Provider and treatment center factors examined
A. Physician and health care provider characteristics |
1. Total number of physicians per center |
2. Ratio of physicians to total number of transplantations per year |
3. Academic appointments of physicians |
4. Physicians with peer-reviewed grants |
5. Physicians involved in laboratory research |
6. Medical trainees (medical students, training residents, and fellows) |
7. Average daily nurse-to-patient ratio in the transplant unit |
B. Transplant unit activities and resources |
1. Average annual procedure in the last 3 y (1998, 1999, 2000) |
2. Total number and type of transplants (autologous, related donor, unrelated donor, cord blood, nonmyeloablative, or outpatient) regardless of disease |
3. Total number of patients with leukemia receiving transplants (for the allogeneic cohort) or total number of patients with lymphoma receiving transplants (for the autologous cohort) |
4. Years of existence as a formal transplant program |
5. Infrastructure: hospital bed capacity, number of beds devoted to transplant patients, laminar flow and HEPA-filtered rooms, ability to manage critically ill patients on the transplant units, unit pharmacist present, use of computerized order entry and electronic medical record-keeping, and on-site stem cell processing laboratory |
6. Research activity: percentage of patients enrolled in approved clinical protocols, number of full time clinical research coordinators |
7. Support services: devoted psychologist/psychiatrist present, use of routine psychological screening, and initial contact provider for emergency or after hours calls |
8. Follow-up procedures: presence of and frequency of systematic posttransplant follow-up, long-term follow-up program, frequency of routine follow-up within the first year and after the first year of transplantation, formal immunization protocol, and formal protocol for screening of posttransplant complications. |
C. Medical center characteristics |
1. Geographic location |
2. Medical school affiliation |
3. Center for Excellence designation insurers |
4. National Cancer Institute Cancer Center designation |
5. Accreditation by the Foundation for the Accreditation of Cellular Therapy |
HEPA indicates high-efficiency particulate air (filter). |
A. Physician and health care provider characteristics |
1. Total number of physicians per center |
2. Ratio of physicians to total number of transplantations per year |
3. Academic appointments of physicians |
4. Physicians with peer-reviewed grants |
5. Physicians involved in laboratory research |
6. Medical trainees (medical students, training residents, and fellows) |
7. Average daily nurse-to-patient ratio in the transplant unit |
B. Transplant unit activities and resources |
1. Average annual procedure in the last 3 y (1998, 1999, 2000) |
2. Total number and type of transplants (autologous, related donor, unrelated donor, cord blood, nonmyeloablative, or outpatient) regardless of disease |
3. Total number of patients with leukemia receiving transplants (for the allogeneic cohort) or total number of patients with lymphoma receiving transplants (for the autologous cohort) |
4. Years of existence as a formal transplant program |
5. Infrastructure: hospital bed capacity, number of beds devoted to transplant patients, laminar flow and HEPA-filtered rooms, ability to manage critically ill patients on the transplant units, unit pharmacist present, use of computerized order entry and electronic medical record-keeping, and on-site stem cell processing laboratory |
6. Research activity: percentage of patients enrolled in approved clinical protocols, number of full time clinical research coordinators |
7. Support services: devoted psychologist/psychiatrist present, use of routine psychological screening, and initial contact provider for emergency or after hours calls |
8. Follow-up procedures: presence of and frequency of systematic posttransplant follow-up, long-term follow-up program, frequency of routine follow-up within the first year and after the first year of transplantation, formal immunization protocol, and formal protocol for screening of posttransplant complications. |
C. Medical center characteristics |
1. Geographic location |
2. Medical school affiliation |
3. Center for Excellence designation insurers |
4. National Cancer Institute Cancer Center designation |
5. Accreditation by the Foundation for the Accreditation of Cellular Therapy |
HEPA indicates high-efficiency particulate air (filter). |