Ignite the Fire

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Ignite the Fire Golden State Donor Services Si
erra Eye and Tissue Donor Services
212 Donation Summit The EXTRA Degree May 15, 200
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How To Be

• Leaders for Organ, Eye Tissue Donation
• Teaming with One Another
• Actively Listening Learning
• In Action, Making
• Requests
• Offers
• Commitments
• Focused on Achieving Our Goals

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Net Forward Energy

What We Thinkand What We Say Makes All
the Difference in the world!!!!
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Overarching Strategies For System Wide Improvement

• Unrelenting Focus on Change,
  Improvement, and Results
  
• Rapid, Early Referral Linkage
• Integrated Donation Process Management
• Aggressive Pursuit of Every Donation
  Opportunity

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Key Elements of Breakthrough Improvement

• Will to do what it takes to change to a new
  system
  
• Ideas on which to base the design of the new
  system
  
• Execution of the ideas

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Transplant Collaborative
2nd Donation Collaborative
1st Donation Collaborative
Old System
New System
2006
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Holding the Gains..But More Improvement is
Needed

Collaborative Starts Here
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Holding the Gains in 2007Donation Trends up in
4th Quarter
-1.4
-0.4
3.0
1.8
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Collaborative Conversion Rate Gap - by Region
Range 3.2 percentage points above the goal to
12.0 Percentage points below the goal
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Goal OTPD by Region
Range 3.52 OTPD to 3.86 OTPD
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GSDS Conversion Rate and Yield Performance by Year
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GSDS Donor Quality by Calendar Year

• SCD Standard Criteria Donor
• ECD Extended Criteria Donor
• Pts greater than age 55 with risk factors
• DCD Donation After Cardiac Death
• Recover Organs after heart stops

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The U.S. OpportunityOTPD Gap - 0.72Organ
Donors 7985
Additional Organs Transplanted
With Gap Closed 7985 x 0.72
5579 More Transplants (23 Increase)

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Your DSA Opportunity -
Partnering with GSDS!

• Conversion Rate Gap
• National Goal 75
• 2007 68
• Gap 7 OR 6 Additional Organ Donors!
• Donation After Cardiac Death
• National Goal 10 of total Donors
• 2007 4
• Gap 6 or 3 Additional DCD Donors!
• Organs Transplanted per Donor Gap
• National Goal - 3.75
• 2007 2.86
• Gap .89 OR 58 more Organs Transplanted!

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Every System is perfectly designed to get
exactly the results that it gets.
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Its All about CHANGE!!

• Improvement requires change, but not all change
  is improvement
  
• Change should be thought of from the standpoint
  of those who will benefit from the change
  
• The Model for Improvement provides a framework
  for making effective change

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Integrated Flexible Hospital/OPO Donation Team

• How it looks
• Administrative and clinical advocacy for
  continuous process improvement
  
• Hospital relations takes on a 24/7 mindset
• Willingness to switch roles to ensure best
  outcomes
  
• Make requests and offers COLLABORATE!
• One size does not fit all!

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High Leverage ChangesHospital/OPO Partnerships

• Advocate Organ Donation As the Mission
• Involve Senior Leadership to Get Results
• Deploy A Self-Organizing OPO/Hospital Team
• Practice Early Referral, Rapid Response
• Master Effective Requesting
• Implement Donation After Cardiac Death

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Building bridges between the hospital and the
potential donors family
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First Things First Hospital/OPO Partnerships

• Physician clinical champions are known
• Process in place for conducting real time death
  record reviews
  
• OPO Presence" In-house coordinator
• Focused change agenda based on analysis of
  current hospital data
  
• "Team Huddles" are the norm
• Clinical Triggers in use
• After Action Reviews are the norm
• "Effective Requesting" in place, in action

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Think About the Possibilities!!

• If every Level 1 Trauma Center in the US raised
  their Conversion Rates to 75 there would be an
  additional 501 organ donors.
  
• If every Level 2 Trauma Center in the US raised
  their Conversion Rates to 75 there would be an
  additional 330 organ donors.

831 Additional Organ Donors!
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High Leverage Transplant Practices

• Efficiently plan manage the donor case process
• Involve Critical Care specialists to maximize
  donor management
  
• Relentlessly advocate for the placement of every
  transplantable organ
  
• Active progressive acceptance to increase organ
  transplantation

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Collaborative Improvement Eye Tissue Donation

• Collaborative work has had positive impact on eye
  tissue donation
  
• New opportunities to engage hospitals
• Eye Tissue referrals are stable/increasing
• DSAs are utilizing Collaborative improvement
  methods
  
• Implementation of state donor registries
• PLENTY of room for life-enhancing improvement!

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Golden State Donor Services DSA Medal of Honor
Winners

• Santa Rosa Memorial Hospital
• Sutter Roseville Medical Center
• Kaiser Foundation Hospital
• Mercy San Juan Hospital
• University of California Davis Medical Center
• Denotes 3X Winner

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Our Future

• 75 conversion rate
• 3.75 organs transplanted per donor
• 10 DCD in each DSA
• 35,000 deceased donor organs transplanted annually

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Lung Patients See a New Era of Transplants
Sunday, September 24, 2006

• A quiet revolution in the world of lung
  transplants is saving the lives of people who,
  just two years ago, would have died on the
  waiting list. In the past 16 months, waits have
  shortened, lists have shrunk, and the number of
  lung transplants has gone up. Further
  improvements are expected this year.

Cystic Fibrosis Patient After Double Lung
Transplant
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Lung Patients See a New Era of Transplants
Sunday, September 24, 2006

• A quiet revolution in the world of lung
  transplants is saving the lives of people who,
  just two years ago, would have died on the
  waiting list. In the past 16 months, waits have
  shortened, lists have shrunk, and the number of
  lung transplants has gone up. Further
  improvements are expected this year.

Hannah is now studying Social Work in college.
She plans to work with transplant patients
when she graduates.
Cystic Fibrosis Patient After Double Lung
Transplant
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YOU can make a difference!
No single person saved Hannahs life. Her lif
e was saved by many people in
many places over many months,
always choosing to do the right thing,
the thing that was most likely
to increase organ donation and transplantation.

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Faces of those who wait Brandon, age 9 YOU a
re their
HOPE!!
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Lifesaving Requests

• Commit to reaching the national donation
  transplantation goals
  
• Designate a key hospital leader accountable for
  action results on this initiative
  
• Track organizational progress through quality
  indicators
  
• Implement proven best practices
• BE BOLD for those who give and for those who wait!

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RememberYOU are the extra degreeat 211º water
is hot at 212º it boils
YouAre responsible for your resultsIts time to
turn up the heat.Its time to Commit!
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Putting a Face on Performance
It Really Is All About the 1s 1 Donor at a Ti
me 1 Donor Family at a Time 1 Transplant Candida
te at a Time 1 Month at a Time 1 Day at a Time
...and each 1 of YOU!