{"id":7083,"date":"2017-01-20T12:20:22","date_gmt":"2017-01-20T19:20:22","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=7083"},"modified":"2023-03-03T09:56:39","modified_gmt":"2023-03-03T16:56:39","slug":"provider-teamwork-pays-off-for-bmt-patients","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/provider-teamwork-pays-off-for-bmt-patients\/","title":{"rendered":"Provider teamwork pays off for BMT patients"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>UCHealth University of Colorado Hospital has cemented its place among the nation\u2019s leaders in treating and caring for patients who are among medicine\u2019s most vulnerable.<\/p>\n<p>They are people who receive stem-cell transplants for leukemia and other diseases of the blood and marrow. Newly available data from the <a href=\"https:\/\/www.cibmtr.org\/pages\/index.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Center for International Blood and Marrow Transplant Research<\/a> show that the BMT Program at University of Colorado Hospital has achieved greater than expected one-year survival rates for these patients for four consecutive years.<\/p>\n<p>Nationally, only five other BMT centers have achieved this distinction, noted <a href=\"https:\/\/www.cudoctors.com\/Find_A_Doctor\/Profile\/555\" target=\"_blank\" rel=\"noopener noreferrer\">Jonathan Gutman, MD<\/a>, associate professor with the Division of<\/p>\n<figure id=\"attachment_7084\" aria-describedby=\"caption-attachment-7084\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7084\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144509\/EXT_011917_Lynn-and-Kirsten-Thornton-Photoshop.webp\" alt=\"Lynn Kelly, a stem cell transplant patient (right) who received her care at UCH, with BMT social worker Kirsten Thornton during a BMT reunion in September. Photo courtesy Kelly Pacic.\" width=\"300\" height=\"214\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144509\/EXT_011917_Lynn-and-Kirsten-Thornton-Photoshop.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144509\/EXT_011917_Lynn-and-Kirsten-Thornton-Photoshop-300x214.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144509\/EXT_011917_Lynn-and-Kirsten-Thornton-Photoshop-1024x731.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144509\/EXT_011917_Lynn-and-Kirsten-Thornton-Photoshop-768x548.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144509\/EXT_011917_Lynn-and-Kirsten-Thornton-Photoshop-150x107.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144509\/EXT_011917_Lynn-and-Kirsten-Thornton-Photoshop-200x143.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-7084\" class=\"wp-caption-text\">Lynn Kelly, a stem cell transplant patient (right) who received her care at UCH, with BMT social worker Kirsten Thornton during a BMT reunion in September. Photo courtesy Kelly Pacic.<\/figcaption><\/figure>\n<p>Hematology in the University of Colorado School of Medicine\u2019s Department of Medicine and clinical director of Allogeneic Stem Cell Transplantation at CU.<\/p>\n<p>The latest outcome figures are based on three years of data gathered from 2012 to 2014 for allogeneic transplants (those that use cells collected from donors rather than the patient\u2019s own cells) and are risk-adjusted to account for patient acuity, Gutman said.<\/p>\n<p>He noted that the consistently superior survival rates occurred during a period when the BMT Program increased its case volume by half, from 65 in fiscal year 2012 (which ended June 30, 2012) to 97 in fiscal year 2014. In fiscal year 2016, the program performed 127 transplants. Gutman said the program aims to double that number in the next five years.<\/p>\n<p><strong>Only the beginning<\/strong><\/p>\n<p>It will require concentrated effort to achieve that goal while maintaining or exceeding the program\u2019s quality standards, he said.<\/p>\n<figure id=\"attachment_7085\" aria-describedby=\"caption-attachment-7085\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7085\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144508\/EXT_011917_Stones-Photo-Shop.webp\" alt=\"Reunion attendees were invited to write \u0093words of wisdom\u0094 for future transplant recipients on stones. Photo courtesy Kelly Pacic.\" width=\"300\" height=\"201\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144508\/EXT_011917_Stones-Photo-Shop.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144508\/EXT_011917_Stones-Photo-Shop-300x201.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144508\/EXT_011917_Stones-Photo-Shop-1024x685.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144508\/EXT_011917_Stones-Photo-Shop-768x514.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144508\/EXT_011917_Stones-Photo-Shop-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144508\/EXT_011917_Stones-Photo-Shop-200x134.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-7085\" class=\"wp-caption-text\">Reunion attendees were invited to write \u0093words of wisdom\u0094 for future transplant recipients on stones. Photo courtesy Kelly Pacic.<\/figcaption><\/figure>\n<p>\u201cThe care of these patients is complex and multidisciplinary,\u201d Gutman said. \u201cThe outcomes data is a testament to our team building.\u201d He pointed to clinical research and integration with ClinImmune, a CU-led bank for cord blood that is a valuable source for donor cells, as additional differentiators for the program. He also cited strong leadership from Clay Smith, MD, program director for the BMT and Blood Cancer programs as essential in guiding the program forward.<\/p>\n<p>Gutman noted that the program now has nine attending physicians, up from four in 2010. But physicians work closely with a large team that includes nearly two dozen advanced practice providers, inpatient and outpatient clinical nurses, case managers, social workers, pharmacists, dietitians and other providers. They care for patients who face the challenge of arduous procedures followed by lengthy hospitalizations and periods in which their immunosuppressed systems are exposed to infection while their bodies rebuild their supplies of healthy cells.<\/p>\n<p>\u201cOur patients present at the most vulnerable times in their lives,\u201d said Jamie Nordhagen, RN, nurse manager of the Oncology\/BMT Unit at UCH. \u201cWhat we do to them will cause pain and potentially harm in the short term. They are sometimes here several weeks and are completely dependent on us.\u201d<\/p>\n<p><strong>Hands together<\/strong><\/p>\n<p>In strengthening the BMT program, staff and providers confronted a familiar hospital issue, Nordhagen said: strengthening communication between the various teams and departments that provide patient care.<\/p>\n<p>\u201cWe worked hard to get people out of their silos, she said.<\/p>\n<p>An Institute for Healthcare Quality, Safety and Efficiency (IHQSE) project is helping to do that. Inpatient and outpatient leadership worked<\/p>\n<figure id=\"attachment_7086\" aria-describedby=\"caption-attachment-7086\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7086\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144507\/EXT_011917_BMT-Bell-Photoshop.webp\" alt=\"Kelly with Dustin Radke, who donated stem cells sufficient for two transplants Kelly received. The two met in the BMT Unit Jan. 13 and rang a bell signaling the successful transplant.\" width=\"300\" height=\"200\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144507\/EXT_011917_BMT-Bell-Photoshop.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144507\/EXT_011917_BMT-Bell-Photoshop-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144507\/EXT_011917_BMT-Bell-Photoshop-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144507\/EXT_011917_BMT-Bell-Photoshop-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144507\/EXT_011917_BMT-Bell-Photoshop-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144507\/EXT_011917_BMT-Bell-Photoshop-200x133.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-7086\" class=\"wp-caption-text\">Kelly with Dustin Radke, who donated stem cells sufficient for two transplants Kelly received. The two met in the BMT Unit Jan. 13 and rang a bell signaling the successful transplant.<\/figcaption><\/figure>\n<p>together to improve care coordination for BMT patients, Nordhagen said. The linchpin is daily bedside rounding that includes all key team members. They visit each patient and his or her family members and work together to identify barriers and develop plans of care, both for the inpatient stay and after discharge.<\/p>\n<p>The rounding began last September. \u201cWe\u2019re still fine-tuning it,\u201d Nordhagen said, \u201cbut it has pushed us all to be our best and to become a single program instead of siloed units.\u201d Inpatient and outpatient leaders now meet once a month to strengthen communication and build working relationships, she added.<\/p>\n<p>The addition of 20 direct-care nurses in the past year bolstered the effort, Nordhagen said. They received specialized training in caring for transplant patients.<\/p>\n<p>\u201cLeadership has helped to ensure that we have the resources and the processes in place to do our jobs,\u201d she said.<\/p>\n<p>Nordhagen acknowledged that challenges remain, however, especially monitoring patients after they leave the hospital. Many come from outside the Denver metro area but must stay close to the hospital for 90 days after discharge. During that time, they need follow-up care, including outpatient clinic visits, medication management, and attention to social and logistical barriers that can prevent them from getting it.<\/p>\n<p>\u201cWe\u2019re continuing to work on our discharge processes and managing our patients\u2019 transitions of care,\u201d Nordhagen said.<\/p>\n<p><strong>Across the years<\/strong><\/p>\n<figure id=\"attachment_7094\" aria-describedby=\"caption-attachment-7094\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7094\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144505\/EXT_011917_BMT-Group-Shot-Photoshops.webp\" alt=\"Kelly and Radke pose with some of the providers on the BMT Unit at UCH who helped to care for her.\" width=\"300\" height=\"182\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144505\/EXT_011917_BMT-Group-Shot-Photoshops.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144505\/EXT_011917_BMT-Group-Shot-Photoshops-300x182.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144505\/EXT_011917_BMT-Group-Shot-Photoshops-1024x622.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144505\/EXT_011917_BMT-Group-Shot-Photoshops-768x467.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144505\/EXT_011917_BMT-Group-Shot-Photoshops-150x91.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144505\/EXT_011917_BMT-Group-Shot-Photoshops-200x122.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-7094\" class=\"wp-caption-text\">Kelly and Radke pose with some of the providers on the BMT Unit at UCH who helped to care for her.<\/figcaption><\/figure>\n<p>The BMT program\u2019s outcomes data is impressive, but warm bodies often tell a more compelling story than cold numbers. One example occurred Jan. 13 when 73-year-old Lynn Kelly of Denver returned to the BMT Unit at UCH. Kelly underwent two stem cell transplants after she was diagnosed with leukemia in March 2015. Providers from throughout the unit thronged around a smiling Kelly, while her sister and caregiver Ginger McLaughlin looked on. Kelly said she\u2019s been \u201cfeeling good\u201d since the second transplant.<\/p>\n<p>The stem cell donor for both procedures was Dustin Radke from the St. Louis area. The 20-year-old Radke, accompanied by his parents John and Bridgette, was in town to meet Kelly for the first time. He donated his cells \u2013 all 19 million of them \u2013 after attending a blood drive at the University of Missouri and registering as a blood and marrow donor. He was 18 at the time.<\/p>\n<p>When it turned out his blood was a match for Kelly \u2013 whom he wouldn\u2019t know for some time \u2013 Radke agreed to go to Georgetown University for a complete physical and stem cell collection, which required two trips in May 2015. The first transplant Kelly received at UCH didn\u2019t succeed. However, the hospital hadn\u2019t needed Radke\u2019s entire donation and had frozen enough cells for the second, successful transplant.<\/p>\n<p>The two chose to get one another\u2019s names and then corresponded by letters, emails and texts before meeting face to face. The 50-year age gap made no apparent difference to two people bound by something much more profound.<\/p>\n<p>\u201cShe\u2019s a rock star,\u201d Radke said of Kelly. Together they rang a bell near the nurse\u2019s station to signal the victory over the disease.<\/p>\n<figure id=\"attachment_7088\" aria-describedby=\"caption-attachment-7088\" style=\"width: 247px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7088\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144506\/EXT_011917_Dustin-Lynn-Kelly-Photoshop.webp\" alt=\": Charge nurse Kelly Tadken uses her phone for a Facetime session with one of the BMT Unit providers who cared for Lynn Kelly.\" width=\"247\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144506\/EXT_011917_Dustin-Lynn-Kelly-Photoshop.webp 825w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144506\/EXT_011917_Dustin-Lynn-Kelly-Photoshop-248x300.webp 248w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144506\/EXT_011917_Dustin-Lynn-Kelly-Photoshop-768x931.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144506\/EXT_011917_Dustin-Lynn-Kelly-Photoshop-124x150.webp 124w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/01\/28144506\/EXT_011917_Dustin-Lynn-Kelly-Photoshop-200x242.webp 200w\" sizes=\"auto, (max-width: 247px) 100vw, 247px\" \/><figcaption id=\"caption-attachment-7088\" class=\"wp-caption-text\">Charge nurse Kelly Tadken uses her phone for a Facetime session with one of the BMT Unit providers who cared for Lynn Kelly.<\/figcaption><\/figure>\n<p>The entire unit could join in their obvious joy. \u201cWe\u2019ve built a culture of working together,\u201d said Gutman, who was Kelly\u2019s medical oncologist. \u201cClinical leaders and all team members have worked hard to bring quality care to the highest possible levels.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>UCHealth University of Colorado Hospital has cemented its place among the nation\u2019s leaders in treating and caring for patients who are among medicine\u2019s most vulnerable. They are people who receive stem-cell transplants for leukemia and other diseases of the blood and marrow. Newly available data from the Center for International Blood and Marrow Transplant Research [&hellip;]<\/p>\n","protected":false},"author":2143,"featured_media":7094,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[1024,597,4804,39,263],"class_list":["post-7083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-blood-disorders-disease-care-hematology","tag-jamie-nordhagen","tag-stem-cell","tag-transplant-services","tag-university-of-colorado-hospital"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Provider teamwork pays off for BMT patients - UCHealth Today<\/title>\n<meta name=\"description\" content=\"UCHealth University of Colorado Hospital has cemented its place among the nation\u2019s leaders in treating and caring for patients who are among medicine\u2019s most vulnerable. They are people who receive stem-cell transplants for leukemia and other diseases of the blood and marrow. ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/provider-teamwork-pays-off-for-bmt-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Provider teamwork pays off for BMT patients\" \/>\n<meta property=\"og:description\" content=\"UCHealth University of Colorado Hospital has cemented its place among the nation\u2019s leaders in treating and caring for patients who are among medicine\u2019s most vulnerable. They are people who receive stem-cell transplants for leukemia and other diseases of the blood and marrow. 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