SHM Converge Scientific Abstract ePoster Gallery-Comanagement of Hospitalized Lung Transplant Patients

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This document describes a novel co-management model for hospitalized lung transplant recipients at The Ohio State University Wexner Medical Center. Lung transplant patients are medically complex because of frequent comorbidities, immunosuppression, and a high risk of complications, making multidisciplinary inpatient care especially important.<br /><br />To improve care, the hospital created a dedicated co-management service line in July 2017, pairing hospital medicine with transplant-trained providers. The goal was to reduce burden on cardiothoracic surgery and transplant physicians while improving outcomes for this specialized population. The model assigns responsibilities between the hospital medicine team and the lung transplant team. Hospitalists handle the history and physical, daily progress notes, admission medication reconciliation, non-transplant-related medical issues, discharge summaries, and non-transplant follow-up. The lung transplant team manages transplant-related medications, drug levels, dose adjustments, transplant-related diagnostic testing and treatment, transplant-related discharge medication reconciliation, and transplant-specific follow-up such as labs, testing, and clinic appointments.<br /><br />Patients are included if they are more than one year post-transplant. Those needing ICU-level care or acute surgical management are excluded. Patients are cohorted to a single unit to provide specialized nursing, pharmacy, and case management support.<br /><br />Since implementation, the service has managed 749 admissions. In 2019, the program expanded to include all lung transplant recipients after their index admission, with the same exclusions. The authors note that this framework is being used to evaluate hospital-wide improvements and may inform similar co-management services for other specialized patient groups. In 2020, the lung transplant program ranked in the top 10 nationally for volume and first in the state for transplantation outcomes.

Asset Subtitle

Devicka Ojha

Meta Tag

Author List Christina Dietz, David Nunley, Devicka Ojha, Shabbir Matcheswalla, Vijay Duggirala

Category Innovations

Concept Lung Transplant Recipient

Concept Orthopedic-Hospitalist Co-management Service

Concept Hospitalist

Concept Transplant-Trained Provider

Concept Hospital Medicine Team

Distinguished Non-Finalist

Presenter Organization The Ohio State Wexner Medical Center

Presenting Author Devicka Ojha

Track Value in Hospital Medicine

Keywords

lung transplant

co-management model

hospital medicine

multidisciplinary care

immunosuppression

transplant recipients

inpatient care

Ohio State University Wexner Medical Center

post-transplant management

specialized patient care

Lung Transplant Recipient

Orthopedic-Hospitalist Co-management Service

Hospitalist

Transplant-Trained Provider

Hospital Medicine Team