Abstract:
BACKGROUND:In 2006, Northwestern Medicine implemented a culturally targeted and linguistically congruent Hispanic Kidney Transplant Program (HKTP). The HKTP has been associated with a reduction in Hispanic/Latino disparities in live donor kidney transplantation. This paper assessed the financial feasibility of implementing the HKTP intervention at two other transplant centers. METHODS:We examined the impact of the HKTP on staffing costs compared to the total transplant center costs using data from monthly time studies conducted among transplant staff involved in the HKTP. Time studies were conducted during the HKTP pre-implementation (2016) and implementation (2017) phases. Labor costs were estimated using data from the time studies and mean salaries from the Department of Labor. We retrospectively examined kidney acquisition and transplant costs at both centers in 2016 and 2017 using data from the Medicare Cost Reports. RESULTS:During pre-implementation, Center A staff (n=21) committed 764 hours ($44,607), and Center B staff (n=15) committed 800 hours ($45,193) to establishing the HKTP. During implementation, Center A staff (n=19) committed 1,125 hours ($55,594), and Center B staff (n=24) committed 1,936 hours ($64,170), in delivering the HKTP. Overall, the total costs from the staffing time involved in the HKTP encompassed less than 1.0% per year (2016 and 2017) of each center's annual total costs. CONCLUSIONS:Our findings suggest the financial feasibility of implementing the HKTP, and present a potential business case for the HKTP's implementation at other transplant centers to reduce health disparities in live donor kidney transplantation.
journal_name
Transplantationjournal_title
Transplantationauthors
Wang A,Caicedo JC,McNatt G,Abecassis M,Gordon EJdoi
10.1097/TP.0000000000003269subject
Has Abstractpub_date
2020-04-09 00:00:00eissn
0041-1337issn
1534-6080pub_type
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