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Episode 002: Jesse Schold, PhD and Quality Metrics
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In this episode, Dr. Jesse Schold of the Cleveland Clinic talks about quality metrics and their proliferation in many contexts within donation and transplantation. Dr. Schold helps our listeners understand how the population we serve is uniquely suited to explore quality measures and metrics that are most important for patient outcomes.
At the end of this episode, listeners will be able to better understand how the transplant community, organ procurement organizations, dialysis centers, payers, Centers for Medicare and Medicaid Services, the OPTN/UNOS and professional organizations like the American Society of Transplantation are working together towards patient-centered solutions.
References:
Schold JD, Buccini LD, Srinivas TR, Srinivas RT, Poggio ED, Flechner SM, Soria C, Segev DL, Fung J, Goldfarb DA. The association of center performance evaluations and kidney transplant volume in the United States. American Journal of Transplantation. 2013 Jan 1;13(1):67-75. http://www.ncbi.nlm.nih.gov/pubmed/23279681 (open access)
Buccini LD, Segev DL, Fung J, Miller C, Kelly D, Quintini C, Schold JD. Association between liver transplant center performance evaluations and transplant volume. American Journal of Transplantation. 2014 Sep 1;14(9):2097-105. http://onlinelibrary.wiley.com/doi/10.1111/ajt.12826/abstract;jsessionid=A028F96BD8D69032E02FFB9E74F11757.f03t04 (open access)
Axelrod DA. Balancing accountable care with risk aversion: Transplantation as a model. American Journal of Transplantation. 2013 Jan 1;13(1):7-8. http://onlinelibrary.wiley.com/doi/10.1111/j.1600-6143.2012.04346.x/abstract (open access)
Schold JD, Buccini LD, Poggio ED, Flechner SM, Goldfarb DA. Association of Candidate Removals From the Kidney Transplant Waiting List and Center Performance Oversight. American Journal of Transplantation. 2016 Jan 1. http://onlinelibrary.wiley.com/doi/10.1111/ajt.13594/abstract
Schold JD, Buccini LD, Goldfarb DA, Flechner SM, Poggio ED, Sehgal AR. Association between kidney transplant center performance and the survival benefit of transplantation versus dialysis. Clinical Journal of the American Society of Nephrology. 2014 Oct 7;9(10):1773-80. http://www.ncbi.nlm.nih.gov/pubmed/25237071
Schold JD, Nicholas LH. Considering potential benefits and consequences of hospital report cards: what are the next steps?. Health Services Research. 2015 Apr 1;50(2):321-9. http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12280/abstract
Schold JD, Segev DL. Increasing the pool of deceased donor organs for kidney transplantation. Nature Reviews Nephrology. 2012 Jun 1;8(6):325-31. http://www.nature.com/nrneph/journal/v8/n6/full/nrneph.2012.60.html (open access)
White SL, Zinsser DM, Paul M, Levine GN, Shearon T, Ashby VB, Magee JC, Li Y, Leichtman AB. Patient selection and volume in the era surrounding implementation of medicare conditions of participation for transplant programs. Health Services Research. 2015 Apr 1;50(2):330-50. http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12188/abstract
Schold J, Arrington C, Levine G. Significant alterations in reported clinical practice associated with increased oversight of organ transplant center performance. Progress in Transplantation. 2010 Sep 1;20(3):279-87. http://www.ncbi.nlm.nih.gov/pubmed/20929114
Keeping Our "Eye on the Prize" (AST Blog)
Most Kidney Transplant Recipients Visit the Emergency Department After Discharge (Via Nephrology News & Issues, re: upcoming study in Clinical Journal of the American Society of Nephrology)
When Donated Organs Go to Waste (The Atlantic)
Liver Transplant Center Variability in Accepting Organ Offers and its Impact on Patient Survival (Journal of Hepatology)
Dr. Schold is a member of the Collaborative Innovation and Improvement Network (COIIN), an OPTN pilot project to test potential improvements to review of transplant program performance and the American Society of Transplantation’s Board of Directors. You can learn more about Dr. Schold here.
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