BMT Center Administrators Conference
All sessions will be held in Crestone Peak 2-4
in the Keystone Conference Center
THURSDAY – February 8
8:15 am
Welcome and Opening Remarks
Rocky Billups, RN, MS, SIG Steering Committee Chair
8:25 am
Transplant Benefit Design
Deborah Rodriguez, MPH, Cigna Lifesource Transplant Network
• The role of the Insurer/Case Manager.
• Various types of customers, funding and who takes financial risk.
• “Consumerism” – new approach to health care.
• The components of determining coverage for a transplant.
• Experimental, investigational and clinical trials language.
• Working with insurance companies to better understand their procedures.
9:15 am
Hurricane Katrina’s Effect on Tulane University Hospital and Clinic’s BMT Program
Stephen Baldwin, Tulane University
• The affect of the hurricane on hospital operations.
• The care of patients during storm.
• The evacuation of the hospital.
• The rescue of stem cells from the BMT lab.
• The interim reestablishment of the program at the suburban hospital campus.
• The reestablishment of the program at the original campus.
10:20 am
Allogeneic Hematopoietic Cell Transplantation In 2006: Achievements and Challenges
Karl G. Blume, MD, Stanford University School of Medicine
Progress made during the past 30 years in the field of allogeneic hematopoietic cell transplantation will be presented. Problems associated with this treatment modality will be discussed in detail and in the following order:
• Recipients
• Availability of a suitable donor
• Regimen-related toxicity
• Graft failure/rejection
• Opportunistic infections
• Graft-versus-host disease
• Relapse
• Second/secondary malignancies
• Quality of life issues
• Cost/charges
11:10 am
Development and Implementation of a Quality “Dashboard” for a Clinical Program in Hematopoietic Cell Transplantation
Paul O'Donnell, MD, PhD, Fred Hutchinson Cancer Research Center
The influential publication of the Institute of Medicine, “Crossing the Quality Chasm,” suggested five areas to monitor to define quality health care: (1) Patient safety, (2) Access to care, (3) patient Satisfaction, (4) Cost effectiveness and (5) clinical Outcomes. A PASCO quality scorecard or “dashboard” has been developed to provide clinical and administrative leadership with operational information that may lead to quality improvement. Steps in the development of the dashboard were:
• Identify and define PASCO metrics
• Determine data sources
• Pull data
• Create a user-friendly and cohesive display of transplant program data using statistical process control wherever possible
The technology employed quickly became very important. Steps in implementation included determining:
• Process of data analysis
• Audience
• Delivery method
• Reporting cycle.
The PASCO quality dashboard may serve as a model for other transplant programs.
12:15 pm
Lunch
12:50 pm
Benchmarking Panel Discussion
Teresa Franco, RN, MSN (moderator), The Nebraska Medical Center
Jennifer Christian, University Medical Center, Tucson
Leslie Parran, MS, RN, University of Minnesota Medical Cente
Robin Tauer, RN, MHA, University of Tennessee
Participants will discuss key challenges facing their transplant programs. There will be opportunities to gain insight into successful practices and establish communication to obtain additional information.
• Information management
• Program infrastructure
• Outreach/referral patterns
• Payer issues
• Research/clinical trials
• Benchmarking and quality metrics needs
1:50 pm
SIG Committee Reports
2:50 pm
Adjourn
FRIDAY – February 9
8:15 am
Welcome to Day Two
Rocky Billups, RN, MS
8:20 am
Express Workout: A Leadership Workshop
Shirley Johnson, RN, MS, MBA, Siteman Cancer Center, St Louis
Express Workout is a direct, rapid and non-stop approach designed to squeeze out non-value added steps in a process that leads to ineffectiveness. First used by General Electric to reduce meetings, reports and bureaucracies, Express Workouts have many applications in health care related situations. During the course of this Leadership Workshop, participants will experience firsthand an Express Workout focused on a topic applicable to all Bone Marrow Transplant Programs. Participants will gain an understanding of the tools and processes necessary to replicate the Express Workout experience in their own programs.
11:30 am
Lunch
12:00 noon
The C.W. Bill Young Cell Transplant Act, ASBMT, and Outcomes Reporting
Roy Jones, MD, PhD, M. D. Anderson Cancer Research Center
J. Douglas Rizzo, MD, MS, Center for International Blood and Marrow Research
Cassandra Smith-Fields, RN, MSN, MBA, Children's Memorial Hospital, Chicago
The ASBMT consensus to support outcomes reporting and analysis of all transplant patients, the Young mandate to report all allotransplant outcomes to the newly reorganized CIBMTR/NMDP data office, and the role of ASBMT to support these new initiatives.
12:50 pm
NMDP Resources for Transplant Centers: Search Services and Referral Outreach Support
Jeffrey Chell, MD, and Darlene Haven, National Marrow Donor Program
An update on progress at NMDP, resources you can use to supplement your referral outreach efforts, and the introduction of an exciting new search management service available to Network centers. Ms. Haven will present key findings of a large-scale market research study with referring physicians conducted by NMDP. The research identified barriers to referral for transplantation, how those barriers affect decision-making, and what referring physicians believe transplant centers could offer to help them.
1:40 pm
Closing Remarks
Rocky Billups, RN, MS
1:50 pm
Adjourn
ACCREDITATION: Application has been made for 9.7 contact hours to the ONS Approver Unit. ONS is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.