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. 2015 Jul;21(7):1308-14.
doi: 10.1016/j.bbmt.2015.03.020. Epub 2015 Mar 31.

National Survey of Hematopoietic Cell Transplantation Center Personnel, Infrastructure, and Models of Care Delivery

Navneet S Majhail  1 , Lih-Wen Mau  2 , Pintip Chitphakdithai  3 , Tammy Payton  2 , Michael Eckrich  4 , Steven Joffe  5 , Stephanie J Lee  6 , Charles F LeMaistre  7 , Jennifer LeRademacher  8 , Fausto Loberiza  9 , Brent Logan  8 , Susan K Parsons  10 , Ramona Repaczki-Jones  11 , Pam Robinett  2 , J Douglas Rizzo  12 , Elizabeth Murphy  2 , Ellen M Denzen  2
Affiliations

National Survey of Hematopoietic Cell Transplantation Center Personnel, Infrastructure, and Models of Care Delivery

Navneet S Majhail et al. Biol Blood Marrow Transplant. 2015 Jul.

Abstract

Hematopoietic cell transplantation (HCT) is a complex procedure that requires availability of adequate infrastructure, personnel, and resources at transplantation centers. We conducted a national survey of transplantation centers in the United States to obtain data on their personnel, infrastructure, and care delivery models. A 42-item web-based survey was administered to medical directors of transplantation centers in the United States that reported any allogeneic HCT to the Center for International Blood and Marrow Transplant Research in 2011. The response rate for the survey was 79% for adult programs (85 of 108 centers) and 82% for pediatric programs (54 of 66 centers). For describing results, we categorized centers into groups with similar volumes based on 2010 total HCT activity (adult centers, 9 categories; pediatric centers, 6 categories). We observed considerable variation in available resources, infrastructure, personnel, and care delivery models among adult and pediatric transplantation centers. Characteristics varied substantially among centers with comparable transplantation volumes. Transplantation centers may find these data helpful in assessing their present capacity and use them to evaluate potential resource needs for personnel, infrastructure, and care delivery and in planning for growth.

Keywords: Care delivery models; Hematopoietic cell transplantation; Infrastructure; Personnel; Survey; Transplantation center.

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Figures

Figure 1
Figure 1
Number of transplants performed in 2010 per inpatient bed: (A) Adult centers (excludes 6 centers that did not have dedicated beds for HCT patients), (B) Pediatric centers (excludes 4 centers that did not have dedicated beds for HCT patients).
Figure 2
Figure 2
Number of transplants performed in 2010 per provider: (A) Adult centers, transplants per attending physician, (B) Adult centers, transplants per midlevel provider (excludes 7 centers that reported no APPs), (C) Pediatric centers, transplants per attending physician, and (D) Pediatric centers, transplants per midlevel provider (excludes 2 centers that reported no APPs).
Figure 2
Figure 2
Number of transplants performed in 2010 per provider: (A) Adult centers, transplants per attending physician, (B) Adult centers, transplants per midlevel provider (excludes 7 centers that reported no APPs), (C) Pediatric centers, transplants per attending physician, and (D) Pediatric centers, transplants per midlevel provider (excludes 2 centers that reported no APPs).
Figure 3
Figure 3
Number of full time equivalents (FTEs) for clinical transplant coordinators, pharmacists and psychosocial clinicians: (A) Adult centers, transplant coordinator FTEs, (B) Adult centers, pharmacist FTEs, (C) Adult centers, psychosocial clinician FTEs, (D) Pediatric centers, transplant coordinator FTEs, (E) Pediatric centers, pharmacist FTEs, and (F) Pediatric centers, psychosocial clinician FTEs.
Figure 3
Figure 3
Number of full time equivalents (FTEs) for clinical transplant coordinators, pharmacists and psychosocial clinicians: (A) Adult centers, transplant coordinator FTEs, (B) Adult centers, pharmacist FTEs, (C) Adult centers, psychosocial clinician FTEs, (D) Pediatric centers, transplant coordinator FTEs, (E) Pediatric centers, pharmacist FTEs, and (F) Pediatric centers, psychosocial clinician FTEs.
Figure 3
Figure 3
Number of full time equivalents (FTEs) for clinical transplant coordinators, pharmacists and psychosocial clinicians: (A) Adult centers, transplant coordinator FTEs, (B) Adult centers, pharmacist FTEs, (C) Adult centers, psychosocial clinician FTEs, (D) Pediatric centers, transplant coordinator FTEs, (E) Pediatric centers, pharmacist FTEs, and (F) Pediatric centers, psychosocial clinician FTEs.
Figure 4
Figure 4
Transplant center attending physician care models and utilization of APPs in the outpatient care of HCT recipients: (A) Adult centers, physician care models, (B) Adult centers, APPs outpatient care models, (C) Pediatric centers, physician care models, and (D) Pediatric centers, APPs outpatient care models.
Figure 4
Figure 4
Transplant center attending physician care models and utilization of APPs in the outpatient care of HCT recipients: (A) Adult centers, physician care models, (B) Adult centers, APPs outpatient care models, (C) Pediatric centers, physician care models, and (D) Pediatric centers, APPs outpatient care models.
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References

    1. Majhail NS, Murphy EA, Omondi NA, et al. Allogeneic transplant physician and center capacity in the United States. Biol Blood Marrow Transplant. 2011;17:956–61. - PMC - PubMed
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