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Agenda

6 + Eligible Hospitals Summary

Current 12 month Previous 12 month

Donation Development Plan

Regional Reports Summary

Current 12 Months Previous 12 Months

OneLegacy Performance

Donor Designation

Action Guide (Change Package)

Schedule of Events

Directory

Notes

Miscellaneous

Tools/Resources

Table of Contents

Region 5 Collaborative Learning Session June 8, 2010 – Las Vegas, NV

10:00 Welcome and Call to Action Moderator: Jennifer Treece, Region 5 RCL Christine Samuels, Region 5 RCL

10:20 Sharing Regional Best Practices 10:30 Timely Referral Moderator: Megan Shaughnessy, CTDN Session Overview: This session will focus on the concept of timely referral from both the OPO and the

hospital perspective. Speakers will review regulatory requirements and discuss high impact and low impact of timely referral. Participants will be actively engaged in conversation about the “big picture” goal of why timely referral matters and be provided with strategies on ways to maintain organizational focus towards improving our practice and making this a meaningful metric.

11:45 Sharing Regional Best Practices 11:55 Lunch 12:45 Sharing Regional Best Practices 12:50 Region 5 DMG Project Moderator: Darren Malinoski, MD

Session Overview: Participants will be provided with national trends in donor management goals. Regional DMG data will be presented and each DSA will be provided with an opportunity to review their own data and facilitate a discussion among their DSA partners. Information about the development of a regional web portal to facilitate the collection and analysis of donor management data will be presented.

1:35 Regional Success in Hand Transplant Moderator: Jill Stinebring, CASD 2:05 Sharing Regional Best Practices 2:15 The R5 Donor Potential Study Moderator: Jennifer Treece, AZOB

Session Overview: After March’s webinar on analyzing true donation potential, Region 5 is moving forward on its next Regional project to determine our true potential. In this session, Region 5 will define all potential eligible, non-eligible potential, and other factors to determine organ donation potential. We will also define the non-donor. We will also establish timeframes for submitting data and each OPO’s responsibility. This will be an interactive session, please have a representative from each OPO there –as we are voting on what to track and report.

3:30 The Question of Individual Authorization/Consent

And Family Resistance Moderator: Carla Hentz, CAOP Session Overview: The session will involve participants to analyze their DSA practice when they are faced with the difficult question of how to honor the wish of an individual when the family of a prospective registered donor, disagrees with the intent to donate. The session will take a 360 approach to this situation by providing information on the ethical, legal and public perception issues involved in refusing that donor’s explicit wishes.

4:45 Developing a Path for the 2012 Regional Collaborative 5:00 A Moment of Silence – A Powerful Practice 5:10 Closing and Reflections Moderator: Jennifer Treece, Region 5 RCL Leaving In Action Christine Samuels, Region 5 RCL

Agenda

12:00 to 1:00 Meet and Greet Luncheon

Welcome - Question to Run On: “What strategies can we implement to achieve successes in each of our three initiatives: Increased Conversion Rate, Increased Organs Transplanted Per Donor, and Increased DCD donations?”

1:00 – 1:20 Frame the Day

 Overview of the Binder

 Overview of DSA Data and Top 3 Initiatives

 Advisory Board Update

Prasad Garimella, COO, OneLegacy Carla Talley Hentz, OneLegacy Tasha Querantes, OneLegacy Ervin Ruzics, M.D., St. Joseph Hospital of Orange

1:20 – 1:50 Donation after Cardiac Death

 DCD, another End-of- Life decision

 DCD Data from other

OPOs

 Update from OneLegacy DCD Program Specialist

Tasha Querantes, OneLegacy

Suzanne Fidler, M.D.,J.D., Desert Regional Medical Center Margie Whittaker, Mission Hospital

Tasha Querantes, OneLegacy

\

Cherilynne Pugliese, OneLegacy

Break – 1:50 – 2:00

2:00 – 2:40 Conversion Rate  Effective Request

Process  DNR Status while still

preserving Donation Opportunity

Diane Green, OneLegacy Darren Malinoski, M.D., Cedars-Sinai Medical Center Lydia Lam, M.D., LAC-USC Medical Center

2:40 – 3:10 Organs Transplanted Per Donor (OTPD)

 Catastrophic Brain Injury Guidelines (CBIGS)

 Donor Management

Goals (DMGs)  Lung Recruitment

Protocol

Darren Malinoski, M.D., Cedars-Sinai Medical Center Scott Bunting, OneLegacy

3:10 – 3:30

Wrap-up and Actionable Items  UNOS Region 5 Meeting  Next Local Meeting Date

July 20, 2011  Open Items

Eric Carr, OneLegacy ALL

UNOS Region 5 Hospital Partners

and OneLegacy Team Meeting

OneLegacy Figueroa Courtyard

Conference Room Thursday

April 28, 2011 12 – 3:30PM

6 + Eligible Hospitals

Click on the link below to access report

http://www.onelegacy.org/site/docs/DDC_SixPlus0211.xls

OneLegacy DSA Donation Development Plan

Measurable P.I. Goals P.I. Strategies Primary Stakeholder Target

Completion Date

Conversion Rate:

Increase Conversion Rate from 68.3% to 75% GAP: 6.7%

1.

2.

Donation after Cardiac Death: Increase DCD from 7.2% to >10% of Total Donors GAP: 2.8%

1.

2.

Organs Transplanted per Donor: Increase OTPD from 3.15 to 3.75 GAP: 0.60

1.

2.

Comprehensive DSA GAP Data

Click on link below to access report

http://www.onelegacy.org/site/docs/DDC_CompDSAGap0211.xls

Comprehensive Regional Data

Click on link below to access report

http://www.onelegacy.org/site/docs/DDC_RegGap0211.xls

Donation Development

Prasad Garimella COO

January 26, 2011

Data Review

“How did we do…..”

OneLegacy Potential Referrals

Total Potential Referrals

1,922 2,185

2,366 2,629

2,903 3,159

3,595 3,671 3,940 3,947

4,061

1500

2000

2500

3000

3500

4000

4500

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Year

# R

ef er

ra ls

OneLegacy Eligible Referrals

Eligible Referrals

479

554

505

562 533

562

630

557

604

516

469

450

500

550

600

650

700

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Year

# R

ef er

ra ls

Trauma Center Deaths 2006-2010 YTD

* Donation Service Area Trauma Center Deaths 2006 2007 2008 2009

2010 YTD Dec 10

Loma Linda University 102 77 92 90 70

Riverside Community Medical 56 48 49 44 33

St. Bernardine

Medical Center 110 117 101 64 39

Desert Regional Medical Center 65 66 54 45 N/A

Kern Medical Center 111 84 80 97 103

Riverside County Regional 76 64 46 51 39

Mission Hospital 35 38 39 26 19

Western Medical 65 61 55 52 25

UCI Medical 84 79 90 93 72

•

Data represents DSA Trauma Deaths by Trauma Centers Riverside -

San Bernardino–

Orange –

Kern Counties

Consent Rate

Approaches/Consents

Approaches/Consents (BD+DCD)

700 741

671 666 723

813 816

675 612

714 720

410 452

468 457

498455

405373369

343 378

67%67% 65%64%

61%

56%56%56%55%

51% 49%

100 150 200 250 300 350 400 450 500 550 600 650 700 750 800 850 900

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 40%

45%

50%

55%

60%

65%

70%

Approaches Consents Consent Rate

2010 Eligible Consent Rate

2010 Eligible Consent Rate

66% 71%

74% 78%79%

63%

70% 67%

71%

64%

54%

75%

50%

60%

70%

80%

90%

100%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

2010 Consent Rate by Ethnicity OL Jan 2010 - Jul 2010 vs. US 2009

OL Jan 2010 - Jul 2010 vs US 2009

56% 45%

62% 71%

53% 68%

57%

81% 85%91% 88%

99%

0%

20%

40%

60%

80%

100%

White Black Hispanic Asian

C on

se nt

R at

e

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 110%

O L

vs U

S

O.L. U.S. OL vs US

2010 Consen