Reducing the length of stay after kidney transplantation - The intensive outpatient unit

Ron Shapiro; Mark L. Jordan; Velma P. Scantlebury; Carlos Vivas; H. Albin Gritsch; Lisa Fox-Hawranko; Howard R. Doyle; Lee Brun Johnson; Regina Fenton; Lisa Painter; Kristine Keefer-Wolf; Charleeda Redman; Jerry McCauley; John J. Fung; Thomas R. Hakala; Thomas E. Starzl; Richard L. Simmons

Reducing the length of stay after kidney transplantation - The intensive outpatient unit

Ron Shapiro, Mark L. Jordan, Velma P. Scantlebury, Carlos Vivas, H. Albin Gritsch, Lisa Fox-Hawranko, Howard R. Doyle, Lee Brun Johnson, Regina Fenton, Lisa Painter, Kristine Keefer-Wolf, Charleeda Redman, Jerry McCauley, John J. Fung, Thomas R. Hakala, Thomas E. Starzl, Richard L. Simmons

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

The need to reduce the costs associated with the initial hospitalization for kidney transplantation has led to the development of outpatient facilities in which patients can be seen on a daily basis. The implementation of a kidney transplant intensive outpatient unit (IOPU) is described. Prior to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation in our program were 14.0 and 18.9 d, respectively. Subsequent to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation have gradually decreased and are currently 5.0 and 7.5 d, respectively. The median inpatient cost of transplantation, excluding organ acquisition charges, has decreased by 54%, from $25,516 to $11,616. Patient satisfaction has exceeded 80%. The IOPU represents an effective means of reducing the cost associated with transplantation, without sacrificing the quality of care.

Original language	English (US)
Pages (from-to)	482-485
Number of pages	4
Journal	Clinical Transplantation
Volume	12
Issue number	5
State	Published - Oct 1998
Externally published	Yes

Keywords

Cost
Kidney transplantation
Length of stay
Outpatient unit

ASJC Scopus subject areas

Transplantation

Cite this

Shapiro, R., Jordan, M. L., Scantlebury, V. P., Vivas, C., Gritsch, H. A., Fox-Hawranko, L., Doyle, H. R., Johnson, L. B., Fenton, R., Painter, L., Keefer-Wolf, K., Redman, C., McCauley, J., Fung, J. J., Hakala, T. R., Starzl, T. E., & Simmons, R. L. (1998). Reducing the length of stay after kidney transplantation - The intensive outpatient unit. Clinical Transplantation, 12(5), 482-485.

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abstract = "The need to reduce the costs associated with the initial hospitalization for kidney transplantation has led to the development of outpatient facilities in which patients can be seen on a daily basis. The implementation of a kidney transplant intensive outpatient unit (IOPU) is described. Prior to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation in our program were 14.0 and 18.9 d, respectively. Subsequent to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation have gradually decreased and are currently 5.0 and 7.5 d, respectively. The median inpatient cost of transplantation, excluding organ acquisition charges, has decreased by 54%, from $25,516 to $11,616. Patient satisfaction has exceeded 80%. The IOPU represents an effective means of reducing the cost associated with transplantation, without sacrificing the quality of care.",

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author = "Ron Shapiro and Jordan, {Mark L.} and Scantlebury, {Velma P.} and Carlos Vivas and Gritsch, {H. Albin} and Lisa Fox-Hawranko and Doyle, {Howard R.} and Johnson, {Lee Brun} and Regina Fenton and Lisa Painter and Kristine Keefer-Wolf and Charleeda Redman and Jerry McCauley and Fung, {John J.} and Hakala, {Thomas R.} and Starzl, {Thomas E.} and Simmons, {Richard L.}",

year = "1998",

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language = "English (US)",

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AU - Shapiro, Ron

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AU - Gritsch, H. Albin

AU - Fox-Hawranko, Lisa

AU - Doyle, Howard R.

AU - Johnson, Lee Brun

AU - Fenton, Regina

AU - Painter, Lisa

AU - Keefer-Wolf, Kristine

AU - Redman, Charleeda

AU - McCauley, Jerry

AU - Fung, John J.

AU - Hakala, Thomas R.

AU - Starzl, Thomas E.

AU - Simmons, Richard L.

PY - 1998/10

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AB - The need to reduce the costs associated with the initial hospitalization for kidney transplantation has led to the development of outpatient facilities in which patients can be seen on a daily basis. The implementation of a kidney transplant intensive outpatient unit (IOPU) is described. Prior to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation in our program were 14.0 and 18.9 d, respectively. Subsequent to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation have gradually decreased and are currently 5.0 and 7.5 d, respectively. The median inpatient cost of transplantation, excluding organ acquisition charges, has decreased by 54%, from $25,516 to $11,616. Patient satisfaction has exceeded 80%. The IOPU represents an effective means of reducing the cost associated with transplantation, without sacrificing the quality of care.

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KW - Length of stay

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Reducing the length of stay after kidney transplantation - The intensive outpatient unit

Abstract

Keywords

ASJC Scopus subject areas

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