NATCO Donation & Transplantation Academy: A Multi-Disciplinary
Approach
November 2-5, 2012 – Tempe Mission Palms Hotel – Tempe, AZ
FRIDAY, NOVEMBER 2, 2012
Welcome & Opening Remarks
2:00 p.m. – 2:15 p.m.
Impact of the Push & Pull on the Donation
2:15 p.m. – 3:00 p.m.
& Transplantation Community
 Resource management
 Automatic review of small centers
 OPO metrics
Break
3:00 p.m. – 3:15 p.m.
Infectious Disease Transmission
3:15 p.m. – 4:15 p.m.
 Rule-in on typical rule-outs
 Eligible and eminent
 Risk stratification
 What screening should we be
doing?
Overview of Living Donation &
4:15 p.m. – 5:00 p.m.
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
5:00 – 6:30 p.m.
Carrie Comellas, RN, CPTC,
CCTC
Lori Markham, RN, MSN, CCRN,
CPTC
Rachel Miller, MD
P.J. Geraghty, EMT-P, BS,
CPTC
Shamkant Mulgaonkar, MD
Networking Reception
SATURDAY, NOVEMBER 3, 2012
CONCURRENT TRACKS
KIDNEY PAIRED DONATION
Evolution of Paired Donation
8:00 a.m. – 8:45 a.m.
 Review of initial concepts and various
models of paired exchange utilized in
the U.S.
The Science of KPD
8:45 a.m. – 9:45 a.m.
 Review for the novice and
experienced on transplant histology,
HLA and ABO incompatibility and its
utilization to match both compatible
and incompatible pairs
KPD Decision Pathways
9:45 a.m. – 10:15 a.m.
 Necessary strategies to determine
successful pathways to compatible
and incompatible exchange
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
David Serur, MD
Shamkant Mulgaonkar, MD
Suzanne McGuire, RN, BSN,
CCTC
Joe Sinacore
Ruthanne Hanto
Laurie Reece
11:45 a.m. – 12:30 p.m.
12:30 p.m. – 1:30 p.m.
1:30 p.m. – 2:45 p.m.
2:45 p.m. – 3:00 p.m.
3:00 p.m. – 4:15 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
Networking Luncheon
Psychosocial Issues in Paired Exchange &
The Role of the Independent Living Donor
Advocate
 Assessment of the altruistic nondirected 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
Break
Complex Case Studies in Paired Exchange
 Apply essential concepts learned
from the day’s sessions to
challenging case studies
TRANSPLANT PHARMACOLOGY & TRANSPLANT NUTRITION
Overview of Transplant
8:00 a.m. – 8:30 a.m.
 Describe transplant for the noncoordinator
 Why pharmacy and nutrition are so
important to the patient
Transplant Regulatory Issues
8:30 a.m. – 9:30 a.m.
 Nutritionist/dietitian and pharmacist
roles and CMS guidelines
Education of Patients & Caregivers
9:30 a.m. – 10:15 a.m.
Regarding Overall Compliance &
Medication Adherence
 Medication compliance and
adherence after transplant
 Challenges and barriers
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
Networking Luncheon
11:30 a.m. – 12:30
p.m.
Osteoporosis in Transplantation: A
12:45 p.m. – 1:45 p.m.
Dietitian’s Perspective
 Prevalence
 Cause
 Nutritional Management
Suzanne McGuire, RN, BSN,
CCTC
Joe Sinacore
Rebecca Hayes, LCSW
David Serur, MD
Shamkant Mulgaonkar, MD
Rebecca Hayes, LCSW
Suzanne McGuire, RN, BSN,
CCTC
Marie Morgievich, RN, APN.C,
CNN, CCTC
Carrie Comellas, RN, CPTC,
CCTC
Michele Walton, RN, BSN
Jeanne Chen, PharmD
Mike Latran, PharmD
Linda Ulerich, RD
1:45 p.m. – 2:45 p.m.
2:45 p.m. – 3:00 p.m.
3:00 p.m. – 4:00 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
Break
Use of Herbal Supplements after
Transplantation: A Pharmacist’s
Perspective
 Regulatory Guidelines
 Interactions with Transplant
Medications
 Potential Benefits
 Harm of Alternative Products
ORGAN PRESERVATION
Perfusionist Certification Exam
8:00 a.m. – 12:00 p.m.
Preparation
 Organ recovery
 Aseptic technique
 Organ preservation
 Preservation solutions
 Specimen collection
 Packaging and labeling
 Shipping
What Happens When a Family Says Yes to
1:00 p.m. – 2:30 p.m.
Research?
 Recovery process
 New research studies
 Benefits
Break
2:30 p.m. – 2:45 p.m.
2:45 p.m. – 3:15 p.m.
3:15 p.m. – 4:45 p.m.
4:45 p.m. – 5:00 p.m.
Innovations in Perfusion
 Solutions
 Research
Preservation Pump Overview
 History
 Purpose
 New pump technology
Wrap-Up
DONOR MANAGEMENT
Donor Management Patient Simulation
8:00 a.m. – 4:00 p.m.
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
SUNDAY, NOVEMBER 4, 2012
Mary Ellen Beindorf, RD, LD
Rebecca Corey, PharmD, BCPS
Amber McAfee, MBA, CTP,
CTBS
Yuriy Yushkov, MD, PhD, MBA
Mike Vara, BA
Jeremy Brown
Kyle Kinsey, BA
Aaron Gilchrist
Charles Patrick III, MHA, CPTC
Brian Otts, BS
Thomas Nakagawa, MD
Lori Markham, RN, MSN, CCRN,
CPTC
John Belcher, BS, CPTC, CTBS
CONCURRENT TRACKS
KIDNEY PAIRED DONATION
Complex Donor Evaluation Issues
8:00 a.m. – 9:00 a.m.
 Clinically challenging donor
evaluation findings and how they
impact the exchange donor
Logistical Exchange Challenges &
9:00 a.m. – 10:00 a.m.
Solutions
 Necessary logistical steps to
conducting a successful kidney
exchange
 Special concerns of non-directed and
bridge donation
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
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
11:45 a.m. – 12:00 p.m. Providing Donor Insurance
 Two perspectives about postdonation insurance coverage
Networking Luncheon
12:00 p.m. – 1:00 p.m.
Complex Case Studies in Kidney
1:00 p.m. – 2:15 p.m.
Exchange
 Apply essential concepts learned
from the day’s sessions to
challenging case studies
2:15 p.m. 2:45 p.m.
2:45 p.m. – 3:00 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
Break
David Serur, MD
Marian Charlton, RN, SRN,
CCTC
Andrea Tietjen, MBA, CPA
Gigi Spicer, RN, BSN
Gigi Spicer, RN, BSN
Andrea Tietjen, MBA, CPA
Shamkant Mulgaonkar, MD
Marian Charlton, RN, SRN,
CCTC
Rebecca Hayes, LCSW
Andrea Tietjen, MBA, CPA
Marie Morgievich, RN, APN.C,
CNN, CCTC
Holly Warren, RN, BA
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
TRANSPLANT NUTRITION
Obesity & Transplantation
8:00 a.m. – 9:00 a.m.
 Effect of obesity on short- and longterm liver transplant outcomes
 Weight loss strategies and role of
bariatric surgery in transplantation
Metabolic Syndrome
9:00 a.m. – 10:00 a.m.
 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
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
11:15 a.m. – 12:15 p.m. Controlling GI Side Effects in the PostTransplant Patient
 Side effects of transplant medications
 Strategies to ameliorate side effects
Networking Luncheon
12:15 p.m. – 1:30 p.m.
I Think It Was the Potato Salad…Food1:30 p.m. – 2:30 p.m.
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
Break
2:30 p.m. – 2:45 p.m.
Nutrition Panel Discussion & Transplant
2:45 p.m. – 4:00 p.m.
Dietitian Networking
Marie Morgievich, RN, APN.C,
CNN, CCTC
Sara DiCecco, MS, RD, LD
Carolyn Cochran, MS, RD, LD,
CDE
Jeannette Hasse, PhD, RD, LD,
FADA, CNSC
Neha Parekh, MS, RD, LD,
CNSC
Patricia Obayashi, MS, RD, CDE
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.
9:00 a.m. – 10:15 a.m.
10:15 a.m. – 10:30 a.m.
10:30 a.m. – 11:30 a.m.
11:30 a.m. – 12:30 p.m.
12:30 p.m. – 1:45 p.m.
1:45 p.m. – 3:15 p.m.
3:15 p.m. – 3:30 p.m.
3:30 p.m. – 4:30 p.m.
Managing Post-Transplant Infections
 Challenges and controversies
Antibody Mediated Rejection
 Screening
 Detection
 Treatment
 Prognosis
Break
Bone Mineral Disease in Renal
Transplantation
 TBD
GI Issues
 GERD, gastroparesis, PPIs
Networking Luncheon
Immunosuppression Protocols:
Successes & Failures
 Interactive Discussion
Break
Ribavirin
ORGAN PRESERVATION
Overview of the Day
8:00 a.m. – 8:15 a.m.
Intestinal & Abdominal Wall Recovery &
8:15 a.m. – 9:00 a.m.
Transplantation
Utilizing DCD Pediatric Kidneys
9:00 a.m. – 10:00 a.m.
10:00 a.m. – 10:15 a.m. Break
10:15 a.m. – 12:00 p.m. Wet Lab 1
 Anatomy
 Separation
 Biopsy
Lunch
12:00 p.m. – 1:00 p.m.
Wet Lab 2
1:00 p.m. – 3:00 p.m.
 Pump Setup
 Cannulation
 Perfusion
Break
3:00 p.m. – 3:15 p.m.
Wet Lab 3: The Switch
3:15 p.m. – 4:45 p.m.
 Experience working with both
perfusion pumps
Wrap-Up
4:45 p.m. – 5:00 p.m.
DONOR MANAGEMENT
Donor Management Patient Simulation
8:00 a.m. – 4:00 p.m.
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
Rachel Miller, MD
Shamkant Mulgaonkar, MD
Jeanne Chen, PharmD
Speaker TBD
Mike Latran, PharmD
Mike Latran, PharmD
Cristiano Quintini, MD
Richard Perez, MD
Facilitators
Facilitators
Facilitators
Thomas Nakagawa, MD
Lori Markham, RN, MSN, CCRN,
CPTC
John Belcher, BS, CPTC, CTBS
MONDAY, NOVEMBER 5, 2012
PLENARY SESSIONS
When No Becomes Yes: Increasing the
8:00 a.m. – 10:00 a.m.
Donor Pool
 When to use the unacceptable &
when to say “no”!
 Case scenarios
 Open discussion among attendees
10:00 a.m. – 10:15 a.m. Break
Hot Topics in Donation & Transplantation
10:15 a.m. – 11:15
a.m.
11:15 a.m. – 12:15 p.m. Heart & Lung: Heading to the Future of
“Making Organs”
Objective:
Experts in Donation &
Transplantation
Experts in Donation &
Transplantation
Harold Ott, MD