1. Integrating the Jungle into a Book: The Incorporation of a Financial Coordinator into a Transplant Program”  
Lori Anderson, RN, MS
Manager, MCS Programs
Transplant SerVices
Tampa GEneral Hospital

2. It’s a Jungle out there

3. TEAM Approach to the Care of the Transplant/MCS Patient
Discuss the evolution of the Transplant Team
Integration of the Transplant Financial Coordinator Role
Apply principles of you education, training, and experience to several case studies

4. History of Transplant in the USA
1954 – First Kidney Transplant; Followed by Liver, Heart, and Lung in the 1960s
1980s – Viable option for End Organ Disease with the inotrduction of Cyclosporin for prevention of Rejection
1984 – Development of OPTN/UNOS

5. History of Transplant In the USA
1999 – UNOS launches UNetsm, a secure, Internet-based transplant information database system for all organ matching and management of transplant data
For the first time, the total of living organ donors for the year (6,528) exceeds the number of deceased organ donors (6,081).
2015 – 30,969 Organ Transplants were performed

6. Team Teamwork is the ability to work together toward a common vision
Team Teamwork is the ability to work together toward a common vision. The ability to direct individual accomplishments toward organizational objectives. It is the fuel that allows common people to attain uncommon goals

7. TEAM
Team dynamics are the unconscious, psychological forces that influence the direction of a team’s behavior and performance
Team dynamics are created by the nature of the team’s work, the personalities within the team, their working relationships with other people, and the environment in which the team works
Team dynamics can be good - for example, when they improve overall team performance and/or get the best out of individual team members.  They can also be bad - for example, when they cause unproductive conflict, demotivation, and prevent the team from achieving its goals

8. Transplant Team Initially small medical/ clinical groups
Recognized need additional perspectives ie Social Work, Dietician
As the Programs evolved with increased experience with this complex patient population, call for additional Specialists

9. Transplant Team
Policies have given way with input from Public, Professional organizations, and regulatory bodies
Examples include:
UNOS
Payors
NATCO JC

10. Transplant Team Important for the team to clarify roles
Assure there is a common vision/goal
Imperative for all team members to have a voice at the table

11. Patient Centered Care Patient & Family Nutrition
Outpatient Clinical Staff
Financial Counselor
Social Work
Pharmacy
Psychologist/ Psychiatrist
Nutrition
Research Nurse
Inpatient Clinical/CVOR Perfusion
Patient
&
Family
Palliative Care
VAD Coordinator
Radiology/ GI Services
Biomed Staff
LTAC/ Rehab Medicine
Transplant Coordinator
Administration/ Quality Staff/ Consultants
Surgeon
Community First Responders
Primary Care Physicians/ Community Cardiologists
Cardiologist

12. Transplant Financial Coordinator
1992 Recommendation for Financial Specialist to UNOS Bord of Directors
Proposal to increase funding for the Patient as well as the Institution
Support from other Organizations/Specialist
On the Job training for many

13. Transplant Financial Coordinator
2001 – Professional Organization founded
Specialty group to educate within your profession as well as the community
Serve as a Patient Advocate – Important for team to understand and appreciate the Patient’s financial health as well.

14. Tampa General Hospital
Private, not for profit, comprehensive medical center with 1, 011 beds serving the residents of West Central Florida
Kidney Program est 1974 with > 5,000 transplants done
Heart Program est 1985 with > 1,400 transplants done
Liver Program est 1987 with > 1,500 transplants done
Lung Program est 2002 with > 300 transplants done

15. It takes a Village…
The TGH Village

16. Case study #1

17. Case study # 2

18. TAKE HOME POINTS for your TOOLKIT
Connect - Get and stay involved
Collaborate – internal and external
Communicate – with all

19. Thank You

20. Questions??