2018 survey results - stsw · stanford integrated psychosocial assessment for transplant (sipat)...

2018 STSW Survey

Survey invitations were sent to 480 STSW members and conference registrants.

175 social workers responded.

13%

27%

40%

Years

0-2 3-5 6-10 11-15 16-20 21-25 26-30 31+

As a social workerAs a transplant social worker

!2

Years Employed

yesno

!3

Earned CCTSW/CCSW-MCS

yesno

!4

Licensed at highest level?

Society for Transplant Social WorkersCouncil of Nephrology Social Workers/National Kidney Foundation

South African Transplant SocietyInternational Transplant Nurses Society

International Society for Heart & Lung TransplantationNational Association of Social Workers

Society for Social Work Leadership in HealthcareAmerican Society of Transplantation/Psychosocial Community of Practice

American Foundation for Donation & TransplantationTransplant Financial Coordinators Association

20% 40% 60% 80% 100%

!5

Memberships held this year

heart transplantkidney transplant

liver transplantliving donor

lung transplantpancreas transplantintestinal transplant

VAD/MCSVAD/MCS - destination therapy only

vascularized composite transplant

10%

20%

30%

40%

50%

60%

70%

!6

Populations served

Adults onlyPediatrics onlyBoth adults and pediatrics

!7

Population served

25%

50%

75%

minutes

31-45 46-60 61-90 91-120 over 120

allottedneeded

!8

Time for pediatric psychosocial eval

Toward the beginning, before a medical determination is made.Toward the end, after a medical determination is made.It varies.

!9

When pediatric psychosocial eval is done

Psychosocial Assessment Tool 2.0_GeneralPediatric Transplant Rating Instrument

Psychosocial Assessment of Candidates for Transplantation (PACT)Transplant Evaluation Rating Scale (TERS)

Stanford Integrated Psychosocial Assessment for Transplant (SIPAT)STSW Psychosocial Risk Profile Scoring Tool

I don't use a risk scale.

15% 30% 45% 60% 75%

!10

Risk scales used in pediatric txp

# of

resp

onde

nts

1

2

3

4

nurses per social worker (FTEs)

1 1.5 2 2.5 3

!11

Pediatric txp staffing, RN:SW

# of

resp

onde

nts

1

2

3

4

annual transplant surgeries per FTE

0-3 4-7 8-11 12-15 16+

SWRN

!12

Pediatric staffing by txp volume

# of

resp

onde

nts

1

2

3

4

5

average # of evaluations per week, per full-time SW

1 2 3 4 5 6

newupdatetotal

!13

Pediatric txp evaluations

≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-opuntil transition to adult care

!14

How long pediatric SW follows patients

far too many patients

too many patients

the right number of patients

not enough patients

far too few patients

10% 20% 30% 40%

!15

Current pediatric txp caseload

10%

20%

30%

40%

50%

minutes

0-30 31-45 46-60 61-90 91-120

allottedneeded

!16

Time for kidney/panc psychosocial eval


!17

When kidney/panc psychosocial eval is done

Psychosocial Assessment of Candidates for Transplantation (PACT)

Transplant Evaluation Rating Scale (TERS)

Stanford Integrated Psychosocial Assessment for Transplant (SIPAT)

STSW Psychosocial Risk Profile Scoring Tool


10% 20% 30% 40% 50%

!18

Risk scales used in kidney/panc txp

# of

resp

onde

nts

4

8

12

16


1 2 3 4 5 6 7 8 9 10 11+

!19

Kidney/panc txp staffing, RN:SW

# of

resp

onde

nts

10

20

30

40

50


0-20 21-40 41-60 61-80 81-100 101-120 120+

SWRN

!20

Kidney/panc staffing by txp volume

# of

resp

onde

nts

5

10

15

20

25

30

35

average # of evaluations per week per full time SW

0-5 6-10

11-15

16-20

21-25

26-30

31-35

36-40

41-45

46-50 51

+

newupdatetotal

!21

Kidney/panc txp evaluations per week

≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op

!22

How long kidney/panc SW follows inpatients


!23

How long kidney/panc SW follows outpatients


too many patients


not enough patients


20% 40% 60%

!24

Current kidney/panc txp caseload

15%

30%

45%

60%

75%

minutes

0-30 >30-45 46-60 61-90 91-120

allottedneeded

!25

Time for liver txp psychosocial eval


!26

When liver txp psychosocial eval is done






10% 20% 30% 40% 50%

!27

Risk scales used in liver txp

# of

resp

onde

nts

2

4

6


1 2 3 4 5 6 7

!28

Liver txp staffing, RN:SW

# of

resp

onde

nts

3

6

9

12

15


0-15 16-30 31-45 46-60 61-75 76-90 >90

SWRN

!29

Liver staffing by txp volume

# of

resp

onde

nts

2

4

6

8

10

12


0-3 4-6 7-9 10-12 13-15 16-18 19-21 >21

newupdatetotal

!30

Liver txp evaluations per week


!31

How long liver txp SW follows inpatients


!32

How long liver txp SW follows outpatients


too many patients


not enough patients


15% 30% 45% 60%

!33

Current liver txp caseload

25%

50%

75%

minutes

46-60 61-90 91-120 over 120

allottedneeded

!34

Time for MCS psychosocial eval


!35

When MCS psychosocial eval is done






10%

20%

30%

40%

50%

60%

70%

!36

Risk scales used in MCS

# of

resp

onde

nts

1

2

3

4


1 2 3 4 5 6

!37

MCS staffing, RN:SW

# of

resp

onde

nts

1234567

annual transplant/MCS surgeries per FTE

0-10 11-20 21-30 31-40

SWRN

!38

MCS staffing by volume

# of

resp

onde

nts

1

2

3


1 2 3 4

!39

MCS evaluations per week


!40

How long SW follows MCS inpatients


!41

How long SW follows MCS outpatients


too many patients


not enough patients


10% 20% 30% 40% 50%

!42

Current MCS caseload

15%

30%

45%

minutes

46-60 61-90 91-120 over 120

allottedneeded

!43

Time for heart txp/MCS psychosocial eval


!44

When heart txp/MCS psychosocial eval is done






10%

20%

30%

40%

50%

60%

70%

!45

Risk scales used in heart txp/MCS

# of

resp

onde

nts

2

4

6

8

10


1 2 3 4 5 6 7 8 9 10+

!46

Heart txp/MCS staffing, RN:SW

# of

resp

onde

nts

5

10

15

20

25

annual transplant/MCS surgeries per FTE

0-10 11-20 21-30 31-40 41-50 51-60 61-70 71+

SWRN

!47

Heart txp/MCS staffing by volume

# of

resp

onde

nts

5

10

15

20

25

30


0-2 3-4 5-6 7-8 9-10 11-12 13-14 15-16 17-18 19+

newupdatetotal

!48

Heart txp/MCS evaluations per week


!49

How long SW follows heart txp inpatients


!50

How long SW follows MCS inpatients


!51

How long SW follows heart txp outpatients


!52

How long SW follows MCS outpatients


too many patients


not enough patients


10% 20% 30% 40% 50%

!53

Current heart txp/MCS caseload

10%

20%

30%

40%

50%

minutes

31-45 46-60 61-90 91-120

allottedneeded

!54

Time for lung txp psychosocial eval


!55

When lung txp psychosocial eval is done






10% 20% 30% 40% 50%

!56

Risk scales used in lung txp

# of

resp

onde

nts

1

2

3

4

5


1 2 3 4 5 6 7 8 9 10 11+

!57

Lung txp staffing, RN:SW

# of

resp

onde

nts

2

4

6

8

10

12


0-10 11-20 21-30 31-40 41-50 51-60 61+

SWRN

!58

Lung staffing by txp volume

# of

resp

onde

nts

2

4

6

8


0-3 4-7 8-11 12-15 16-19 20-23 24+

newupdatetotal

!59

Lung txp evaluations per week


!60

How long lung txp SW follows inpatients


!61

How long lung txp SW follows outpatients


too many patients


not enough patients


10% 20% 30% 40% 50%

!62

Current lung txp caseload

20%

40%

60%

80%

minutes

0-30 31-45 46-60 61-90 91-120

allottedneeded

!63

Time for living donor psychosocial eval


!64

When living donor psychosocial eval is done

# of

resp

onde

nts

3

6

9

12

15


<1 1 2 3 4 5 6 7 8

!65

Living donor staffing, RN:SW

# of

resp

onde

nts

3

6

9

12

15

18

annual living donor surgeries per FTE

0-10

11-20

21-30

31-40

41-50

51-60

61-70

71-80

81-90

91-10

0>1

00

SWRN

!66

Living donor staffing by volume

# of

resp

onde

nts

5

10

15

20


0-3 4-6 7-10 11-14 15-18 19-21 >21

!67

Living donor evaluations per week


too many patients


not enough patients


15% 30% 45% 60%

!68

Current living donor caseload

yesnoI don't know.

!69

Productivity tool used?

yesnoI don't know.

!70

Do you bill insurance?

social worker

case manager

living donor advocate

team lead

manager/supervisor

program director

20% 40% 60% 80% 100%

!71

Job titles

psychosocial evaluationsdischarge planning

advocacyemotional support

counselingeducation about returning to work after transplant

post-transplant discharge contact/interventionschemical dependence treatment

chemical dependence treatment monitoring

20% 40% 60% 80% 100%

!72

Job tasks (1 of 3)

insurance verificationpharmacy assistance

support group facilitationmentor program facilitation

educationfinancial assistance

referrals/resource findingoutreach/marketing

program planning/quality improvement

20% 40% 60% 80% 100%

!73

Job tasks (2 of 3)

management/supervisionmonitoring/intervening to improve adherence

utilization reviewfundraising

newsletter productionrequesting prior authorizations

researchdisability claims assistance

crisis interventioncompleting UNOS data forms

20% 40% 60% 80% 100%

!74

Job tasks (3 of 3)

nonein evaluation

waitlistedimmediate post-op

readmitted ≤ 3 months post-opreadmitted ≤ 6 months post-opreadmitted ≤ 9 months post-op

readmitted ≤ 12 months post-opreadmitted over a year post-op

15% 30% 45% 60%

!75

Patients SW does discharge planning for:

nonehome health/hospice referrals

order durable medical equipmentorder wound VACs

home infusion referralsdialysis referrals

early intervention referralsskilled nursing facility placementsassisted living facility placements

acute inpatient rehabilitation referrals

10% 20% 30% 40%

!76

SW discharge planning tasks (1 of 2)

outpatient PT/OT/SLP referralsmental health referrals

substance abuse treatment program referralslocal lodging referrals

private aid referralslong term acute care hospital referrals

transportationdischarge medication coordination/assistance

financial assistance referralsobtain prior authorizations

15% 30% 45% 60% 75%

!77

SW discharge planning tasks (2 of 2)

transplant

social work

care management

a medicine department (e.g. cardiology, nephrology)

a surgery department

other

10% 20% 30% 40% 50% 60% 70%

!78

Department paying SW salary

membershipcredential application fee

conference registrationconference educational leave

travellodgingmeals

none of the above

15% 30% 45% 60% 75%

!79

STSW expenses employer will pay

US Region 1: CT, ME, MA, NH, RI, Eastern VTUS Region 2: DE, DC, MD, NJ, PA, WV

US Region 3: AL, AR, FL, GA, LA, MS, PRUS Region 4: OK, TX

US Region 5: AZ, CA, NV, NM, UTUS Region 6: AL, HI, ID, MT, OR, WA

US Region 7: IL, MN, ND, SD, WIUS Region 8: CO, IA, KS, MO, NE, WY

US Region 9: NY, Western VTUS Region 10: IN, MI, OH

US Region 11: KY, NC, SC, TN, VAoutside United States

number of SWs5 10 15 20 25

!80

Where we work

US Salaries

Other salaries omitted due to limited responses

!81

Annual full-time salary in US dollars

# of

resp

onde

nts

5

10

15

20

25<4

5,00

0

4500

0-49

999

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

9000

0-94

999

9500

0-99

999

1000

00-1

0499

910

5000

-109

999

1100

00-11

4999

1150

0+

!82

US Salaries


# of

resp

onde

nts

1

2

3

4

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

9000

0-94

999

9500

0-99

999

1000

00-1

0499

9

1050

00-11

0000

!83

Salary - Region 1: CT, ME, MA, NH, Eastern VT & RI


# of

resp

onde

nts

1

2

3

4

5

<400

00

4000

0-44

999

4500

0-49

999

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

9000

0-94

999

!84

Salary - Region 2: DE, DC, MD, NJ, PA, WV


# of

resp

onde

nts

1

2

3

4

4500

0-49

999

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

9000

0-94

999

!85

Salary - Region 3: AL, AR, FL, GA, LA, MS, PR


# of

resp

onde

nts

1

2

3

4

555

000-

5999

960

000-

6499

965

000-

6999

970

000-

7499

975

000-

7999

980

000-

8499

985

000-

8999

990

000-

9499

995

000-

9999

910

0000

-104

999

1050

00-1

0999

911

0000

-1149

99

!86

Salary - Region 4: OK, TX


# of

resp

onde

nts

1

2

3

4

5

645

000-

4999

950

000-

5499

955

000-

5999

960

000-

6499

965

000-

6999

970

000-

7499

975

000-

7999

980

000-

8499

985

000-

8999

990

000-

9499

995

000-

9999

910

0000

-104

999

1050

00-1

0999

911

0000

-1149

9911

5000

-120

00

!87

Salary - Region 5: AZ, CA, NV, NM, UT


# of

resp

onde

nts

1

2

3

4

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

9000

0-94

999

9500

0-99

999

!88

Salary - Region 6: AK, HI, ID, MT, OR, WA


# of

resp

onde

nts

1

2

3

4

5

6

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

!89

Salary - Region 7: IL, MN, ND, SD, WI


# of

resp

onde

nts

1

2

3

4

5

6

7

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

!90

Salary - Region 8: CO, IA, KS, MO, NE, WY


# of

resp

onde

nts

1

2

3

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

!91

Salary - Region 9: NY & Western VT


# of

resp

onde

nts

1

2

3

4

5

4500

0-49

999

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

!92

Salary - Region 10: IN, MI, OH


# of

resp

onde

nts

1

2

3

4

4500

0-49

999

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

!93

Salary - Region 11: KY, NC, SC, TN, VA

# of

resp

onde

nts

0

2

4

6

8

10


<400

00

4000

0-44

999

4500

0-49

999

5000

0-54

999

5500

0-59

999

6000

0-64

999

6500

0-69

999

7000

0-74

999

7500

0-79

999

8000

0-84

999

8500

0-89

999

9000

0-94

999

9500

0-99

999

1000

00-1

0499

9

1050

00-1

0999

9

1100

00-1

1499

9

1150

00-1

2000

0

0-5 6-10 11-15 16-20 21-25 26+

!94

Salary by years as a social worker

2018 survey results - stsw · stanford integrated psychosocial assessment for transplant (sipat)...

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