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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