UW Hospital and Clinics

Organ Procurement

Organization (OPO)

Jill M. Ellefson, Director November 7, 2012

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

UW Health OPO Donation Service Area

UWHC OPO 104 hospitals 70 counties

3.2 million population

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

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

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

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

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.

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

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

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

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

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!

Marquette General Hospital Team Headline: 2012 Potential Donors 100%....OTPD Way Up

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.