Transplant Program Reference Guide - LifeTrac Network

1 Transplant Program Reference Guide The LifeTrac Network ( LifeTrac ) is a national Network comprised of a select group of the world s leading Transplant facilities that perform solid organ and stem cell transplants. Accessible to 30 million lives nationwide, LifeTrac serves HMOs, TPAs, major insurance companies, and employer health plans. LifeTrac Network Facilities Kidney Kidney/ Pancreas Pancreas Liver Liver/ Kidney Intestine Heart Lung Heart/ Lung Autologous HCT Allogeneic HCT Alabama Children s Hospital of Alabama (Birmingham) P p p p p University of Alabama Health System (Birmingham) A A A A A A a a A A Arizona Banner University Medical Center (Tucson) A a a a a a a A/p A/p Mayo Clinic (Scottsdale) A A A A A A A A Phoenix Children s Hospital (Phoenix) P p P P P St. Joseph s Hospital and Medical Center (Phoenix) a a a A Arkansas University of Arkansas Medical Center (Little Rock) a a a a a California Children s Hospital Los Angeles (Los Angeles) P P P p P P P City of Hope (Duarte) A/p A/p Loma Linda University Medical Center (Loma Linda) A/P a a A A/P p p Lucile Packard Children s Hospital (Palo Alto) P P P p P P P P P Rady Children s Hospital San Diego (San Diego) P P Scripps Green Hospital (La Jolla) a a a a a a Stanford Hospital and Clinics (Stanford) A a A A a A A A A A Medical Center (Los Angeles) A/P a A/P A/P A A/p A/p Medical Center (San Diego) A a a a a A a a A A Medical Center (San Francisco) a/p a a a/p a/p a A a A/P A/P University of Southern California - Keck Hospital of USC, USC Norris Cancer Hospital (Los Angeles)

2 A a a A A A a A A Colorado Children s Hospital Colorado (Denver) P P P P P Presbyterian/St. Luke s Medical Center - Colorado Blood Cancer Institute (Denver) A A University of Colorado Hospital (Denver) A A A A A A A A A A Delaware Alfred I. duPont Hospital for Children (Wilmington) p p p p p p District of Columbia Georgetown University Hospital (Washington) A A A A/P A A/P Washington Hospital Center (Washington) A Florida Broward Health Medical Center (Fort Lauderdale) a Cleveland Clinic Florida Weston (Weston) a a a Florida Hospital (Orlando) A/P a a A/p A/p A a A A H. Lee Moffitt Cancer Center (Tampa) A A Jackson Memorial Hospital (Miami) A/P A A A/P A/P A/P A/p a p p Mayo Clinic (Jacksonville) A A A A A A A A A A Tampa General Hospital (Tampa) A/P A A A A A A UF Health Shands Hospital (Gainesville) A/P a a A A/P A/P* A/p A/p University of Miami Hospitals and Clinics - Sylvester Comprehensive Cancer Center (Miami) A A Georgia Children s Healthcare of Atlanta (Atlanta) P P P P P P Emory Healthcare (Atlanta) A A A A A A A A A Northside Hospital (Atlanta) A A Piedmont Hospital (Atlanta) A A A A A a Illinois Ann & Robert H.

3 Lurie Children s Hospital of Chicago (Chicago) P P P P P Cancer Treatment Centers of America - Midwestern Regional Medical Center (Zion) a a Loyola University Medical Center (Chicago) A A A A A A A Northwestern Memorial Hospital (Chicago) A A A A A a A A A Indiana Indiana Blood & Marrow Transplantation (Beech Grove) a a Indiana University Health - Methodist Hospital, Riley Hospital for Children, University Hospital (Indianapolis) A/P A A A/P A/P a/p A/P A A/P A/P Iowa University of Iowa Hospitals (Iowa City) A/P a a a/p a/P a A/p A/p Kansas University of Kansas Hospital (Kansas City) A a a A A a A A Kentucky Jewish Hospital (Louisville) A a a a a a a University of Kentucky Chandler Medical Center (Lexington) A/p a a A A A A A A Louisiana Ochsner Clinic Foundation (New Orleans) A/p A A A/P A/p A/p A a a Maryland Johns Hopkins Hospital (Baltimore) A/P a a A/p A/p A/p A A/P A/P University of Maryland Medical Center (Baltimore) a/p A A A a A A A A Massachusetts Beth Israel Deaconess Medical Center (Boston) a a a a a a a Boston Children s Hospital (Boston) P P P P P P Brigham and Women s Hospital (Boston) A A A see Dana-Farber Dana-Farber Cancer Institute (Boston) A A Lahey Hospital and Medical Center (Burlington) a a a Massachusetts General Hospital (Boston) A/P A/p A A A/p A Tufts Medical Center (Boston) a/p A a/p a/p UMass Memorial Medical Center (Worcester) a/p a a a a a a A = Adult P = Pediatric P* = Pediatric transplants are adolescent only.

4 Contact LifeTrac for age parameters. All programs listed here are contracted with LifeTrac for Transplant services. Select programs are indicated by uppercase, bold-faced type and meet specific LifeTrac criteria. Supplemental programs are indicated by lowercase, regular typeface. For additional criteria information, call us at (800) 968-8722. (Continued on back) LT7003 (10/2018) LifeTrac Network Facilities Kidney Kidney/ Pancreas Pancreas Liver Liver/ Kidney Intestine Heart Lung Heart/ Lung Autologous HCT Allogeneic HCT Michigan Spectrum Health Butterworth Hospital (Grand Rapids) a a a a/p a/p University of Michigan Medical Center (Ann Arbor) A/P A A A/P A/P A/P A A/P A/P Minnesota Abbott Northwestern Hospital - Allina (Minneapolis) a A Hennepin County Medical Center (Minneapolis) A Mayo Clinic (Rochester) A/P A A A/p A/p A/P a a A/p A/p University of Minnesota Medical Center, Fairview (Minneapolis) A/P A A A/P A/P a/p A/P A/P* A A/P A/P Mississippi University of Mississippi Medical Center (Jackson) a a a/p a/p Missouri Barnes-Jewish Hospital (St.)

5 Louis) A a a A A A A A A A Saint Luke s Hospital (Kansas City) A a a A SSM Health Saint Louis University Hospital (St. Louis) a a a a a a St. Louis Children s Hospital (St. Louis) P P P P P P P Nebraska Nebraska Medical Center (Omaha) A/P A A A/P A/P A/P A/p A/p New York Memorial Sloan-Kettering Cancer Center (New York) A/P A/P Mount Sinai Hospital (New York) A/P A A A/P A A/P A/P A/p A/p Roswell Park Cancer Institute (Buffalo) A/p A/p Strong Memorial Hospital (Rochester) A/p a a a/p* A A/p A/p North Carolina Duke University Hospital (Durham) A/P A A A/P A/P a/p A/P A/p* A/p* A/P A/P University of North Carolina Hospitals (Chapel Hill) A/P a a a/p a/p a/p a/p a/p A/P A/P Ohio Cincinnati Children s Hospital Medical Center (Cincinnati) P P P P P P P P P Cleveland Clinic (Cleveland) a A A A/P a A/P A A A A James Cancer Hospital (Columbus) a a Nationwide Children s Hospital (Columbus) P P Ohio State University Medical Center (Columbus)

6 A A A A A A A Oklahoma Integris Baptist Medical Center (Oklahoma City) A a a A/p A A a Oregon Northwest Marrow Transplant Program - Legacy/Oregon Health & Science University / Doernbecher Children s (Portland) A/p A/p Oregon Health & Science University (Portland) A/P A A/p* see Northwest Marrow Pennsylvania Albert Einstein Medical Center (Philadelphia) a a a a a Children s Hospital of Philadelphia (Philadelphia) P P P P P P P Lankenau Medical Center (Wynnewood) a Thomas Jefferson University Hospital (Philadelphia) A a a A A a A A South Carolina Medical University of South Carolina (Charleston) A/P A A A/p A a/p a A/p A/p Tennessee Le Bonheur Children s Hospital (Memphis) p p Methodist University Hospital (Memphis) A A A A A a a St. Jude Children s Research Hospital (Memphis) P P Vanderbilt University Medical Center (Nashville) A/P a a A/p A A/P a A/p A/p Texas Baylor All Saints Medical Center (Fort Worth) a a a a a Baylor University Medical Center (Dallas) a a a a a a a a a a CHI St.

7 Luke s Health Baylor St. Luke s Medical Center (Houston) A A A a A a Children s Medical Center of Dallas (Dallas) P P P P P P Houston Methodist Hospital (Houston) A A A A A A A A A A Anderson Cancer Center (Houston) A/p A/p Methodist Dallas Medical Center (Dallas) A a a A A Texas Children s Hospital (Houston) P P P P P P P P Texas Transplant Institute (San Antonio) a A A A a a A/p A/p University Hospital - San Antonio (San Antonio) A/P A/p a A UT Southwestern William P. Clements Jr. University Hospital (Dallas) A a A A A A A Utah University of Utah Health Care (Salt Lake City) A a a a a A a a A A Virginia University of Virginia Medical Center (Charlottesville) A/P a a A/p A/p a/P A Virginia Commonwealth University Medical Center (Richmond) A/P a a A/p A A/p A/p Washington Seattle Cancer Care Alliance - Fred Hutchinson/Children s Hospital / University of Washington (Seattle) A/P A/P Seattle Children s Hospital (Seattle) P P P p P University of Washington Medical Center (Seattle) a a a a a a a Wisconsin Aurora St.

8 Luke s Medical Center (Milwaukee) a a a a a A a Children s Hospital of Wisconsin (Milwaukee) P P P P P Froedtert and the Medical College of Wisconsin (Milwaukee) A a a a a A a A A University of Wisconsin Hospital & Clinics (Madison) A/P A A A/p A/p a/p A A A/p A/p A = Adult P = Pediatric P* = Pediatric transplants are adolescent only. Contact LifeTrac for age parameters. All programs listed here are contracted with LifeTrac for Transplant services. Select programs are indicated by uppercase, bold-faced type and meet specific LifeTrac criteria. Supplemental programs are indicated by lowercase, regular typeface. For additional criteria information, call us at (800) 968-8722. Facility and Program changes may occur, and they should be verified prior to making specific patient referrals. LifeTrac Network 11100 Wayzata Blvd.

9 , Suite 350 Minneapolis, MN 55305 (800) 968-8722 or (800) YOU-TRAC (continued from front) LT7003 (10/2018)