NATCO Donation & Transplantation Academy: a Multi-Disciplinary Approach

NATCO Donation & Transplantation Academy: A Multi-Disciplinary Approach

November 2-5, 2012 – Tempe Mission Palms Hotel – Tempe, AZ

FRIDAY, NOVEMBER 2, 2012

2:00 p.m. – 2:15 p.m. / Welcome & Opening Remarks
2:15 p.m. – 3:00 p.m. / Impact of the Push & Pull on the Donation & Transplantation Community
· Resource management
· Automatic review of small centers
· OPO metrics / Carrie Comellas, RN, CPTC, CCTC
Lori Markham, RN, MSN, CCRN,
CPTC
3:00 p.m. – 3:15 p.m. / Break
3:15 p.m. – 4:15 p.m. / Infectious Disease Transmission
· Rule-in on typical rule-outs
· Eligible and eminent
· Risk stratification
· What screening should we be doing? / Rachel Miller, MD
P.J. Geraghty, EMT-P, BS, CPTC
4:15 p.m. – 5:00 p.m. / Overview of Living Donation & Alternatives for Incompatible Pairs
· Key advancements in the field of living donation and the essential innovative programs that are expanding options for both compatible and incompatible pairs / Shamkant Mulgaonkar, MD

5:00 – 6:30 p.m. Networking Reception

SATURDAY, NOVEMBER 3, 2012

CONCURRENT TRACKS

KIDNEY PAIRED DONATION

8:00 a.m. – 8:45 a.m. / Evolution of Paired Donation
· Review of initial concepts and various models of paired exchange utilized in the U.S. / David Serur, MD
8:45 a.m. – 9:45 a.m. / The Science of KPD
· Review for the novice and experienced on transplant histology, HLA and ABO incompatibility and its utilization to match both compatible and incompatible pairs / Shamkant Mulgaonkar, MD
9:45 a.m. – 10:15 a.m. / KPD Decision Pathways
· Necessary strategies to determine successful pathways to compatible and incompatible exchange / Suzanne McGuire, RN, BSN, CCTC
10:15 a.m. – 10:30 a.m. / Break
10:30 a.m. – 11:45 a.m. / Meet the Registries
Three leading U.S. exchange registries explain their history, methodology and performance
· Alliance for Paired Donation
· National Kidney Registry
· UNOS Kidney Paired Donation / Joe Sinacore
Ruthanne Hanto
Laurie Reece
11:45 a.m. – 12:30 p.m. / Utilizing Innovative Registry Software
· How immunogenetics and computer software technology is utilized to match the most highly sensitized recipients
· UNOS KPD and NKR software review / Suzanne McGuire, RN, BSN, CCTC
Joe Sinacore
12:30 p.m. – 1:30 p.m. / Networking Luncheon
1:30 p.m. – 2:45 p.m. / Psychosocial Issues in Paired Exchange & The Role of the Independent Living Donor Advocate
· Assessment of the altruistic non-directed donor starting the chain
· Special considerations for the bridge donor
· Overview of ILDA role and managing dual roles: social work/ILDA
· Special considerations for ILDA in paired exchange
· Advocacy and teamwork: when the two collide / Rebecca Hayes, LCSW
2:45 p.m. – 3:00 p.m. / Break
3:00 p.m. – 4:15 p.m. / Complex Case Studies in Paired Exchange
· Apply essential concepts learned from the day’s sessions to challenging case studies / David Serur, MD
Shamkant Mulgaonkar, MD
Rebecca Hayes, LCSW
Suzanne McGuire, RN, BSN, CCTC
Marie Morgievich, RN, APN.C, CNN, CCTC

TRANSPLANT PHARMACOLOGY & TRANSPLANT NUTRITION

8:00 a.m. – 8:30 a.m. / Overview of Transplant
· Describe transplant for the non-coordinator
· Why pharmacy and nutrition are so important to the patient / Carrie Comellas, RN, CPTC, CCTC
8:30 a.m. – 9:30 a.m. / Transplant Regulatory Issues
· Nutritionist/dietitian and pharmacist roles and CMS guidelines / Michele Walton, RN, BSN
9:30 a.m. – 10:15 a.m. / Education of Patients & Caregivers Regarding Overall Compliance & Medication Adherence
· Medication compliance and adherence after transplant
· Challenges and barriers / Jeanne Chen, PharmD
10:15 a.m. – 10:30 a.m. / Break
10:30 a.m. – 11:30 a.m. / Osteoporosis in Transplantation: A Pharmacist’s Perspective
· Prevalence
· Cause
· Medical Management / Mike Latran, PharmD
11:30 a.m. – 12:30 p.m. / Networking Luncheon
12:45 p.m. – 1:45 p.m. / Osteoporosis in Transplantation: A Dietitian’s Perspective
· Prevalence
· Cause
· Nutritional Management / Linda Ulerich, RD
1:45 p.m. – 2:45 p.m. / Food & Nutrient Interactions with Transplant Medications
· Drug mechanisms
· Effects of transplant medications on nutrient absorption, metabolism or action
· Effects of nutrients or food on transplant medication absorption, metabolism or action / Mary Ellen Beindorf, RD, LD
2:45 p.m. – 3:00 p.m. / Break
3:00 p.m. – 4:00 p.m. / Use of Herbal Supplements after Transplantation: A Pharmacist’s Perspective
· Regulatory Guidelines
· Interactions with Transplant Medications
· Potential Benefits
· Harm of Alternative Products / Rebecca Corey, PharmD, BCPS

ORGAN PRESERVATION

8:00 a.m. – 12:00 p.m. / Perfusionist Certification Exam Preparation
· Organ recovery
· Aseptic technique
· Organ preservation
· Preservation solutions
· Specimen collection
· Packaging and labeling
· Shipping / Amber McAfee, MBA, CTP, CTBS
1:00 p.m. – 2:30 p.m. / What Happens When a Family Says Yes to Research?
· Recovery process
· New research studies
· Benefits / Yuriy Yushkov, MD, PhD, MBA
Mike Vara, BA
Jeremy Brown
Kyle Kinsey, BA
2:30 p.m. – 2:45 p.m. / Break
2:45 p.m. – 3:15 p.m. / Innovations in Perfusion
· Solutions
· Research / Aaron Gilchrist
3:15 p.m. – 4:45 p.m. / Preservation Pump Overview
· History
· Purpose
· New pump technology / Charles Patrick III, MHA, CPTC
Brian Otts, BS
4:45 p.m. – 5:00 p.m. / Wrap-Up

DONOR MANAGEMENT

8:00 a.m. – 4:00 p.m. / Donor Management Patient Simulation
Case scenarios and hands-on practice to include:
· Physical assessment
· Hemodynamic monitoring and resuscitation
· Ventilator and pulmonary management strategies
· Arterial line insertion
· Needle thoracotomy
· Bronchoscopy simulation
· Expanded focus on the management of pediatric patients / Thomas Nakagawa, MD
Lori Markham, RN, MSN, CCRN, CPTC
John Belcher, BS, CPTC, CTBS

SUNDAY, NOVEMBER 4, 2012

CONCURRENT TRACKS

KIDNEY PAIRED DONATION

8:00 a.m. – 9:00 a.m. / Complex Donor Evaluation Issues
· Clinically challenging donor evaluation findings and how they impact the exchange donor / David Serur, MD
9:00 a.m. – 10:00 a.m. / Logistical Exchange Challenges & Solutions
· Necessary logistical steps to conducting a successful kidney exchange
· Special concerns of non-directed and bridge donation / Marian Charlton, RN, SRN, CCTC
10:00 a.m. – 10:15 a.m. / Break
10:15 a.m. – 11:15 a.m. / Operationalizing KPD from the Administrative Perspective
· Resources needed to participate in paired donation
· Overview of provider and facility billing instructions for KPD
· Regulatory requirements, QAPI compliance and paired donation / Andrea Tietjen, MBA, CPA
11:15 a.m. – 11:45 a.m. / Donor Follow Up: Regulatory Challenges & Solutions
· Current requirements for donor follow-up
· Best practices for data collection
· Proposed future requirements / Gigi Spicer, RN, BSN
11:45 a.m. – 12:00 p.m. / Providing Donor Insurance
· Two perspectives about post-donation insurance coverage / Gigi Spicer, RN, BSN
Andrea Tietjen, MBA, CPA
12:00 p.m. – 1:00 p.m. / Networking Luncheon
1:00 p.m. – 2:15 p.m. / Complex Case Studies in Kidney Exchange
· Apply essential concepts learned from the day’s sessions to challenging case studies / Shamkant Mulgaonkar, MD
Marian Charlton, RN, SRN, CCTC
Rebecca Hayes, LCSW
Andrea Tietjen, MBA, CPA
Marie Morgievich, RN, APN.C, CNN, CCTC
2:15 p.m. 2:45 p.m. / Resources for Donor Travel Expenses: National Living Donor Assistance Center
· Review of the legislation which allows NLDAC to operate
· Explanation of the preference categories and application process / Holly Warren, RN, BA
2:45 p.m. – 3:00 p.m. / Break
3:00 p.m. – 4:00 p.m. / Toolkit for the Development of a KPD Program: Policy & Procedure, Patient Education, Tracking Worksheets
· Processes and components essential to developing a KPD policy and patient education materials
· Organizing and tracking donor caseload of both compatible and incompatible pairs
· Living donor team roles and best practices
· Tracking worksheets to organize donor evaluation
· Regulatory requirements / Marie Morgievich, RN, APN.C, CNN, CCTC

TRANSPLANT NUTRITION

8:00 a.m. – 9:00 a.m. / Obesity & Transplantation
· Effect of obesity on short- and long-term liver transplant outcomes
· Weight loss strategies and role of bariatric surgery in transplantation / Sara DiCecco, MS, RD, LD
9:00 a.m. – 10:00 a.m. / Metabolic Syndrome
· Definition
· Risk of developing metabolic syndrome after transplant
· Risk factors for metabolic syndrome after transplant
· Role of nutrition in treatment of diabetes, hyperlipidemia and hypertension / Carolyn Cochran, MS, RD, LD, CDE
10:00 a.m. – 10:15 a.m. / Break
10:15 a.m. – 11:15 a.m. / Nutrition Support Issues in Organ Transplantation
· Indications for nutrition support in the pre- and post-transplant population
· TPN vs. TF
· Role of peri-operative nutrition support
· Recommendations for enteral formulas
· Potential for help or harm in using nutraceuticals in transplant patients / Jeannette Hasse, PhD, RD, LD, FADA, CNSC
11:15 a.m. – 12:15 p.m. / Controlling GI Side Effects in the Post-Transplant Patient
· Side effects of transplant medications
· Strategies to ameliorate side effects / Neha Parekh, MS, RD, LD, CNSC
12:15 p.m. – 1:30 p.m. / Networking Luncheon
1:30 p.m. – 2:30 p.m. / I Think It Was the Potato Salad…Food-Borne Illness in the Transplant Patient
· Mechanisms that increase risk of food-borne illness
· Current food procurement conditions affecting prevalence
· Resources for prevention and education / Patricia Obayashi, MS, RD, CDE
2:30 p.m. – 2:45 p.m. / Break
2:45 p.m. – 4:00 p.m. / Nutrition Panel Discussion & Transplant Dietitian Networking / Facilitators:
Mary Ellen Beindorff, RD, LD
Jeanette Hasse, PhD, RD, LD, FADA, CNSC
Linda Ulerich, RD

TRANSPLANT PHARMACOLOGY

8:00 a.m. – 9:00 a.m. / Managing Post-Transplant Infections
· Challenges and controversies / Rachel Miller, MD
9:00 a.m. – 10:15 a.m. / Antibody Mediated Rejection
· Screening
· Detection
· Treatment
· Prognosis / Shamkant Mulgaonkar, MD
10:15 a.m. – 10:30 a.m. / Break
10:30 a.m. – 11:30 a.m. / Bone Mineral Disease in Renal Transplantation
· TBD / Jeanne Chen, PharmD
11:30 a.m. – 12:30 p.m. / GI Issues
· GERD, gastroparesis, PPIs / Speaker TBD
12:30 p.m. – 1:45 p.m. / Networking Luncheon
1:45 p.m. – 3:15 p.m. / Immunosuppression Protocols: Successes Failures
· Interactive Discussion / Mike Latran, PharmD
3:15 p.m. – 3:30 p.m. / Break
3:30 p.m. – 4:30 p.m. / Ribavirin / Mike Latran, PharmD

ORGAN PRESERVATION

8:00 a.m. – 8:15 a.m. / Overview of the Day
8:15 a.m. – 9:00 a.m. / Intestinal & Abdominal Wall Recovery & Transplantation / Cristiano Quintini, MD
9:00 a.m. – 10:00 a.m. / Utilizing DCD Pediatric Kidneys / Richard Perez, MD
10:00 a.m. – 10:15 a.m. / Break
10:15 a.m. – 12:00 p.m. / Wet Lab 1
· Anatomy
· Separation
· Biopsy / Facilitators
12:00 p.m. – 1:00 p.m. / Lunch
1:00 p.m. – 3:00 p.m. / Wet Lab 2
· Pump Setup
· Cannulation
· Perfusion / Facilitators
3:00 p.m. – 3:15 p.m. / Break
3:15 p.m. – 4:45 p.m. / Wet Lab 3: The Switch
· Experience working with both perfusion pumps / Facilitators
4:45 p.m. – 5:00 p.m. / Wrap-Up

DONOR MANAGEMENT

MONDAY, NOVEMBER 5, 2012

PLENARY SESSIONS

8:00 a.m. – 10:00 a.m. / When No Becomes Yes: Increasing the Donor Pool
· When to use the unacceptable & when to say “no”!
· Case scenarios
· Open discussion among attendees / Experts in Donation & Transplantation
10:00 a.m. – 10:15 a.m. / Break
10:15 a.m. – 11:15 a.m. / Hot Topics in Donation & Transplantation / Experts in Donation & Transplantation
11:15 a.m. – 12:15 p.m. / Heart & Lung: Heading to the Future of “Making Organs”
Objective: / Harold Ott, MD