigning Transplant Organ Labeling

What are the key risk assessment principles for effective re-design of clinical activities? You will hear about the

re-design of transplant organ labeling as an example to illustrate the application of the key principles.

Jane Holl, M.D., M.P.H, Mary Thompson Harris, MD, Professor of Pediatrics and Public Health, Feinberg

School of Medicine, Northwestern University, Chicago, IL

Kidney Transplant Technology Innovation: Incorporating a Web Based Referral System

In an effort to improve competitiveness and effectiveness, the transplant center implemented the web based

referral system with two goals in mind: to create more time for the clinicians, and to bring a higher level of

reporting accuracy to the transplant process. Web based referral system is a secure portal that allows a health

care provider to enter a transplant referral electronically and to manage the results effectively.

Krista Keuchel-Norrid, RN, B.S.N., Transplant Coordinator, St. John Transplant Center, Tulsa, OK

Analysis of Transplant Survival Data and Improving Patient Survival Outcomes

Attend this session to learn:

o How to do survival outcomes analysis

o Different methodologies for conducting outcomes analysis: SRTR sub-group analysis (what-if scenarios)

o Comparative Effectiveness Analysis, Analysis of Voice of Customer and Voice of Process Data

o How to use QI to improve outcomes: one center’s experience using DMAIC to improve survival outcomes

Zeynep Tulu, M.S., MEMP, CSSBB, and

Tom Caffey, M.B.A., CSSBB, Senior Organizational Excellence/Quality Leaders, University of North Carolina

Hospitals, Chapel Hill


OPERATIONAL

Traditionalists, Boomers, GenXers an Y’s…Oh My!

After this presentation you will understand the various generations and their characteristics or viewpoints. We will

explore techniques you can use to avoid generational challenges and work collectively and respectfully. Organizations

with a commitment to diversity ensure that every generation has a voice. True appreciate of generational diversity

allows each individual to contribute and be a part of an inclusive and growing department or organization.

Participants will be able to:

Explain how generational differences influence our views

Describe how generational differences impact the things we say and how we say them

Explain how generational differences can result in unintended miscommunication

Ensure that generational differences don’t lead to miscommunication

Describe how to apply a commonsense approach for addressing generational issues

Sherri Neal

Vice President, Cultural Development & Inclusion, Corporate Affairs, HCA, Nashville, TN



Innovative Strategies for Increasing Living Donation

One of the largest living donor transplant programs in the country shares their multi-dimensional strategies to increase

living donor transplant volume while maintaining quality, safety and operational efficiency.

Andrea Tietjen, M.B.A., C.P.A.

Director of Data and Finance, Barnabas Health Renal & Pancreas Transplant Division, Saint Barnabas Health Care

System, Livingston, NJ

Debbie Morgan, M.S.W., LCSW

Vice President, Barnabas Health Renal & Pancreas Transplant Division, Saint Barnabas Health Care System,

Livingston, NJ

Moderator: Eileen Polito, RN, B.S.N., CNN

4:20PM–5:20PM, BREAKOUT SESSIONS IX

QUALITY

Transplant Quality: From Theory to Practice

Learn about quality theory and then hear how the University of California San Francisco transitioned from their old

practice into TransQIP.

Ryutaro Hirose, M.D.

Professor of Clinical Surgery; Associate Director, Surgical Residency Program, University of California, San Francisco



Controversies and Challenges from the Point of View of an Independent Living Donor Advocate (ILDA)

What are the best practices in implementation of the Independent Living Donor Advocate role? We will cover

ILDA as part of the donor team or outside consultant?

Integration of the ILDA role throughout donor care

Does ILDA have veto power?

Rebecca Hays, M.S.W., APSW

Living Donor Social Worker, Independent Living Donor Advocate, University of Wisconsin Hospital and Clinics,

Transplant Clinic, Madison


OPERATIONAL

International Transplant: A Study in Current Trends and Efforts

The worldwide demand for high quality and safe organ transplantation is growing. In some cultures, transplant carries

challenging barriers. We will discuss the international need for transplant and some examples of what a handful of

U.S. centers are doing in response to the demand.

Yuriko Fujita, M.P.H.

Manager of Business Development/Global Services, New York Presbyterian Hospital, New York, NY

Moderator: Katie Evers, RN, B.S.N., M.B.A.

STRATEGY/ PLANNING &

FINANCE

Knowing Your Business to Plan Your Business: Strategic Development in Transplant

Increasing market share can be extremely challenging for transplant centers and is not always a wise strategy. Learn

how to identify growth opportunities and barriers. You will also get advice on leveraging the Scientific Registry of

Transplant Recipients (SRTR), the UNOS Staffing Survey and Request for Information (RFI).

Jennifer Milton, B.S.N., CCTC, M.B.A.



FRIDAY, APRIL 24, 2015 – PLENARY SESSIONS


7:00AM-8:00AM CONTINENTAL BREAKFAST

8:00AM-9:00AM

SRTR Program Specific Reports, Real-time Analysis and Performance Improvement Dashboard (RAPID),

Mitigating Factors, and SIAs We will review the methodology and performance metrics in the SRTR PSR as it pertains to OPTN MPSC and CMS oversight. Learn about analytical methods available within RAPID for examining future PSR performance and Northwestern Memorial Hospital’s recent peer review by MPSC and mitigating factors submission to CMS.

Bing Ho, M.D.

Assistant Professor of Medicine and Surgery, Northwestern Memorial Hospital, Chicago, IL

Moderator: Melinda Fox, M.H.A.

9:00AM-10:00AM

Mathematical Methods to Reduce Geographic Disparities in Organ Availability

Liver transplant candidates in different parts of the country experience very different rates of transplantation at similar

MELD scores. Redistricting uses mathematical optimization to combine the existing DSAs into new liver allocation

areas that are designed to reduce geographic disparity.

Dorry Segev, M.D., Ph.D.

Vice Chair for Research, Department of Surgery, John’s Hopkins Hospital, Baltimore, MD

Senior Staff, Scientific Registry for Transplant Recipients, Minneapolis, MN

Sommer Gentry, Ph.D.

Assistant Professor of Mathematics, United States Naval Academy, Annapolis, MD

Research Associate, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD

Senior Staff, Scientific Registry for Transplant Recipients, Minneapolis, MN

Moderator: Brigitte Sullivan, M.B.A.

10:00AM-10:15AM, Break

10:15AM-11:15AM

Population Health: Getting to a New Business Model

Attend this session and you will learn:

How the healthcare industry landscape is changing: adapting to a market-based model of transparency,

competition and retail

Implications of the changes for healthcare delivery systems and the need to redefine value

Key strategic challenges associated with the development of a successful population health management

program

Implications for organ transplant and donation processes

Kimberly White, M.B.A.

Senior Consultant, Numerof and Associates, Inc., St. Louis, MO


11:15AM-12:15PM

The Center for Medicare and Medicaid Services (CMS) Transplant Regulatory Update – The New, the Old and

the Upcoming

Attending this session will help you prepare for CMS regulatory surveys.

Speaker: TBD
