Vendor to Center in 0-60: A Cost-Effective Blueprint for Creating an In-House On-Call System for Abdominal Organ Offers.
Transplant, Medical University of South Carolina, Charleston, SC
Meeting: 2017 American Transplant Congress
Abstract number: A269
Keywords: Allocation, Kidney/liver transplantation, Pancreas transplantation, Resource utilization
Session Information
Session Name: Poster Session A: Transplant Economics and Pharmacy Value Initiatives
Session Type: Poster Session
Date: Saturday, April 29, 2017
Session Time: 5:30pm-7:30pm
Presentation Time: 5:30pm-7:30pm
Location: Hall D1
Introduction: Our center decided to return to an in-house nurse coordinator on-call program 7/2016 after using a vendor from 11/2012 to 7/2016 for organ allocation. After-hours patient calls and weekend lab review from a transplant coordinator (Tx Coor) on-call pool were also moved to the new service. 7 FTEs were required to meet the needs of on-call responsibilities. RNs take call from home during a 24 hour shift (7AM -7AM) weekly and provide services for 12 hrs weekly in the transplant unit based infusion room where they would provide back-up services for the person taking home call and facilitate new tx work-ups and tx infusion services. Transition planning began in 4/2016 and our in-house on-call team assumed full responsibility of organ allocation, patient calls, and treatment room responsibilities 7/2016. The aim of this study was to evaluate the cost-effectiveness and staff satisfaction of transitioning organ allocation on-call services for an abdominal transplant program from a vendor to in-house on-call.
Methods: Organ offer volumes and organ transplants performed were assessed from 7/2016 thru 11/2016. A cost-benefit analysis was performed from the hospital's perspective. Also a pre and post-implementation survey of Tx Coor satisfaction was also performed.
Results: A total of 1171 organ offers were fielded by the in house on-call group yielding 115 transplants. Table 1 details the cost benefit analysis of the new on-call system. These data illustrate >$7000 savings based on our implementation strategy. Tx Coor overall job satisfaction improved from 58% being dissatisfied to 67% satisfied. Work life balance improved from 75% dissatisfied with work-life balance to 92% satisfied.
Conclusion: We were able to successfully implement an in-house on-call system over a 2 month period of time that was cost effective as well as improved job satisfaction for our existing Tx Coor staff.
CITATION INFORMATION: Davenport J, Cassidy D, Hauser A, Milling A, Driggers K, Crego H, Anderson J, Curry L, Baliga P, Pilch N, Dubay D. Vendor to Center in 0-60: A Cost-Effective Blueprint for Creating an In-House On-Call System for Abdominal Organ Offers. Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:
Davenport J, Cassidy D, Hauser A, Milling A, Driggers K, Crego H, Anderson J, Curry L, Baliga P, Pilch N, Dubay D. Vendor to Center in 0-60: A Cost-Effective Blueprint for Creating an In-House On-Call System for Abdominal Organ Offers. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/vendor-to-center-in-0-60-a-cost-effective-blueprint-for-creating-an-in-house-on-call-system-for-abdominal-organ-offers/. Accessed May 13, 2025.« Back to 2017 American Transplant Congress