US Department of Health and Human Services

HRSA Transplant Center Growth and Management Collaborative: Best Practices Evaluation Report - September 2007

HRSA Transplant Center Growth and Management Collaborative:
Best Practices Evaluation
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Executive Summary

Introduction

Study Design and Methodology

Strategy/Driver 1: Institutional Vision and Commitment

Strategy/Driver 2: Dedicated Team

Strategy/Driver 3: Agressive Clinical Style

Strategy/Driver 4: Patient and Family Centered Care

Strategy/Driver 5: Financial Intelligence

Strategy/Driver 6: Aggressive Management of Performance Outcomes

Implementation Considerations

Conclusions

Appendix A - Change Package Document

Appendix B - List of Expert Panelists

Appendix C - Transplant Center and Program

Acknowledgements

Expert Panel Meeting
May 16-17, 2007

Sheraton Gateway Suites O'Hare Hotel, Chicago, Illinois

Participant List

Renee Bennett, BSN Clinical Manager, Liver Transplant Transplant Center Cleveland Clinic 9500 Euclid Avenue/A110 Cleveland, OH 44195 Phone: 216-444-8292 Fax: 216-444-0383 E-mail: bennetr@ccf.org	Alan B. Leichtman, MD Transplant Co-Investigator Arbor Research Collaborative for Health 315 W Huron Street, Suite 360 Ann Arbor, MI 48103 Phone: 734-665-4108 Fax: 734-665-2103 Email: alan.leichtman@arborresearch.org
Nancy P. Blumenthal, CRNP Senior Nurse Practitioner, Lung Transplant Program University of Pennsylvania Medical Center 3400 Spruce Street Ground Floor Rhoads Pavilion Philadelphia, PA 19104 Phone: 215-662-2366 Fax: 215-349-8235 E-mail: nancy.blumenthal@uphs.upenn.edu	Debbie Mast Senior Transplant Financial Coordinator Stanford Hospital and Clinic 750 Welch Road, Suite 104 Palo Alto, CA 94304 Phone: 650-725-5238 Fax: 650-736-1420 E-mail: DMast@stanfordmed.org
Diane Brockmeier, BSN, MA Executive Vice President/Chief Operating Officer Mid-America Transplant Services 1139 Olivette Executive Parkway St. Louis, MO 63132 Phone: 314-991-1661 Fax: 314-991-2805 E-mail: dbrockmeier@mts-stl.org	Ginny McBride, RN, MPH Collaborative Director Division of Transplantation Health Resources and Services Administration 5600 Fishers Lane, Room 12C-06 Rockville, MD 20857 Phone: 301-443-5464 Fax: 301-594-6095 E-mail: vmcbride@hrsa.gov
William Bry, MD Surgical Director of Kidney Transplantation California Pacific Medical Center Transplant Department, 4th Floor 2340 Clay Street San Francisco, CA 94115 Phone: 415-600-1068 E-mail: bryw@sutterhealth.org	Lin Johnson McGaw, RN, MEd Director Professional Services United Network for Organ Sharing (UNOS) 700 North 4th Street Richmond, VA 23218 Phone: 804-782-4842 Fax: 804-782-4893
Marie Budev, DO, MPH Assistant Medical Director Lung Transplant Program Cleveland Clinic 9500 Euclid Avenue Cleveland, OH 44195 Phone: 216-444-3194 Fax: 216-445-8160 E-mail: budevm@ccf.org	John McLean, MS, MBA Director of Managed Care Contracting University of Pennsylvania Health System 3001 Market Street 3rd Floor Philadelphia, PA 19104 Phone: 215-615-3228 Fax: 215-615-3200 E-mail: john.mclean@uphs.upenn.edu
James Burdick, MD Director Division of Transplantation Health Resources and Services Administration 5600 Fishers Lane, Room12C-06 Rockville, MD 20857 Phone: 301-443-7577 Fax: 301-594-6095 E-mail: jburdick@hrsa.gov	Jimmy R. Mitchell, RPh, MPH, MS Director HRSA Office of Pharmacy Affairs Room 10C-03, Parklawn Building 5600 Fishers Lane Rockville MD 20857 Phone: 301-594-4353 Fax: 301-594-4982 E-mail: jmitchell@hrsa.gov
Diane Corrigan, MBA Chief Financial Officer University of Pennsylvania Health System 1 Convention Avenue #102 Penn Tower Philadelphia, PA 19104 Phone: 215-662-2602 Fax: 215-349-5864 E-mail: diane.corrigan@uphs.upenn.edu	Marian O'Rourke, RN, CCTC Director, Tulane Abdominal Transplant Administration Tulane University Hospital & Clinic 1415 Tulane Avenue New Orleans, LA 70118 Phone: 504-988-5871 Fax: 504-988-6746 E-mail: marian.orourke@hcahealthcare.com
Theresa M. Daly, MS, RN, FNP Senior Coordinator, Adult & Pediatric Lung Transplant New York-Presbyterian Hospital Columbia University Medical Center 622 West 168th Street, PH 104 New York, NY 10032 Phone: 212-342-1972 Fax: 212-342-2792 E-mail: Thd9003@nyp.org	Amy Peele Director of Clinical Operations University of California San Francisco 350 Parnassus Avenue, Suite 805 Box 0116 San Francisco, CA 94143 Phone: 415-734-8525 Fax: 415-353-2558 E-mail: Peelea@surgery.ucsf.edu
Anthony Dawson, RN, MSN Master Black Belt, Clinical Quality and Patient Safety New York-Presbyterian Hospital 622 West 168th Street HP-105 New York, NY 10032 Phone: 212-305-9464 Fax: 212-305-5905 E-mail: tdawson@nyp.org	Jade K. Perdue, MPA Public Health Analyst Division of Transplantation Health Resources and Services Administration 5600 Fishers Lane, Room 12C-17 Rockville, MD 20857 Phone: 301-443-3124 Fax: 301-443-6095 E-mail: jperdue@hrsa.gov
David D. Douglas, MD Chair, Division of Transplantation Medicine Medical Director, Liver Transplantation Mayo Clinic – Arizona 5777 East Mayo Boulevard MCSB Sp 1-250 Transplant Center Phoenix, AZ 85054 Phone: 480-342-1095 Fax: 480-342-2324 E-mail: douglas.david@mayo.edu	Kimberly Rallis, BS, MHA Transplant Administrator The Children's Hospital of Philadelphia 34th and Civic Center Boulevard Philadelphia, PA 19104 Phone: 215-590-4118 Fax: 267-426-2820 E-mail: rallis@email.chop.edu
Shannon Dowell, RN, MSN, CCTN Clinical Nurse Specialist/Quality Clarian Health I-65 at 21st Street P.O. Box 1367 Indianapolis, IN 46206 Phone: 317-962-2950 E-mail: sdowell1@clarian.org	Lloyd E. Ratner, MD Professor of Surgery/Director of Renal and Pancreatic Transplantation New York-Presbyterian Hospital Columbia University, Department of Surgery 622 West 168th Street PH 14 Stem 408 New York, NY 10032 Phone: 212-342-3539 Fax: 212-342-4061 E-mail: lr2182@columbia.edu
Tracy Drufovka, MSW Director of Transplant Hahnemann University Hospital 216 North Broad Street MS 417 5th Floor Feinstein Building Philadelphia, PA 19102 Phone: 215-762-7105 Fax: 215-762-1621 E-mail: tracy.drufovka@tenethealth.com	Jorge Reyes, MD Professor of Surgery and Chief of Transplantation University of Washington Department of Surgery Box 356410 Seattle, WA 98195 Phone: 206-543-3421 Fax: 206-543-8136 E-mail: reyesjd@u.washington.edu
Deborah Duffy, MPA Senior Contract Manager Cleveland Clinic 6000 West Creek Rd., Suite 10 Independence, OH 44131 Phone: 216-986-1212 Fax: 216-643-7377 E-mail: duffyd@ccf.org	Charles B. Rosen, MD Surgical Director, Liver Transplantation Mayo Clinic – Rochester 200 First Street, SW, Charlton 10 Rochester, MN 55905 Phone: 507-266-6640 Fax: 507-266-2810 E-mail: rosen.charles@mayo.edu
Donna Ennis, RN, BS, CCTC Manager Transplant Services Clarian Health I-65 at 21st Street Transplant Center 8B Indianapolis, IN 46206 Phone: 317-962-0724 Fax: 317-962-5768 E-mail: dlennis@clarian.org	Mindy Scharlin, MPH Assistant Director, Transplant and Specialty Services Contracting Stanford Hospital and Clinics 300 Pasteur Drive, MC5519 Stanford, Ca 94305-5519Phone: 617-243-0162 Fax: 617-243-0158 E-mail: MScharlin@stanfordmed.org
Debbie Faulk Administrative Assistant The Lewin Group 3130 Fairview Park Drive, Suite 800 Falls Church, VA 22042 Phone: 703-269-5587 E-mail: debbie.faulk@lewin.	Kathy Schwab, RN, BSN, CCTC Transplant Center Clinical Manager Mayo Clinic – Rochester 200 First Street, SW Rochester, MN 55905 Phone: 507-266-0731 Fax: 507-266-0731 E-mail: schwab.kathy@mayo.edu
Michael Goldstein, MD Assistant Professor of Surgery Weill-Cornell Medical College 525 E 68th Street, Box 98 New York, NY 10021 Phone: 212-746-5330 Fax: 212-746-8720 E-mail: goldstm@med.cornell.edu	Thomas Schwab, MD Practice Chair, Mayo-Rochester Transplant Center Mayo Clinic – Rochester 200 First Street, SW Rochester, MN 55905 Phone: 507-266-1044 Fax: 507-266-7891 E-mail: schwab.thomas@mayo.edu
Clifford Goodman, PhD Senior Vice President The Lewin Group 3130 Fairview Park Drive, Suite 800 Falls Church, VA 22042 Phone: 703-269-5626 Fax: 703-269-5501 E-mail: clifford.goodman@lewin.com	Adam Schwartz Research Analyst The Lewin Group 3130 Fairview Park Drive, Suite 800 Falls Church, VA 22042 Phone: 703-269-5734 Fax: 703-269-5501 E-mail: adam.schwartz@lewin.com
Kathleen Goryl, MBA Associate Director, Payer Relations The Joint Commission Phone: 630-792-5932 Email: kgoryl@jointcommission.org	Sarah Stout, MPAff Senior Manager The Lewin Group 3130 Fairview Park Drive, Suite 800 Falls Church, VA 22042 Phone: 703-269-5703 Fax: 703-269-5501 E-mail: sarah.stout@lewin.com
Mojgan Haririfar, MS Adult Kidney Transplant Coordinator Stanford Medical Center 750 Welch Road, Suite 200 Palo Alto, CA 94304 Phone: 650-723-2373 Fax: 650-723-3997 E-mail: MHaririfar@stanfordmed.org	Amanda Thomas, MSPH Associate The Lewin Group 3130 Fairview Park Drive, Suite 800 Falls Church, VA 22042 Phone: 703-269-5569 Fax: 703-269-5501 E-mail: amanda.thomas@lewin.com
Charles W. Hoopes, MD Division of Cardiothoracic Surgery University of California San Francisco 500 Parnassus Avenue, MU405-B San Francisco, CA 94143-0118 Phone: 415-353-8890 Fax: 415-353-1312 E-mail: hoopesc@surgery.ucsf.edu	Art Thomson, MA Administrator, General Surgery & Transplant Center Cleveland Clinic 9500 Euclid Avenue/A80 Cleveland, OH 44195 Phone: 216-445-6537 Fax: 216-445-0462 E-mail: thomsoa@ccf.org
Christopher B. Hughes, MD Chair, Division of Transplant Surgery Mayo Clinic – Jacksonville Transplant Department 4205 Belfort Road, Suite 1100 Jacksonville, Florida 32216 Phone: 904-296-5877 Fax: 904-296-5719 E-mail: hughes.christopher@mayo.edu	Christine Tolleris, MPA Senior Associate The Lewin Group 3130 Fairview Park Drive, Suite 800 Falls Church, VA 22042 Phone: 703-269-5692 Fax: 703-269-5501 E-mail: christine.tolleris@lewin.com
Diane Jakobowski, MSN Administrator The Penn Transplant Institute Hospital of the University of Pennsylvania 3400 Spruce Street Philadelphia, PA 19104 Phone: 215-662-6798 Fax: 215-615-4900 E-mail: Diane.Jakobowski@uphs.upenn.edu	Betsy Tuttle-Newhall, MD Associate Professor of Surgery Division of Transplant Surgery/Critical Care Duke University DUMC Box 3512 Durham, NC 27707 Phone: 919-684-5923 Fax: 919-684-8716 E-mail: tuttl006@mc.duke.edu
Mysore S. Anil Kumar, MD, FRCS, FACS Chief, Division of Transplantation, Hahnemann University Hospital Professor of Surgery, Drexel University 216 North Broad Street MS 417 5th Floor Feinstein Building Philadelphia PA 19102 Phone: 215-762-1856 Fax: 215-762-1621 E-mail: akumar01@drexelmed.edu	Frank Zampiello, MD Quality Reality Checks, Inc. 604 S. Washington Square Suite 702 Philadelphia, PA 19106 Phone: 215-922-1111 Fax: Same (Call in Advance) E-mail: fzampiello@aol.com
Jennifer Kuo, MHS Senior Manager The Lewin Group 3130 Fairview Park Drive Suite 800 Falls Church, VA 22042 Phone: 703-269-5573 Fax: 703-269-5501 E-mail: jennifer.kuo@lewin.com