Articles tagged "Public policy"

2019 American Transplant Congress
An International Comparison of Kidney Utilization in the United States and United Kingdom: What Can Be Learned?
D. Stewart¹, G. Vece¹, M. Ibrahim², C. Callaghan²
¹UNOS, Richmond, VA, ²NHS, London, United Kingdom
*Purpose: International discussions in 2017 about kidney “discard rates” between transplant (TX) professionals in the US and UK led to the realization that the two…
2019 American Transplant Congress
Evaluation Of Workplace Environment In Transplant Medicine: Harassment Should Not Be The “Reality Of Life”
M. Reilly¹, T. Branstool¹, S. Gregory¹, T. R. Pearson², T. S. Purnell³, G. Gunasekaran⁴, B. Kelly⁵, P. N. Martins⁶, C. M. Mobley⁷, S. M. Black⁸, E. C. Maynard⁹, D. C. Simpson¹⁰, M. B. Shah¹¹, O. Ekwenna¹, J. Locke¹², J. Ortiz¹
¹Surgical Transplant, University of Toledo College of Medicine and Life Sciences, Toledo, OH, ²Froedtert and the Medical College of Wisconsin, Milwaukee, WI, ³Johns Hopkins School of Medicine, Baltimore, MD, ⁴Mount Sinai Medical Center, New York, NY, ⁵DCI Donor Services, Nashville, TN, ⁶University of Massachusetts, Amherst, MA, ⁷Houston Methodist, Houston, TX, ⁸The Ohio State University, Columbus, OH, ⁹Oregon Health and Science University, Portland, OR, ¹⁰Northwestern University, Evanston, IL, ¹¹University of Kentucky, Lexington, KY, ¹²University of Alabama at Birmingham, Birmingham, AL
*Purpose: The recent increase in publications detailing discrimination and harassment in the medical setting has brought to light potential impairments of medical professional health and…
2019 American Transplant Congress
Determining the Role of Insurance Coverage at the Time of Renal Transplantation as a Predictor of Medication Misadventure
D. Wilkerson, P. Klem
Pharmacy, University of Colorado Skaggs School of Pharmacy, Aurora, CO
*Purpose: To determine if patients who receive financial assistance through the American Kidney Fund (AKF) for health care premiums at the time of transplant are…
2019 American Transplant Congress
OPO Aggressiveness Index: A Novel OPO Performance Metric That Incentivizes Pursuit of Marginal Deceased Donor Candidates
L. Liyanage, Y. Yu, K. Jackson, J. Garonzik-Wang, D. Segev, A. Massie
Johns Hopkins, Baltimore, MD
*Purpose: Of 2.5M deaths in the US every year, only 10,000 are recovered for transplantation; recovery of organs from older donors is rare although similar…
2019 American Transplant Congress
Sensitivity of 5-Tier System to Unadjusted Confounding
N. Salkowski, A. Wey, J. Snyder
SRTR, Minneapolis, MN
*Purpose: The Scientific Registry of Transplant Recipients (SRTR) fits risk-adjusted models for its semiannual program-specific reports (PSRs). Although SRTR adjusts for as many important risk…
2019 American Transplant Congress
Organ Procurement Organization Performance is Not Related to Educational Spending
J. P. Roberts¹, J. Bragg-Gresham², P. Held³
¹Univ of California-San Francisco, San Francisco, CA, ²Nephrology, University of Michigan, Ann Arbor, MI, ³Stanford University, Stanford, CA
*Purpose: We examined the educational spending by OPOs in relationship to OPO performance metrics.*Methods: Data sources: OPO Cost Reports (CMS 216-94 Form), SRTR OPO Specific…
2019 American Transplant Congress
Simulated Tier Variability
N. Salkowski, A. Wey, J. Snyder
SRTR, Minneapolis, MN
*Purpose: The Scientific Registry of Transplant Recipients semi-annually assigns transplant programs to one of five performance tiers for 1-year graft survival in its program-specific reports…
2019 American Transplant Congress
Mortality around the One-Year Survival Metric after Liver Transplantation in the United States
C. Blebea¹, P. Chatterjee², A. Nathan¹, J. Diamond¹, H. J. Goldberg², A. Courtwright¹
¹Hospital of the University of Pennsylvania, Philadelphia, PA, ²Brigham and Women’s Hospital, Boston, MA
*Purpose: Liver transplant programs in the United States are evaluated on one-year survival, among other factors. This may create an unintended incentive to continue life-sustaining…
2019 American Transplant Congress
Costs of Kidney Recoveries Varies Dramatically across Organ Procurement Organizations
J. P. Roberts¹, J. Bragg-Gresham², P. J. Held³
¹Univ of California-San Francisco, San Francisco, CA, ²University of Michigan, Ann Arbor, MI, ³Stanford, Stanford, CA
*Purpose: Report on the wide variation across OPOs in the cost of kidney recovery from deceased donors.*Methods: Cost reports (CMS 216-94 Form) from 52 Independent…
2019 American Transplant Congress
Association between Medicaid Expansion under the Affordable Care Act and Preemptive Kidney Transplantation of Low-Income Medicaid Beneficiaries
M. N. Harhay¹, R. McKenna²
¹Medicine, Drexel University College of Medicine, Philadelphia, PA, ²Health Management and Policy, Drexel University Dornsife School of Public Health, Philadelphia, PA
*Purpose: The lack of affordable health insurance options is a known barrier to preemptive kidney transplantation (KT) among low-income individuals with non-dialysis dependent chronic kidney…