International Transplant Nurses Society
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President- Elect Candidate



Lecia Snell-Kinen, MSN APRN-CNS CCTN

Gretina, Nebraska,  United States




President's Award – BioScrip 2012

Clinical Expertise:

PICU- Transplant Staff RN

Transplant Coordinator – Intestinal/Liver (Peds and Adults) – Nebraska Medical Center

Transplant Clinical Liaison – Coram Healthcare

Manager, Transplant and Cardiac Services – Coram Healthcare

Transplant Educator – Solid Organ Transplant Unit, Nebraska Medical Center

Transplant CNS/Manager, Acute Dialysis – (liver, heart, kidney, pancreas, intestinal) (peds and adults

Vice President, Transplant and Cardiac Services – Bioscrip


I have spent the majority of my 28+ years in Transplant Nursing.  I have watched and been part of transforming it into a recognized nursing specialty. Transplant Nursing involves caring for that patient across the entire care continuum and requires unique knowledge and skills including health and wellness, end stage organ disease management, transplant surgery, and immunosuppression management.  As the complexity of healthcare in general, transplant nurses must have the network and resources to stay current in knowledge and skills to foster the best outcomes for our patients.  I want to continue to help mentor and grow our new nurses, as well as support those already in their journey, and continue to grow Transplant Nursing as a specialty that others want to be part of!


ITNS is the premier platform specific to Transplant Nurses to provide networking and support.  ITNS has provided me with so many professional and personal opportunities; I want to continue to support the organization with my time and talent to help grow our numbers!  I believe we must be innovative in our (1) recruitment efforts, (2) educational offerings, and (3) networking with other organizations (i.e. Hospice and Palliative Nurses Association) in a time when resources are drastically reduced.  We must continue to provide a strong foundation in our organization by providing value to our membership while managing our costs--- no easy task in today’s environment.  


  • Providing signification contributions to transplant nursing career and ITNS

    • National, international speaker on various transplant related topics

  • Reduced readmission rates by 8% for heart failure patients receiving home inotrope therapy, in developing a pilot program with Methodist Hospital Transplant Program in Houston

    • Utilized a Focused Care Management model and telehealth system in a home inotrope patient population which reduced readmission rates below national and company average

  • Developed multimillion-dollar revenue strategic clinical, sales, and outcomes programs using home inotropes for end-stage heart failure patients

    • Increased Program organic growth revenues by 20% in 18 months

  • Collaboratively reduced the number of medication errors by 40% on a solid organ transplant unit

  • Successfully onboarded and educated over 30 new nurse graduates for a new Solid Organ Transplant unit

  • One of the first intestinal transplant coordinators in the U.S.

    • Supported program start-up

    • Provided hospital-wide nursing education

  • Developed a Transplant Fellowship for hospital-based surgical, pediatric and floor nurses that became a mandatory part of orientation

  • Improved Nursing Student retention by 35% by implementing a new Mentorship Program at the personal request of the College CEO

  • Co-author of Transplant Nursing article in Progress in Transplantation

  • Co-author of Transplant chapter in Home Infusion textbook

  • Serving on UNOS Histocompatibility Task Force (current)   


  • Led a Post-acute Care Management program for multi-diagnosis CMS-bundled payment programs (BPCI) at a large Midwestern academic center

    • Exceeded institution goals in year one with reductions of 42% in readmissions for heart failure, 46% in comprehensive joint replacement (CJR), 20% in skilled nursing facility (SNF) utilization, and 27% in SNF length of stay, both in CJR

  • Performed post-integration acquisition management for a national company that acquired 5 companies in 5 years, integrating into acquirer platform while continuing to build sales revenue

  • Reduced overall hospital spend for dialysis services while assuring profitability to contracted partner

  • Building dynamic, integrated teams in both acute and post-acute settings.

  • Reduced Nursing Department costs by 25% by implementing territory management and staggered shifts without department turnover

  • Coordinating, editing, and c0-authoring patient education materials for ITNS

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