Welcome KATHY SCHWAB, DSA ACTION TEAM CHAIR. Compliance Coordinator, Mayo Clinic Transplant Center

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1 Welcome KATHY SCHWAB, DSA ACTION TEAM CHAIR Compliance Coordinator, Mayo Clinic Transplant Center

2 LifeSource DSA

3 Questions or Requests Use the Q & A panel displayed on your screen Type your question in the very bottom portion of the Q & A panel. Time permitting, questions will be repeated and answered at the end of the hour.

4 Action Team Meeting Agenda August 25, :00-2:00 PM Opening/Welcome Kathy Schwab Overview of DSA Action Team Connect to Purpose DSA Data Review Team Huddles Oct 6 th Donate Life Symposium Creating a Culture of Donation Offers and Requests Olmsted Medical Center Wrap Up Jill Halimi, LifeSource Donor Family Advocate Ann Gihl Kathy Geist Leslie Becker Kathy Schwab Tricia Schilling, LICSW Kathy Schwab

5 National Learning Congress

6 Continuing the Climb 2011, The Time is NOW! DSA Action Team and Regional Strategy Meeting March 14-16, 2011, Phoenix, AZ

7 DSA Action Team Leaders Kathy Schwab, Chair, Compliance Coordinator, Mayo Clinic Transplant Center Leslie Becker, Co-chair, Director, Trauma and Critical Care, North Memorial Medical Center Barb Scheiber, Director of Patient Care Support, St. Cloud Hospital Glenn Geditz, Transplant Coordinator, Avera McKennan Kathy Geist, Director of Tissue Services and Hospital Services, LifeSource Susan Mau Larson, Director of Public Affairs/DD Team Leader, LifeSource Ann Gihl, Procurement Manager, LifeSource Cary Wencil, Hospital Services Liaison, LifeSource Naomi Bowman, Hospital Services Manager, LifeSource

8 DSA Action Team Intent Create a robust and efficient group to be in action for making changes that will result in improvements in organ, tissue and eye donation and transplantation.

9 Participation will: Enhance communication Streamline your access to process improvements Create efficiency and effectiveness within your donation/transplantation program Connect you to local/national initiatives and experts Optimize outcomes Inspire a culture of donation

10 Goals 1. Eliminate missed donation opportunities 2. Implement and evaluate use of Catastrophic Brain Injury Guidelines and Donor Management Goals 3. Engage physician champions 4. Maximize tissue donation opportunities 5. Obtain access to electronic medical record on-site and remotely

11 Goals cont. 6. Evaluate organ offer declines 7. Review long-term outcomes for Donation after Cardiac Death and Expanded Criteria Donors 8. Promote and honor donor designation 9. Encourage and support hospital staff attendance at the October 6, 2011 Donate Life Symposium

12 Connect to Purpose Jill Halimi, Donor Family Advocate, LifeSource

13 What does aftercare mean? The care and support a family receives while in the hospital continues indefinitely. Currently we have more than 6,000 families in our program. Each year approximately 600 new families are added to our program.

14 Our role with families To act as an advocate for donor families To provide support to donor families in the months and years following the donation To honor donors and donor families for the Gift of Life To provide an opportunity for donor families to share their experience with others an outlet for healing

15 Donor Family Events

16 LifeSource Donor Family Quilt

17 Donor Families & Recipients We had one very brave recipient write to us so far, and I cannot express what that letter and card means to me. It is so comforting to know the outcome for the kidney recipient David was able to help. Hearing from him made it more real, and makes us once again so proud of David. Donor Sister

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19 Questions? Jill Halimi LifeSource Donor Family Advocate

20 Data Measurements Ann Gihl, Organ Procurement Manager, LifeSource

21 2011 LifeSource DSA Activity Dashboard GROWTH PILLAR Measurement Targets Jan Feb Mar Apr May Jun Jul YTD # OrgansTransplanted (deceased local donor) # Organ Donors (all) # Donors after Cardiac Death (DCD) Conversion Rate (All Organ Donors/Possible Organ Donors) 80% 100% 67% 68% 86% 85% 80% 61% (prelim) Organs Transplanted Per Donor (overall) Timely Vented Referral Rate (within 1 hr of meeting triggers) 76% 90% 68% 66% 70% 83% 84% 68% 75% 74% # tissue donors # Donor Designation Increases in LifeSource DSA 50,000 8,641 25,015 Qtrly 33,656 Green = Goal Met; Yellow = Nearing Goal; Red = Improvement Needed

22 Lives Saved! LifeSource Organ Transplants by Organ Type Organs Transplanted Jan-July # % # % Heart Lung Liver Pancreas Islets (included in pancreas count) 2 5 Kidney Intestine

23 Systemized Huddles: There is a Connection for Getting to Yes Kathy Geist Director of Tissue Services and Hospital Services LifeSource

24 Voice of the Customer Complete Respect for Families and the Care Team Total Collaboration with Hospital Partners Standardized, Consistent, Reliable Process

25 Huddles Team Comprised of Organ Procurement and Hospital Services Defined Huddle Identified Critical Huddles in Authorization Process

26 Critical Huddles 1. Donation Assessment Huddle Referral Response 2. Family Support Huddle Pending Family Discussion 3. Family Outcome Huddle Post Family Discussion

27 Huddle Template

28 Monitored Execution

29 THE RESULTS

30 Responses that Strongly Agree Hospital Partner Satisfaction Pre vs. Post Huddles Hardwiring

31 Organ Donation Authorization Rates

32 Conclusion There is a positive relationship between conducting the critical Huddles and receiving authorization for donation. There is a positive effect on hospital partner satisfaction and conducting huddles. There is increased internal efficiencies for donation handoffs. Interaction with staff/family - clear next steps during the case - great communication

33 AOPO First Place Abstract

34 THANK YOU Kathy Geist

35 2011 Donate Life Symposium creating a culture of donation Leslie Becker, DSA Action Team Co-chair Director, Trauma and Critical Care North Memorial Medical Center

36 2009 Donate Life Symposium

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38 Register Now!

39 OLMSTED MEDICAL CENTER

40 QAPI Plan for Organ, Tissue and Eye Donation Olmsted Medical Center TRICIA SCHILLING

41 Requests or Questions Thank You

42 DSA Action Team Site

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46 Thank You See you at the Donate Life Symposium on Oct 6th Hilton Mall of America Hotel