uw hospital and clinics organ procurement organization …...oversee the organ donation process...
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UW Hospital and Clinics
Organ Procurement
Organization (OPO)
Jill M. Ellefson, Director November 7, 2012
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Role of an OPO
Oversee the organ donation process – Consent/authorization, donor management, organ
allocation, transportation, surgical recovery – 85% of organs recovered transplanted at UWHC
Hospital development – Generate referrals from donor hospitals, educate and train
healthcare professionals, monthly death chart reviews Public education and enrollment in first person authorization
registry Donor family follow-up and donor family/recipient
correspondence Data reporting & regulatory compliance Service coordination with tissue and eye banks
Regulated by CMS and UNOS, Accredited by AOPO
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UW Health OPO Donation Service Area
UWHC OPO 104 hospitals 70 counties
3.2 million population
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5,000
15,000
25,000
35,000
45,000
55,000
65,000
75,000
85,000
95,000
105,000
115,000
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Patients Waiting*
Transplants Performed
Organ Donors
* Data based on snapshot of the UNOS, OPTN waiting list and transplants on the last day of each year.
Challenges: Donors, Transplants and Patients Waiting
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Conversion Rates by Calendar Year OPO Conversion Rate: (Eligible Donors/Eligible Deaths) OPO Adjusted Conversion Rate: (Eligible Donors + Other Donors/Eligible Deaths + Other Donors)
7369
66
7875
7881
84 84 8488
9282
7883
86 88 88 8892 94
52 5459 62
6771 72
75 77 77
70
0
10
20
30
40
50
60
70
80
90
100
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Proj
2012
Co
nve
rsio
n R
ate
(%)
OPO Conversion Rate
OPO Adjusted Conversion Rate
National Conversion Rate
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Organs Transplanted Per Donor
3.333.25
3.42
3.11
2.86
3.10
3.22
3.05
2.90
3.10
2.502.602.702.802.903.003.103.203.303.403.50
2003 2004 2005 2006 2006 2008 2009 2010 2011 Proj
2012
UWHC OPO National
Calendar Year
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Deceased Donor Activity
5357
80 7872 70
65
77
54
100
82 8581 82
87
108
99 96100
115
133 131
117
127
137142
115
136
112
0
20
40
60
80
100
120
140
160
DO
NO
RS
YEAR
Donation After Brain Death (DBD)
Donation After Cardiac Death (DCD)
Total Donors
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Mission
The Forward Focus Collaborative is aimed at moving a donation process that works in silos
to a process that has a shared vision, collaboration and accountability across the donor hospital, OPO and transplant center.
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Collaborative Aim
• True conversion rate of 90%
• Increase the number of donors to 180
• Save 120 more lives each year
• Provide better care for patients and families by working collectively and sharing best practices
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Select Topic May and June 2011
Planning Group Jul and Aug 2011
Identify Change Concepts
Oct and Nov 2011
Enroll Participants Dec 2011
Prework
LS 1 Mar 2012
LS 2 Sep 2012
LS3 Apr 2013
•Rapid Sharing
•Data Reporting
•Quality Coach
Collaborative Engine & Timeline
Sustaining Results
Support System
•ListServe
•Site Visits
•Conference Calls
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Select Topic May and June 2011
Planning Group Jul and Aug 2011
Identify Change Concepts
Oct and Nov 2011
Enroll Participants Dec 2011
Prework
LS 1 Mar 2012
LS 2 Sep 2012
LS3 Apr 2013
•Rapid Sharing
•Data Reporting
•Quality Coach
Collaborative Engine & Timeline
Sustaining Results
Support System
•ListServe
•Site Visits
•Conference Calls
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Action Period 1 Results • Monthly Conference calls
– Connect to purpose, Review metrics, Team presentations – April: Donate Life Month – Community Awareness – May: Team Huddles – June: Consent – Initial Response of No – July: Engaging Physician Champions – August: Rapid Recovery Protocol
• Monthly RALFI reports (Results, Action, Lessons Learned, Future Plans, Issues) – 100% completion by all teams each month
• Basecamp Participation – 152 Users – 109 Shared Files Uploaded
• Creation of Quality Coach Role
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Collaborative Hospital Results
Actual Donors
True Conversion Rate
Organs
Transplanted per Donor
Organs Transplanted
Recipients
Pre-Collaborative Sep 2011-Feb 2012 Prior 6 Months
38 54% 2.63 100 87
Action Period 1 Mar 2012-Aug 2012
42 58% 3.10 130 108
An increase resulting in an additional 21 lives saved!
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Marquette General Hospital Team Headline: 2012 Potential Donors 100%....OTPD Way Up
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A
Annie Sarah
Fleming 1982 ~ 2003
This little light of mine
I’m going to let it
shine…
Let it shine, let it shine,
let it shine.