Post on 14-Oct-2020
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
Toward the beginning, before a medical determination is made.Toward the end, after a medical determination is made.It varies.
!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
I don't use a risk scale.
10% 20% 30% 40% 50%
!18
Risk scales used in kidney/panc txp
# of
resp
onde
nts
4
8
12
16
nurses per social worker (FTEs)
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
annual transplant surgeries per FTE
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
≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op
!23
How long kidney/panc SW follows outpatients
far too many patients
too many patients
the right number of patients
not enough patients
far too few 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
Toward the beginning, before a medical determination is made.Toward the end, after a medical determination is made.It varies.
!26
When liver txp 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
I don't use a risk scale.
10% 20% 30% 40% 50%
!27
Risk scales used in liver txp
# of
resp
onde
nts
2
4
6
nurses per social worker (FTEs)
1 2 3 4 5 6 7
!28
Liver txp staffing, RN:SW
# of
resp
onde
nts
3
6
9
12
15
annual transplant surgeries per FTE
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
average # of evaluations per week per full time SW
0-3 4-6 7-9 10-12 13-15 16-18 19-21 >21
newupdatetotal
!30
Liver txp evaluations per week
≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op
!31
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
!32
How long liver txp SW follows outpatients
far too many patients
too many patients
the right number of patients
not enough patients
far too few 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
Toward the beginning, before a medical determination is made.Toward the end, after a medical determination is made.It varies.
!35
When MCS 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
I don't use a risk scale.
10%
20%
30%
40%
50%
60%
70%
!36
Risk scales used in MCS
# of
resp
onde
nts
1
2
3
4
nurses per social worker (FTEs)
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
average # of evaluations per week per full time SW
1 2 3 4
!39
MCS evaluations per week
≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op
!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
!41
How long SW follows MCS outpatients
far too many patients
too many patients
the right number of patients
not enough patients
far too few 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
Toward the beginning, before a medical determination is made.Toward the end, after a medical determination is made.It varies.
!44
When heart txp/MCS 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
I don't use a risk scale.
10%
20%
30%
40%
50%
60%
70%
!45
Risk scales used in heart txp/MCS
# of
resp
onde
nts
2
4
6
8
10
nurses per social worker (FTEs)
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
average # of evaluations per week per full time SW
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
≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op
!49
How long SW follows heart txp inpatients
≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op
!50
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
!51
How long SW follows heart txp outpatients
≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op
!52
How long SW follows MCS outpatients
far too many patients
too many patients
the right number of patients
not enough patients
far too few 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
Toward the beginning, before a medical determination is made.Toward the end, after a medical determination is made.It varies.
!55
When lung txp 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
I don't use a risk scale.
10% 20% 30% 40% 50%
!56
Risk scales used in lung txp
# of
resp
onde
nts
1
2
3
4
5
nurses per social worker (FTEs)
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
annual transplant surgeries per FTE
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
average # of evaluations per week per full time SW
0-3 4-7 8-11 12-15 16-19 20-23 24+
newupdatetotal
!59
Lung txp evaluations per week
≤ 6 months post-op> 6-12 months post-op> 1 year-2 years post-op> 2 years post-op
!60
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
!61
How long lung txp SW follows outpatients
far too many patients
too many patients
the right number of patients
not enough patients
far too few 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
Toward the beginning, before a medical determination is made.Toward the end, after a medical determination is made.It varies.
!64
When living donor psychosocial eval is done
# of
resp
onde
nts
3
6
9
12
15
nurses per social worker (FTEs)
<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
average # of evaluations per week per full time SW
0-3 4-6 7-10 11-14 15-18 19-21 >21
!67
Living donor evaluations per week
far too many patients
too many patients
the right number of patients
not enough patients
far too few 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
# 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
Annual full-time salary in US dollars
<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