Celebrating Our Partners

1
Celebrating Our Partners

• Statline Referral Process

2
Who Is Statline?

• Created in 1996/1997 by Organ Coord
• Offer Specialized Call Center Services
• Triage (Initial Screening)
• Automated Registry Look Up
• Family Services (Secondary Screening, Family
  Approach, Consent/Med Soc
• DonorTrac
• Serve half of the OPOs in the country
• Handle approx 45000 referrals p/ month in Triage
• Approach approx 1200 families p/ month in FS

3
Overview of Referral Process

• Hospital Calls the Referral Line for OneLegacy
• Call is answered in Statline Triage Department
• Triage obtains demographic basic medical
  history
• Triage conducts automated registry look up
• Triage informs nurse of the outcome (Organ case,
  Tissue case, Rule Out)
• Organ Case Call Organ Coordinator
• Tissue Case Call Family Services
• Rule Out Close Case

4
FAQ About Triage

• What Information Should Caller Have?
• See Preliminary Tissue Screening Questions
• How Long Does a Call Take?
• Anywhere from 3 to 5 minutes depending on the
  medical history
• How does a Tissue Referral Differ from an Organ
  Referral?
• The same demographic information is gathered.
  However, on Tissue Referrals more medical history
  is gathered and the request to not release the
  deceased script is given.

5
FAQ About Triage Continued

• Why Do We Ask the Caller Not to Release the Body
  to the Funeral Home?
• Only asked on Tissue Cases that are not ME cases
• If body is picked up body could be embalmed,
  could present transportation issues, could
  present cooling issues
• We are NOT asking the caller to keep the body
  from going to the ME office only the Funeral
  Home.
• Why Does Someone Have to Call the Hospital Back
  on Tissue and Eye Cases?
• Triage and Family Services are two separate
  departments with different skill sets
• Why Does StatLine Ask So Many Questions on Cases
  that are Rule Outs?
• This information is our computer system is
  required. OneLegacy uses some of this information
  for reporting purposes.

6
Family Services

• Evaluates initial information given to Triage
• Completes advanced medical screening with RN to
  determine eligibility for donation
• If deceased is eligible, sets up case to approach
  next-of-kin

7
Screening Criteria

• Defined by FDA, AATB and EBAA
• Assessment of potential donor for
• Infection
• Trauma
• High Risk Behavior
• Signs of HIV or Hepatitis
• Medical Conditions that exclude tissue
  eligibility

8
RNs Provide

• Access to patient chart
• Essential medical information to determine tissue
  eligibility
• - Most efficient when completed with RN who
  knows the patient the best
• - Accurate clinical picture, lab values, last
  known alive time, pathologies, cooling issues,
  etc.
• Necessary information prior to offering family
  the opportunity of donation

9
The Approach

• Attempted as soon as patients potential for
  donation is determined
• May be completed at the hospital if the NOK is
  still there
• If the NOK has left the hospital, the approach is
  completed as soon as possible
• Once contact is made with the NOK, timing issues
  regarding donation are discussed

10
Approach Technique

• Approach Coordinator advocates for both the donor
  family and donation recipients
• Helps the donor family understand the impact
  tissue donation has on recipients
• Helps the donor family understand the rare
  opportunity they have to significantly change the
  lives of recipients and their families

11
What We Need to Approach

• Access to the NOK at the hospital if they are
  still there
• Accurate NOK contact information
• Any alternate contact numbers cell phones
• Any other information that helps us contact NOK
  as quickly as possible

12
Outcome of the approach

• NOK may decline donation, in which case the
  hospital and funeral home are notified of the
  familys decision
• If NOK consents, legal informed consent is
  obtained on a recorded phone line.
• A medical and social history questionnaire is
  completed with someone who knew the patient well
  (over a recorded phone line)
• Phone call takes 30-45 minutes to complete
• Consent must be obtained within 18 hours from the
  time of death or last known to be alive time

13
Consent Notification

• Appropriate hospital personnel are notified of
  the consent and are informed to expect additional
  phone calls regarding recovery
• Funeral home personnel are also notified of the
  consent and that recovery will be taking place at
  the hospital
• OneLegacy recovery coordinators receive all legal
  paperwork and coordinate the recovery

14
FAQs

• Why do we ask the RN if the family has expressed
  interest in donation when we have been asked not
  to bring up the topic?
• How can screenings be done in a faster way?
• Why do we need to know so much information about
  the patient?
• Why do we ask to speak to the NOK at the
  hospital?
• Why do we call the hospital back so many times?
• Why cant you come to the hospital to speak to
  the family?

15
Know what to expect

• Nurse
• Accessible phone numbers
• Call back phone
• Chart with Face sheet or Computer Information
• Patient information and Family contact
  information
• Bedside Chart or Nursing documentation
• Diagnosis, Medical History and Cause of Death

16
Use your existing documentation
Share the information that will rule the patient
out as a donor up front Sepsis Cancer Know the
Full name of the Physicians involved. Count on
spending 5 minutes for this call and 15 minutes
if they need to call you back. The more you call
the easier it becomes.
Deceased Record
Use the existing documentation when answering
questions
17
Conclusion

• Tissue donation significantly enhances the lives
  of thousands of people, and in many cases is life
  saving
• Many families communicate that being able to help
  others during a time of grief was a source of
  strength and healing
• What questions do you have at this time?