Organizations engage Guidry & East to conduct Transplant Center Operational Assessments for a number of reasons. Transplant Center Operational Assessments are customized to the unique needs of each Transplant Center. The methodology for an operational assessment typically focuses on such topics as Leadership, Operations, Staffing, Pre-transplant Donor and Recipient Evaluations, Patient Access, Physical Space, and Organ Utilization.

Leadership

• Organizational leadership structure and make recommendations on appropriate supporting resources required for operational success of the Transplant Center
• Physician and administrative management structure, including appropriate reporting relationships

Operations

• Transplant clinic scheduling, patient flow, and medical records. Make recommendations to ensure efficient and cost-effective care
• Time of referral to UNOS listing

Pre-transplant Donor and Recipient Evaluations

• Appropriate clinical documentation for compliance and cost recovery
• Electronic patient identifiers
• Recipient pre-evaluation, and donor pre and post-donation follow-up

Patient Access

• The pre-transplant registration process
• The transplant financial clearance process

Physical Space

• Current capacity of the Transplant Center and infrastructure support, and determine future needs based on volume projections and plans for future expansion
• Current clinical space
• Lay staff office and work areas
• Surgeon and Physician location and space

Organ Utilization

• Cadaver organs excised in facility
• Cadaver recipient organs
• Live donor organs
• Medicare secondary for organ acquisition reimbursement
• Organs discarded and/or sent to research

The Transplant Retainer service provides affordable ongoing support for the client's transplant program operations, reimbursement and compliance questions. The retainer service provides the answers to client hospitals when they need it on an ongoing basis.

Guidry & East assists transplant programs to develop all-encompassing strategic plans including staffing, finances, operations, and patient access. Most of our engagements are very specific and tailored to the needs of the transplant center. Guidry & East meets with Senior Leadership to develop the specifics that the client wishes to accomplish in developing a Transplant Center Strategic Plan.

Typically, a Transplant Center Strategic Plan addresses topics such as program growth, finance, current and future staffing needs of lay staff as well as physicians and surgeons, patient access from pre-transplant evaluation through post-transplant care, assessment of transplant clinic and office space.

An Operational Assessment of the Histocompatibility Laboratory (HLA) includes the examination of the administrative reporting structure, staffing, compliance, patient registration, equipment, allocated space, on-call issues, and allocation of appropriate costs/charges. We will also review the total number of tests performed along with direct costs associated with providing specific HLA Tissue Typing tests.

Guidry & East submits a detailed written report on our findings of the Operational Assessment of the Histocompatibility Laboratory. In a meeting with Senior Leadership, key components of the report are presented and discussed.