ORGAN/TISSUEORGAN/TISSUEDONATIONDONATION

“LIFE TEAM TASK FORCE”“LIFE TEAM TASK FORCE”

JOYCE L. MALY, RN, BSNJOYCE L. MALY, RN, BSN

TRACY SPINKS, GIFT OF HOPETRACY SPINKS, GIFT OF HOPE

SPECIAL “THANK YOU” SPECIAL “THANK YOU” TO…TO…

““Lift Team Task Force” EducatorsLift Team Task Force” Educators• Pamela Litchford (PEDS/ICU)Pamela Litchford (PEDS/ICU)• Tammy Padula (HTU)Tammy Padula (HTU)• Jennifer Wood (Procurement)Jennifer Wood (Procurement)• Pam Clementi (Education & Pam Clementi (Education &

Support)Support)• Marie Coglianese (Pastoral Care)Marie Coglianese (Pastoral Care)• Charis Harbercross (Procurement)Charis Harbercross (Procurement)• Kerri Petersen (Procurement)Kerri Petersen (Procurement)• Cindi LaPorte (PEDS/PICU)Cindi LaPorte (PEDS/PICU)• Susan Long (Social Worker Liver)Susan Long (Social Worker Liver)

UNIT LIAISONSUNIT LIAISONS• Jill Anderson (OR)Jill Anderson (OR) Katie Wolff (BMTU) Katie Wolff (BMTU)• Jphn Biel (Neuro ICU) Delita Ross (Liver Transplant) Jphn Biel (Neuro ICU) Delita Ross (Liver Transplant) • Rizalina Bista (OR) Kim Hartopoulos (NIUC)Rizalina Bista (OR) Kim Hartopoulos (NIUC)• Louann Bockman (3NEWS) Barb Bullock (2ICU)Louann Bockman (3NEWS) Barb Bullock (2ICU)• Kathleen Brannigan (Pastoral) Evie Clark-Kula (ED)Kathleen Brannigan (Pastoral) Evie Clark-Kula (ED)• John Coakley (Pastoral Care) Candance Greer (PICU)John Coakley (Pastoral Care) Candance Greer (PICU)• Melissa Colon (3SW) Christina Moeller (7W)Melissa Colon (3SW) Christina Moeller (7W)• Lauren Dillon (L&D) Diane Stace (MICU)Lauren Dillon (L&D) Diane Stace (MICU)• Arcelita Equia (CCU) Judy Vertudes (5S)Arcelita Equia (CCU) Judy Vertudes (5S)• Sarah Hansen BICU/7N) Ann Vansetters (4ICU)Sarah Hansen BICU/7N) Ann Vansetters (4ICU)• Kathy Ichniowski (CCU) Terese Schwenkel (2NE) Kathy Ichniowski (CCU) Terese Schwenkel (2NE) • Kathy Kaspari (6W)Kathy Kaspari (6W) Julie Przyzycki (Rehab) Julie Przyzycki (Rehab)• Michelle Kudulis (2ICU) Tammy Padula (HTU)Michelle Kudulis (2ICU) Tammy Padula (HTU)• Megan Kuck (MICU) Lori Owsiany (PICU)Megan Kuck (MICU) Lori Owsiany (PICU)• Joann Laboy (ER) Katie Olson (6NE) Joann Laboy (ER) Katie Olson (6NE) • Bridget Majdecki (PCIU) Amy McKenna (PED)Bridget Majdecki (PCIU) Amy McKenna (PED)• Chirstina Moeller (7W) Teresa Morowczywski (RR/PAR) Chirstina Moeller (7W) Teresa Morowczywski (RR/PAR) • Charis Harbercross (Procurement)Charis Harbercross (Procurement)

The ProblemThe Problem: The waiting list : The waiting list for organs is risingfor organs is rising

6,080 6,190

90,62086,77583,22380,48379,446

71,000

23,51120,03418,65218,28117,62717,326

6,3347,1536,4575,9850

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

2000 2001 2002 2003 2004 2005

Waiting Transplanted DonorsBased on UNOS Data as of October 2005.

Waiting ListAs of March 2006

Gift of Hope Loyola Patients

Kidney 3,386 548Liver 901 79Pancreas 137 4Kidney-Pancreas 184 3 Heart 77 21Lung 71 64Heart-Lung 2 2Intestine 6

TOTAL 4,582 718

Source: Based on OPTN data as of March 2006Total registrations include some patients waiting for multi-organ transplants.

Project Aim and GoalsProject Aim and Goals

Aim:Aim: Increase the opportunity to provide Increase the opportunity to provide donor organ & tissue to patients donor organ & tissue to patients needing transplants by…. needing transplants by….

• Increasing the timeliness of notification Increasing the timeliness of notification phone calls to Gift Of Hope (the regional phone calls to Gift Of Hope (the regional organ procurement agency). Timeliness is organ procurement agency). Timeliness is defined as within 2 hours of identification defined as within 2 hours of identification of potential donor statusof potential donor status

• Increasing the organ/tissue donation Increasing the organ/tissue donation conversion rate to 75%conversion rate to 75%

What changes have been What changes have been made?made?

• Revised “Life Team” Task ForceRevised “Life Team” Task Force

• Revised Brain Death CriteriaRevised Brain Death Criteria

• Revised policy for Organ/Tissue Revised policy for Organ/Tissue donationdonation

• Provided continuing education Provided continuing education programsprograms

Organ Conversion RateOrgan Conversion Rate# Organ Donors/# Potential Organ Donor # Organ Donors/# Potential Organ Donor ReferralsReferrals

19%

77%

31%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1-05 Q2-05 Q3-05

HRSA Target: 75%

Timely Notification RateTimely Notification Rate# Calls Within 2 hours of Identification / # Total # Calls Within 2 hours of Identification / # Total CallsCalls

44%

86% 100%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1-05 Q2-05 Q3-05

Quarter

What solutions will be What solutions will be implemented over the next implemented over the next

quarter?quarter?• Educate physicians & nurses on Educate physicians & nurses on

Organ/Tissue donationOrgan/Tissue donation• Instruct staff on the revised Life Team Instruct staff on the revised Life Team

formform• Staff reminders to call in ALL deaths Staff reminders to call in ALL deaths

within 2 hours of expiration within 2 hours of expiration • Continue to alert Gift of Hope to Continue to alert Gift of Hope to

imminent deaths, especially prior to any imminent deaths, especially prior to any terminal extubation. Gift of Hope terminal extubation. Gift of Hope comes out after notification of death.comes out after notification of death.

• Benchmark with other transplant centers Benchmark with other transplant centers and identify strategies for improvementsand identify strategies for improvements