2017 STSW Survey. Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded.

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1 2017 STSW Survey Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded.

2 Years Employed 30% As a social worker As a transplant social worker 20% 10% Years 2

3 Earned CCTSW/CCSW-MCS yes no 3

4 Licensed at highest level? yes no 4

5 Memberships held this year Society for Transplant Social Workers The Transplantation Society Council of Nephrology Social Workers/National Kidney Foundation South African Transplant Society International Transplant Nurses Society International Society for Heart & Lung Transplantation National Association of Social Workers Society for Social Work Leadership in Healthcare American Society of Transplantation/Psychosocial Community of Practice American Foundation for Donation & Transplantation Transplant Financial Coordinators Association American Public Health Association 20% 40% 60% 80% 100% 5

6 Populations served heart transplant kidney transplant liver transplant living donor lung transplant pancreas transplant intestinal transplant adults pediatrics VAD/MCS VAD/MCS - destination therapy only vascularized composite transplant 10% 20% 30% 40% 50% 60% 70% 6

7 Time for pediatric psychosocial eval 75% 50% allotted needed 25% minutes 7

8 When pediatric psychosocial eval is done Toward the beginning, before a medical determination is made. Toward the end, after a medical determination is made. It varies. 8

9 Risk scales used in pediatric txp Psychosocial Assessment Tool 2.0_General Pediatric 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. 20% 40% 60% 9

10 Pediatric txp staffing, RN:SW 4 # of respondents < nurses per social worker (FTEs) 10

11 Pediatric staffing by txp volume 9 # of respondents 6 3 SW RN annual transplant surgeries per FTE 11

12 Pediatric txp evaluations 6 # of respondents 4 2 new update total average # of evaluations per week, per full-time SW 12

13 How long pediatric SW follows patients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op until transition to adult care 13

14 Current pediatric txp caseload far too many patients too many patients the right number of patients not enough patients far too few patients 20% 40% 60% 80% 14

15 Time for kidney/panc psychosocial eval 50% 40% 30% allotted needed 20% 10% minutes 15

16 When kidney/panc psychosocial eval is done Toward the beginning, before a medical determination is made. Toward the end, after a medical determination is made. It varies. 16

17 Risk scales used in kidney/panc txp 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. 10% 20% 30% 40% 50% 17

18 Kidney/panc txp staffing, RN:SW 20 # of respondents nurses per social worker (FTEs) 18

19 Kidney/panc staffing by txp volume 60 # of respondents SW RN >150 annual transplant surgeries per FTE 19

20 Kidney/panc txp evaluations per week # of respondents new update total >31 average # of evaluations per week per full time SW 20

21 How long kidney/panc SW follows inpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 21

22 How long kidney/panc SW follows outpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 22

23 Current kidney/panc txp caseload far too many patients too many patients the right number of patients not enough patients far too few patients 20% 40% 60% 23

24 Time for liver txp psychosocial eval 60% 45% allotted needed 30% 15% > over 120 minutes 24

25 When liver txp psychosocial eval is done Toward the beginning, before a medical determination is made. Toward the end, after a medical determination is made. It varies. 25

26 Risk scales used in liver txp 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% 26

27 Liver txp staffing, RN:SW 10 # of respondents nurses per social worker (FTEs) 27

28 Liver staffing by txp volume 25 # of respondents SW RN >90 annual transplant surgeries per FTE 28

29 Liver txp evaluations per week # of respondents new update total >21 average # of evaluations per week per full time SW 29

30 How long liver txp SW follows inpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 30

31 How long liver txp SW follows outpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 31

32 Current liver txp caseload far too many patients too many patients the right number of patients not enough patients far too few patients 15% 30% 45% 60% 32

33 Time for heart txp/mcs psychosocial eval 45% 30% allotted needed 15% over 120 minutes 33

34 When heart txp/mcs psychosocial eval is done Toward the beginning, before a medical determination is made. Toward the end, after a medical determination is made. It varies. 34

35 Risk scales used in heart txp/mcs 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. 10% 20% 30% 40% 50% 60% 70% 35

36 Heart txp/mcs staffing, RN:SW 8 # of respondents nurses per social worker (FTEs) 36

37 Heart txp/mcs staffing by volume 30 # of respondents SW RN annual transplant/mcs surgeries per FTE 37

38 Heart txp/mcs evaluations per week 25 # of respondents new update total average # of evaluations per week per full time SW 38

39 How long SW follows heart tx inpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 39

40 How long SW follows MCS inpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 40

41 How long SW follows heart tx outpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 41

42 How long SW follows MCS outpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 42

43 Current heart txp/mcs caseload far too many patients too many patients the right number of patients not enough patients far too few patients 25% 50% 75% 43

44 Time for lung txp psychosocial eval 50% 40% 30% allotted needed 20% 10% > over 120 minutes 44

45 When lung txp psychosocial eval is done Toward the beginning, before a medical determination is made. Toward the end, after a medical determination is made. It varies. 45

46 Risk scales used in lung txp 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. 20% 40% 60% 80% 46

47 Lung txp staffing, RN:SW 7 6 # of respondents >5 nurses per social worker (FTEs) 47

48 Lung staffing by txp volume 15 # of respondents SW RN >50 annual transplant surgeries per FTE 48

49 Lung txp evaluations per week # of respondents new update total average # of evaluations per week per full time SW 49

50 How long lung txp SW follows inpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 50

51 How long lung txp SW follows outpatients 6 months post-op > 6-12 months post-op > 1 year-2 years post-op > 2 years post-op 51

52 Current lung txp caseload far too many patients too many patients the right number of patients not enough patients far too few patients 10% 20% 30% 40% 50% 52

53 Time for living donor psychosocial eval 60% 50% 40% allotted needed 30% 20% 10% minutes 53

54 When living donor psychosocial eval is done Toward the beginning, before a medical determination is made. Toward the end, after a medical determination is made. It varies. 54

55 Living donor staffing, RN:SW 15 # of respondents < >7 nurses per social worker (FTEs) 55

56 Living donor staffing by volume 16 # of respondents SW RN >80 annual living donor surgeries per FTE 56

57 Living donor evaluations per week # of respondents >10 average # of evaluations per week per full time SW 57

58 Current living donor caseload far too many patients too many patients the right number of patients not enough patients far too few patients 15% 30% 45% 60% 58

59 Productivity tool used? yes no I don't know. 59

60 Do you bill insurance? yes no I don't know. 60

61 Job titles social worker case manager living donor advocate team lead manager/supervisor program director 20% 40% 60% 80% 100% 61

62 Job tasks (1 of 3) psychosocial evaluations discharge planning advocacy emotional support counseling education about returning to work after transplant post-transplant discharge contact/interventions chemical dependence treatment chemical dependence treatment monitoring 20% 40% 60% 80% 100% 62

63 Job tasks (2 of 3) insurance verification pharmacy assistance support group facilitation mentor program facilitation education financial assistance referrals/resource finding outreach/marketing program planning/quality improvement 20% 40% 60% 80% 100% 63

64 Job tasks (3 of 3) management/supervision monitoring/intervening to improve adherence utilization review fundraising newsletter production requesting prior authorizations research disability claims assistance crisis intervention completing UNOS data forms 20% 40% 60% 80% 100% 64

65 Patients SW does discharge planning for: none in evaluation waitlisted immediate post-op readmitted 3 months post-op readmitted 6 months post-op readmitted 9 months post-op readmitted 12 months post-op readmitted over a year post-op 15% 30% 45% 60% 65

66 SW discharge planning tasks (1 of 2) none home health/hospice referrals order durable medical equipment order wound VACs home infusion referrals dialysis referrals early intervention referrals skilled nursing facility placements assisted living facility placements acute inpatient rehabilitation referrals 10% 20% 30% 40% 66

67 SW discharge planning tasks (2 of 2) outpatient PT/OT/SLP referrals mental health referrals substance abuse treatment program referrals local lodging referrals private aid referrals long term acute care hospital referrals transportation discharge medication coordination/assistance financial assistance referrals obtain prior authorizations 15% 30% 45% 60% 75% 67

68 Department paying SW salary transplant social work care management a medicine department (e.g. cardiology, nephrology) other 10% 20% 30% 40% 50% 60% 70% 68

69 STSW expenses employer will pay membership credential application fee conference registration conference educational leave travel lodging meals none of the above 15% 30% 45% 60% 75% 69

70 Where we work US Region 1: CT, ME, MA, NH, RI, Eastern VT US Region 2: DE, DC, MD, NJ, PA, WV US Region 3: AL, AR, FL, GA, LA, MS, PR US Region 4: OK, TX US Region 5: AZ, CA, NV, NM, UT US Region 6: AL, HI, ID, MT, OR, WA US Region 7: IL, MN, ND, SD, WI US Region 8: CO, IA, KS, MO, NE, WY US Region 9: NY, Western VT US Region 10: IN, MI, OH US Region 11: KY, NC, SC, TN, VA outside United States number of SWs 70

71 US Salaries Other salaries omitted due to limited responses 71

72 US Salaries 25 # of respondents <45, Annual full-time salary in US dollars

73 Salary - Region 1: CT, ME, MA, NH, Eastern VT & RI 3 # of respondents Annual full-time salary in US dollars

74 Salary - Region 2: DE, DC, MD, NJ, PA, WV 4 # of respondents Annual full-time salary in US dollars 74

75 Salary - Region 3: AL, AR, FL, GA, LA, MS, PR 5 # of respondents Annual full-time salary in US dollars 75

76 Salary - Region 4: OK, TX 3 # of respondents Annual full-time salary in US dollars 76

77 Salary - Region 5: AZ, CA, NV, NM, UT 8 # of respondents Annual full-time salary in US dollars

78 Salary - Region 6: AK, HI, ID, MT, OR, WA 6 # of respondents Annual full-time salary in US dollars

79 Salary - Region 7: IL, MN, ND, SD, WI 4 # of respondents Annual full-time salary in US dollars 79

80 Salary - Region 8: CO, IA, KS, MO, NE, WY 3 # of respondents Annual full-time salary in US dollars 80

81 Salary - Region 9: NY & Western VT 3 # of respondents Annual full-time salary in US dollars 81

82 Salary - Region 10: IN, MI, OH 10 # of respondents Annual full-time salary in US dollars 82

83 Salary - Region 11: KY, NC, SC, TN, VA 4 # of respondents Annual full-time salary in US dollars 83

84 Salary by years as a social worker # of respondents Annual full-time salary in US dollars

85 Salary by years as a social worker # of respondents Annual full-time salary in US dollars

2016 STSW Survey. Survey invitations were sent to all STSW members and 2016 conference registrants. 158 social workers responded.

2016 STSW Survey. Survey invitations were sent to all STSW members and 2016 conference registrants. 158 social workers responded. 2016 STSW Survey Survey invitations were sent to all STSW members and 2016 conference registrants. 158 social workers responded. Years Employed 30% As a social worker As a transplant social worker 20%

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