Section D: Description of Donors Recovered by MIOP Section D presents tabular descriptions of the donor recovered by the OPO. Data are shown orf the most recent two years with comparisons

Gift of Life Michigan

OPO Code: MIOPPublic Report Release: January 07, 2019Based on Data as of: October 31, 2018

SRTR OPO-Specific ReportFeedback?: [email protected] (7787)http://www.srtr.org

The data reported here were prepared by the Scientific Registry of Transplant Recipients (SRTR)under contract with the Health Resources and Services Administration (HRSA). Page:

Table of Contents

User Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

A. Description of the Donation Service Area (DSA) Served by MIOP . . . . . . . . . . . . 6

B. US Population Density, Deaths, Death Rates, and Donations . . . . . . . . . . . . . . . . . . 7

C. Organ Utilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

D. Description of Donors Recovered by MIOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

E. Programs Transplanting Organs Procured by MIOP . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

F. Transplants Facilitated by MIOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

G. Counties Served by MIOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

1





User Guide

This report contains a wide range of useful information about the operations and performanceof the Organ Procurement Organization (OPO). The report is divided into seven main sections:

A. Description of the Donation Service Area (DSA) Served by MIOPB. US Population Density, Deaths, Death Rates, and DonationsC. Organ UtilizationD. Description of Donors Recovered by MIOPE. Programs Transplanting Organs Procured by MIOPF. Transplants Facilitated by MIOPG. Counties Served by MIOP

Some common abbreviations are used throughout the report:

Organ Designators:

HR: HeartIN: IntestineKI: KidneyLI: LiverLU: LungPA: Pancreas

Other Abbreviations:DSA: Donation Service AreaDBD: Donation after Brain DeathDCD: Donation after Circulatory Death

Section A: Description of the Donation Service Area Served by MIOP

Section A provides a broad geographic overview of the area of the United States served by theOPO. Figure A1 shows the DSA within the context of the nation with the location of the OPO'sheadquarters indicated on the map. Figure A2 zooms in on the OPO's DSA and highlightscounties served by the OPO. SRTR staff worked with each OPO during 2013 to determine thelist of counties functionally served by the OPO. This list may not necessarily match the list ofof�cial CMS-designated counties for each OPO. For a full description of the counties served,see Section G. Figure A2 also shows the locations of transplant programs within the DSA. Alltransplant programs within the DSA are identi�ed in Table A1. Note that only programs thatperformed at least one transplant of the various types from 07/01/2017 to 06/30/2018 are listedin Table A1.

2





User Guide

Section B: US Population Density, Deaths, Death Rates, and Donations

Section B describes the population of the US served by the OPO. Figure B1 provides a mapof the population density of the US with the DSA highlighted. Summary statistics are providedfor the OPO along with an indication of where the OPO ranks among the 58 OPOs. Figures B2and B3 are similar, but provide different perspectives, with Figure B2 focusing on deaths per1000 population and Figure B3 focusing on deaths per 1000 square miles covered by the OPO.Note that each of these maps, population data are derived from the US Census Bureau. For amore detailed description of the counties served by this OPO, see section G.

Table B1 provides counts of deaths meeting the eligible death de�nition (as reported by eachdonor hospital) along with counts of donors procured by the OPO (total donors and thosemeeting the eligible death de�nition). To contextualize these numbers, minimum, maximum,and average values for all 58 OPOs are provided. The observed donation rate per 100 eligibledeaths and the expected donation rate per 100 eligible deaths are provided. The expecteddonation rate is determined from a statistical model and is described in the OSR Technical

Methods document. The standardized donation rate ratio is the observed donation rate dividedby the expected donation rate. The P Value indicates if the standardized donation rate ratio isstatistically signi�cantly different from 1.0. If the P Value is less than 0.05, we have evidencethat the standardized ratio is either higher or lower than expected and that this difference islikely not due to chance alone. Additionally, the 95% con�dence interval (CI) of the standard-ized donation rate ratio will not include 1.0 if the P Value is less than 0.05. The standardizeddonation rate ratio is put in context of all 58 OPOs in Figure B4. Figure B4 is arranged by thenumber of eligible deaths within each DSA so that you can more easily compare the OPO withOPOs of similar size. Finally, trends in donations per 100 eligible deaths over the �ve mostrecent one-year periods are shown in Figure B5.

Table B2 provides counts of eligible deaths and actual donors procured from each of the donorhospitals served by the OPO. �Additional Donors� are those donors that did not meet the eligibledeath de�nition. Observed and expected donation rates per 100 eligible death are provided foreach donor hospital, but tests of whether each hospitals donation rate is signi�cantly higher orlower than expected are not performed due to generally small sample sizes within each donorhospital.

Section C: Organ Utilization

Section C begins by providing 5-year trends in the numbers of organs transplanted by organtype and donor type (donations after brain death [DBD] and donations after circulatory death[DCD]). Figure C1, Figure C2, and Figure C3 present counts of transplants in total (FigureC1), for DBD donors (Figure C2), and for DCD donors (Figure C3). For the purpose of count-ing transplants, right and left kidneys are counted separately, as are right and left lungs. The

3





User Guide

�Donors� count simply counts the donors from whom at least one organ was recovered for thepurpose of transplant. Table C1 then provides a full description of the numbers of donors au-thorized by each organ type along with the ultimate disposition of the organs for the most recentone-year period. In Table C1, kidneys and lungs are counted individually yielding approximatelytwice the number of organs authorized when compared to the other organs. Table C2 presentsorgan-speci�c donation rates per 100 eligible deaths. Expected rates are based on a statisticalmodel detailed in the OSR Technical Methods document. If the P Value is less than 0.05, wehave evidence that the difference between the observed and expected organ-speci�c donationrate is not simply due to chance. Figure C4 presents the standardized organ-speci�c donationrate ratios along with their 95% con�dence intervals (CI).

Figures C5 and C6 present organs recovered per donor and organs transplanted per donor,respectively. Each of these �gures presents where the OPO stands relative to all 58 OPOs withthe OPO's performance indicated by the diamond. The distribution of all 58 OPOs is shownby the bell-shaped curve with the national average of all 58 OPOs indicated by the horizontalline. Trends in organs transplanted per donor over the previous �ve 1-year periods are shownin Figure C7.

Table C3 presents the Observed vs. Expected organ yields for the most recent 2-year period.For a full description of the models used by the SRTR to estimate expected organ yields, pleasevisit our website at www.srtr.org. The Observed to Expected (O/E) organ-speci�c ratios arethen presented graphically in Figure C8 so that it can be seen where the OPO stands relativeto the other OPOs. In Figure C8, the x-axis is the number of donors procured by each OPO sothat one can compare the OPO with other OPOs that are relatively the same size.

Figures C9, C10, and C11 present data speci�c to donors after brain death (DBD) and donorsafter circulatory death (DCD). Figure C9 shows 5-year trends in the number of organs trans-planted per donor by DBD and DCD status with comparisons to the US as a whole. FiguresC10 and C11 present where the OPO stands in relation to all 58 OPOs with regards to organstransplanted per DBD/DCD donor.

Section D: Description of Donors Recovered by MIOP

Section D presents tabular descriptions of the donor recovered by the OPO. Data are shown forthe most recent two years with comparisons to the US as a whole. Breakdowns are providedfor race, age, gender, blood type, cause of death, and DCD status.

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User Guide

Section E: Programs Transplanting Organs Procured by MIOP

Section E presents ��ight maps� showing locations of programs that transplanted organs fromthe OPO. Separate maps are provided for each organ type. Note that all arrows originate fromthe location of the OPO's headquarters rather than the location of each donor hospital. In ad-dition, many programs within the OPO's DSA will not be visible on the map due to scale. Eachmap is accompanied by a table providing the full detail of each program transplanting organsrecovered by the OPO. Geographic indicators are provided based on whether the program iswithin the same DSA (Local), within the same OPTN region but not the same DSA (Regional),or not within the same DSA or OPTN region (National).

Section F: Transplants Facilitated by MIOP

Section F provides tabular descriptions of the recipients that received organs that were pro-cured by the OPO, regardless of where the transplant took place. Separate tables are providedby each organ type along with separate tables for heart-lung recipients and kidney-pancreasrecipients. The most recent two years are provided along with data for the US as a whole for thesame two periods. Breakdowns are provided by demographic factors (race, age, and gender)and clinical factors (blood type, PRA [kidney, pancreas, and kidney-pancreas only], medicalurgency status [if applicable], Expanded Criteria Donor status [kidney only], and primary causeof disease).

Section G: Counties Served by MIOP

Table G1 presents the counties served by the OPO. Counties are ordered alphabetically withinstate. For the purposes of this report, counties are those actually served by the OPO and do notnecessarily re�ect CMS assignments. SRTR staff worked closely with the OPOs during 2013to determine the correct county assignments. Please contact the SRTR at [email protected] if youfeel any counties are assigned in error. If more than one OPO serves different donor hospitalswithin the same county, the county is indicated as a shared county and the OPO sharing thecounty is indicated by OPO code. For the purpose of calculating population density, land area,and death rates presented in Section B, the one-to-one CMS county to OPO assignment isused.

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The data reported here were prepared by the Scientific Registry of Transplant Recipients (SRTR)under contract with the Health Resources and Services Administration (HRSA). Page: 6

A. Description of the Donation Service Area (DSA) Served by MIOP

Figure A1. Donation service area of MIOP

Location of OPO headquarters

Figure A2. Counties served by MIOP

Locations of transplant programs

(See Tables A1 and G1 for more details)

Table A1. Transplant programs* in MIOP's DSA

Hospital Name (Code) HR IN KI LI LU PA

*Performed at least one transplant of that type from 07/01/2017 to 06/30/2018.

Children's Hospital of Michigan(MICH)

X X X

Harper University Hospital DetroitMedical Center (MIHH)

X

Helen DeVos Children's Hospital(MIDV)

X

Henry Ford Hospital (MIHF) X X X X X X

Mercy Health Saint Mary’s (MISM) X

Spectrum Health (MISH) X X

St John Hospital and Medical Center(MISJ)

X

University of Michigan Medical Center(MIUM)

X X X X X

William Beaumont Hospital (MIBH) X X





B. US Population Density, Deaths, Death Rates, and Donations

Figure B1. Population density*

Population of MIOP's DSA:9,777,878. This ranks 10th amongthe 58 DSAs (1st is the highest).

Land area of MIOP's DSA: 49,749square miles. This ranks 21stamong the 58 DSAs (1st is thehighest).

*US Census Bureau, 2015 projectedpopulation/2010 land area

< 12

12 - 33

33 - 67

67 - 190

> 190

Persons PerSquare Mile

Figure B2. Deaths per 1000 population*

Deaths within MIOP's DSA: 89,300.This ranks 7th among the 58 DSAs(1st is the highest).

Death rate within MIOP's DSA:9.13. This ranks 19th among the 58DSAs (1st is the highest).

*US Census Bureau, 2015 projecteddeath (includes all deaths, notlimited to eligible deaths) andpopulation

< 7.71

7.71 - 9.17

9.17 - 10.46

10.46 - 11.91

> 11.91

Deaths Per1000 Population

Figure B3. Deaths per 1000 square miles*

Deaths per 1000 square mileswithin MIOP's DSA: 1,795. Thisranks 23rd among the 58 DSAs (1stis the highest).

*US Census Bureau, 2015 projecteddeath (includes all deaths, notlimited to eligible deaths) andpopulation

< 123

123 - 346

346 - 672

672 - 1705

> 1705

Deaths Per1000 SquareMiles






Table B1. Measures of donation rate*, 07/01/2017 to 06/30/2018

MIOP

National_____________________________

Min. Average Max.

Eligible Deaths 315 201.0231 585

Deceased Donors (All) 303 180.5235 587

Deceased Donors Meeting Eligibility Criteria 209 141.4819 448

Observed Donation Rate Per 100 Eligible Deaths 66.3 70.454.5 89.0

Expected Donation Rate Per 100 Eligible Deaths 70.1

Standardized Donation Rate Ratio (95% CI) 0.95 (0.87,1.02)

P Value 0.149

*The donation rate is calculated as the number of deceased donors meeting eligibility criteria per 100 eligible deaths.

Figure B4. Standardized donation rate ratios (observed/expected), 07/01/2017 to 06/30/2018

0 200 400 600

0.8

1.0

1.2

1.4

Eligible Deaths

Sta

nd

ard

ized

Do

nat

ion

Rat

e R

atio

s

MIOP

Other OPOs

Figure B5. Donations per 100 eligible deaths, 07/01/2013 to 06/30/2018

0

20

40

60

80

Do

nat

ion

s p

er10

0 E

ligib

le D

eath

s

Heart Kidney Liver Lung Pancreas

29.2

35.8

31.4

26.4

27.9

63.0

69.0

65.3

67.0

56.8

60.7

63.5

63.8

66.4

58.1

25.6

27.0

24.7

21.8

22.5

11.8

11.3

7.4 12

.1

11.7

Jul 2013 toJun 2014

Jul 2014 toJun 2015

Jul 2015 toJun 2016

Jul 2016 toJun 2017

Jul 2017 toJun 2018






Table B2. Measures of donation rates by hospital, 07/01/2017 to 06/30/2018

Hospital NameCity, State

DonorsMeetingEligibleDeathDef.

EligibleDeaths

ObservedDonationRate

ExpectedDonationRate

AdditionalDonors

Michigan MedicineAnn Arbor, MI

11 15 73.3 68.8 5

St. Joseph Mercy Hospital In Ann ArborAnn Arbor, MI

2 4 50 68.7 2

Bronson Battle CreekBattle Creek, MI

1 2 50 79.4 0

Henry Ford Macomb HospitalClinton Township, MI

2 2 100 78 1

Huron Valley-Sinai HospitalCommerce, MI

0 0 -- -- 1

Beaumont Hospital-DearbornDearborn, MI

8 12 66.7 70.9 2

Ascension St. John HospitalDetroit, MI

16 31 51.6 60.5 5

Children's Hospital Of MichiganDetroit, MI

3 6 50 51.7 0

Detroit Receiving HospitalDetroit, MI

3 6 50 55.7 3

Harper University HospitalDetroit, MI

0 1 0 52.2 0

Henry Ford Health SystemDetroit, MI

8 16 50 54.9 5

Sinai-Grace HospitalDetroit, MI

4 9 44.4 57.5 0

Beaumont Hospital-Farmington Hills Botsford CampusFarmington Hills, MI

2 2 100 79.2 1

Hurley Medical CenterFlint, MI

11 18 61.1 70.4 2

Garden City HospitalGarden City, MI

3 4 75 75.9 2

Ascension Genesys HospitalGrand Blanc, MI

0 0 -- -- 1

Mercy Health Saint Mary'sGrand Rapids, MI

1 1 100 50.1 1

Spectrum Health Blodgett CampusGrand Rapids, MI

2 2 100 73.2 0

Spectrum Health Butterworth CampusGrand Rapids, MI

17 22 77.3 77.1 6

Dickinson County Healthcare SystemIron Mountain, MI

1 1 100 79.2 0






Table B2. Measures of donation rates by hospital, 07/01/2017 to 06/30/2018 (continued)



EligibleDeaths



AdditionalDonors

Henry Ford Allegiance HealthJackson, MI

5 7 71.4 76.1 2

Ascension Borgess HospitalKalamazoo, MI

4 7 57.1 66.4 4

Bronson Methodist HospitalKalamazoo, MI

20 27 74.1 75.1 6

Mclaren-Greater LansingLansing, MI

2 2 100 83.3 2

Sparrow Hospital And Health SystemLansing, MI

3 4 75 76.5 6

Mclaren-Lapeer RegionLapeer, MI

2 2 100 84.6 0

St. Mary Mercy Hospital In LivoniaLivonia, MI

7 10 70 72 1

Ascension Macomb-Oakland Hospital Madison Heights CampusMadison Heights, MI

0 1 0 50.1 1

Midmichigan Medical Center-MidlandMidland, MI

2 2 100 80.8 2

Promedica Monroe Regional HospitalMonroe, MI

0 1 0 70.7 0

Mclaren MacombMt. Clemens, MI

6 6 100 80.3 2

Mclaren-Central MichiganMt. Pleasant, MI

1 1 100 83.1 0

Mercy Health Hackley CampusMuskegon, MI

1 1 100 42.8 1

Mercy Health Mercy CampusMuskegon, MI

7 8 87.5 71.3 1

Mclaren-Northern Michigan, Petoskey CampusPetoskey, MI

3 3 100 82.5 1

Mclaren-OaklandPontiac, MI

3 3 100 74.2 3

St. Joseph Mercy-Oakland (pontiac)Pontiac, MI

2 2 100 64.3 1

Lake Huron Medical CenterPort Huron, MI

0 1 0 76.2 0

Mclaren-Port HuronPort Huron, MI

0 0 -- -- 1

Ascension Crittenton HospitalRochester, MI

1 1 100 81.4 2






Table B2. Measures of donation rates by hospital, 07/01/2017 to 06/30/2018 (continued)



EligibleDeaths



AdditionalDonors

Beaumont Health System, Royal Oak CampusRoyal Oak, MI

6 7 85.7 73.4 4

Ascension St. Marys HospitalSaginaw, MI

4 8 50 70.2 1

Covenant Healthcare SystemSaginaw, MI

7 14 50 72.1 3

Ascension Providence Hospital Southfield CampusSouthfield, MI

3 5 60 57.7 1

Ascension Providence Novi CampusSouthfield, MI

5 5 100 81.8 1

Spectrum Health Lakeland St. JosephSt. Joseph, MI

3 6 50 72.6 2

Beaumont Hospital-TaylorTaylor, MI

1 1 100 53.8 0

Munson Medical CenterTraverse City, MI

0 3 0 74.3 1

Beaumont Hospital-TrentonTrenton, MI

2 2 100 83.7 0

Beaumont Health System, Troy CampusTroy, MI

5 5 100 75.6 2

Ascension Macomb-Oakland Hospital Warren CampusWarren, MI

1 4 25 63.8 0

Beaumont Hospital-WayneWayne, MI

2 4 50 71.3 2

Henry Ford Wyandotte HospitalWyandotte, MI

1 1 100 73.2 1

Metro Health University Of Michigan HealthWyoming, MI

5 7 71.4 71.7 3

Total 209 315 94





C. Organ Utilization

Figure C1. Total donors and organs transplanted

0

100

200

300

400

500

Jul-13to

Jun-14

Jul-14to

Jun-15

Jul-15to

Jun-16

Jul-16to

Jun-17

Jul-17to

Jun-18

Donors

KI

LI

0

50

100

150

200

Jul-13to

Jun-14

Jul-14to

Jun-15

Jul-15to

Jun-16

Jul-16to

Jun-17

Jul-17to

Jun-18

HR

IN

LU

PA

Figure C2. DBD donors and organs transplanted

0

100

200

300

400

Jul-13to

Jun-14

Jul-14to

Jun-15

Jul-15to

Jun-16

Jul-16to

Jun-17

Jul-17to

Jun-18

Donors

KI

LI

0

50

100

150

Jul-13to

Jun-14

Jul-14to

Jun-15

Jul-15to

Jun-16

Jul-16to

Jun-17

Jul-17to

Jun-18

HR

IN

LU

PA

Figure C3. DCD donors and organs transplanted

0

50

100

150

Jul-13to

Jun-14

Jul-14to

Jun-15

Jul-15to

Jun-16

Jul-16to

Jun-17

Jul-17to

Jun-18

Donors

KI

LI

0

5

10

15

Jul-13to

Jun-14

Jul-14to

Jun-15

Jul-15to

Jun-16

Jul-16to

Jun-17

Jul-17to

Jun-18

HR

IN

LU

PA






Table C1. Organ utilization, 07/01/2017 to 06/30/2018

OrganOrgans

Authorized Not Recovered*Recovered

Not for Transplant*

Recoveredfor Transplant,

Not Transplanted*

Recoveredfor Transplant,Transplanted*

Heart 283 164 30 0 89Intestine 274 247 22 0 5Kidney 604 62 9 117 416Liver 298 55 26 16 205Lung 570 378 27 16 149Pancreas 287 226 22 8 31

*Each liver or pancreas segment is counted separately. Pancreas islet cells are not included.

Table C2. Organ specific donation rates per 100 eligible deaths*, 07/01/2017 to 06/30/2018

Organ Observed Expected P Value

Heart 27.9 27.3 0.779

Kidney 56.8 62.6 0.038

Liver 58.1 63.6 0.058

Lung 22.5 16.6 <0.01

Pancreas 11.7 9.2 0.018

*Organ-specific rates are calculated as the number ofdeceased donors meeting eligibility criteria donating atleast one organ of that type per 100 eligible deaths.

Figure C4. Standardized donation rate ratio, 07/01/2017 to 06/30/2018

0.8

1.0

1.2

1.4

1.6

1.02

0.91 0.91

1.361.27

HR KI LI LU PA

Sta

nd

ard

ized

do

nat

ion

rat

e ra

tio

Figure C5. Organs recovered per donor, 07/01/2017 to 06/30/2018 (unadjusted for donor characteristics)

2.8

3.0

3.2

3.4

3.6

3.8

4.0

ALL

0.20

0.25

0.30

0.35

0.40

HR0.00

0.01

0.02

0.03

0.04

0.05

0.06

IN1.65

1.70

1.75

1.80

1.85

1.90

1.95

KI

0.4

0.5

0.6

0.7

0.8

0.9

LI

0.2

0.3

0.4

0.5

0.6

0.7

LU

0.05

0.10

0.15

0.20

0.25

PA

MIOP OPO Average






Figure C6. Organs transplanted per donor, 07/01/2017 to 06/30/2018 (unadjusted for donor characteristics)

2.4

2.6

2.8

3.0

3.2

3.4

3.6

ALL

0.20

0.25

0.30

0.35

0.40

HR0.00

0.01

0.02

0.03

0.04

0.05

IN1.2

1.3

1.4

1.5

1.6

1.7

KI0.4

0.5

0.6

0.7

0.8

0.9

LI0.1

0.2

0.3

0.4

0.5

0.6

LU

0.05

0.10

0.15

0.20

PA

MIOP OPO Average

Figure C7. Trends in organs transplanted per donor

0

1

2

3

4

5

6

7

ALL

3.20

3.19

2.87

2.92

2.95

0.0

0.2

0.4

0.6

0.8

1.0

HR

0.32

0.37

0.30

0.25

0.29

0.0

0.2

0.4

0.6

0.8

1.0

IN

0.04

0.04

0.02

0.01

0.02

0.0

0.5

1.0

1.5

2.0

KI

1.49

1.47

1.37

1.40

1.37

0.0

0.2

0.4

0.6

0.8

1.0

LI

0.67

0.69

0.67

0.71

0.68

0.0

0.2

0.4

0.6

0.8

1.0

LU

0.56

0.52

0.46

0.44

0.49

0.0

0.2

0.4

0.6

0.8

1.0

PA

0.12

0.10

0.06 0.

11

0.10

Jul-2013 to Jun-2014










Table C3. Observed and expected organ yield, 07/01/2016 to 06/30/2018

Number of Donors: 651 Aggregate Organ Heart Intestine Kidney Liver Lung* Pancreas

Observed Number ofTransplanted Organs

1759 177 10 902 445 157 68

Expected Number ofTransplanted Organs

1807 185 6 984 437 134 60

Observed Number ofTransplanted Organs per 100 Donors

270.2 27.2 1.5 138.6 68.4 24.1 10.4

Expected Number ofTransplanted Organs per 100 Donors

277.6 28.4 1 151.2 67.1 20.7 9.3

Observed per 100 -Expected per 100

-7.4 -1.2 0.6 -12.7 1.2 3.5 1.2

Observed to Expected(O/E) Ratio

0.97 0.96 1.61 0.92 1.02 1.17 1.13

P Value 0.04 0.23 0.21 <0.01 0.36 <0.01 0.17*Lung yield is calculated as the number of donors that had at least one lung transplanted.

Figure C8. Observed/expected yield by organ, 07/01/2016 to 06/30/2018 (adjusted)

Heart

0 400 800 1200

0.8

0.9

1

1.1

1.2

1.3

Number of Donors

Ob

s/E

xp R

atio

Intestine

0 400 800 1200

0

1.1

2.23.34.4

Number of Donors

Ob

s/E

xp R

atio

Kidney

0 400 800 1200

0.9

0.95

1

1.05

Number of Donors

Ob

s/E

xp R

atio

Liver

0 400 800 1200

0.9

1

1.1

Number of Donors

Ob

s/E

xp R

atio

Lung

0 400 800 1200

0.4

0.7

1

1.31.61.9

Number of Donors

Ob

s/E

xp R

atio

Pancreas

0 400 800 1200

0.3

0.7

1.1

1.51.92.3

Number of Donors

Ob

s/E

xp R

atio

MIOP Other OPOs






Figure C9. Trends in total organs transplanted per DBD/DCD donor

0

1

2

3

4

DBD(MIOP) DBD(US) DCD(MIOP) DCD(US)

3.7

3.6

3.4

3.4

3.4

3.3

3.2

3.3

3.3

3.3

1.7

1.5

1.6

1.7

1.8

1.9

1.9

2.0

1.9

2.0

Jul-2013 toJun-2014

Jul-2014 toJun-2015

Jul-2015 toJun-2016

Jul-2016 toJun-2017

Jul-2017 toJun-2018

Figure C10. Total organs transplanted per DBD donor, 07/01/2017 to 06/30/2018 (unadjusted for donor characteristics)

2.6

2.8

3.0

3.2

3.4

3.6

3.8

ALL

0.25

0.30

0.35

0.40

0.45

0.50

HR0.00

0.01

0.02

0.03

0.04

0.05

0.06

IN

1.3

1.4

1.5

1.6

1.7

KI

0.70

0.75

0.80

0.85

0.90

0.95

1.00

LI

0.2

0.3

0.4

0.5

0.6

0.7

0.8

LU

0.05

0.10

0.15

0.20

PA

MIOP OPO Average

Figure C11. Total organs transplanted per DCD donor, 07/01/2017 to 06/30/2018 (unadjusted for donor characteristics)

1.0

1.5

2.0

2.5

ALL

Insu

fficient

Data

HR

Insu

fficient

Data

IN

0.8

1.0

1.2

1.4

1.6

1.8

2.0

KI0.0

0.2

0.4

0.6

LI0.0

0.1

0.2

0.3

0.4

0.5

LU0.00

0.05

0.10

0.15

0.20

PA

MIOP OPO Average





D. Description of Donors Recovered by MIOP

Table D1. Characteristics of all deceased donors recovered, 07/01/2016 to 06/30/2018

This OPO United StatesJul 2016-Jun 2017

Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018

Number of Donors 348 303 10,205 10,470Race (%)

White 81.0 77.6 66.6 65.5African-American 13.2 18.5 16.5 16.6Hispanic/Latino 4.3 3.3 13.3 14.0Asian 1.4 0.7 2.8 2.9Other 0.0 0.0 0.8 1.1

Age (%)0-1 Years 0.6 2.0 2.0 1.72-11 Years 2.0 3.6 2.7 2.812-17 Years 6.6 3.0 4.1 4.118-34 Years 28.7 33.3 31.3 30.235-49 Years 27.0 24.4 26.6 27.050-64 Years 32.8 31.4 26.8 27.365+ Years 2.3 2.3 6.6 6.9

Gender (%)Male 61.8 53.8 59.5 60.9Female 38.2 46.2 40.5 39.1

Blood Type (%)O 48.3 42.9 47.7 48.1A 38.5 37.6 37.2 37.0B 8.9 14.9 11.5 11.7AB 4.3 4.6 3.5 3.2

Cause of Death (%)Anoxia 47.1 55.8 41.7 42.1Stroke 28.4 21.8 27.4 26.5CNS Tumor 0.6 0.3 0.4 0.4Head Trauma 22.1 19.5 27.8 28.6Other 1.7 2.6 2.8 2.4Unknown 0.0 0.0 0.0 0.0

Donors After Cardiac Death (%) 28.7 29.7 17.6 18.9





E. Programs Transplanting Organs Procured by MIOP

Figure E1. Programs transplanting hearts procured by MIOP, 07/01/2017 to 06/30/2018*


* Transplants within the local area of the OPO are not always visible on the map due to scale. See Table E1 for full details.

Table E1. Programs transplanting hearts procured by MIOP, 07/01/2017 to 06/30/2018

Hospital Name (Code) Geography* Transplants

* Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region

Henry Ford Hospital (MIHF) Local 15Spectrum Health (MISH) Local 22University of Michigan Medical Center (MIUM) Local 18Children's Hospital Medical Center (OHCM) Regional 1Nationwide Children's Hospital (OHCH) Regional 2The Cleveland Clinic Foundation (OHCC) Regional 1Ann & Robert H. Lurie Children's Hospital of Chicago (ILCM) National 4Aurora St. Luke's Medical Center (WISL) National 2Children's Hospital of Philadelphia (PACP) National 1Duke University Hospital (NCDU) National 2Hospital of the University of Pennsylvania (PAUP) National 3Medical College of Virginia Hospitals (VAMC) National 1New York University Medical Center (NYUC) National 1Newark Beth Israel Medical Center (NJBI) National 1NY Presbyterian Hospital/Columbia Univ. Medical Center (NYCP) National 5Strong Memorial Hospital, University of Rochester Medical Center (NYFL) National 1University of Minnesota Medical Center, Fairview (MNUM) National 1University of Pittsburgh Medical Center (PAPT) National 2






Table E1. Programs transplanting hearts procured by MIOP, 07/01/2017 to 06/30/2018 (continued)



UPMC Children's Hospital of Pittsburgh (PACH) National 4Vanderbilt University Medical Center and Nashville VA Medical Center (TNVU) National 1Wake Forest Baptist Medical Center (NCBG) National 1






Figure E2. Programs transplanting intestines procured by MIOP, 07/01/2017 to 06/30/2018*



Table E2. Programs transplanting intestines procured by MIOP, 07/01/2017 to 06/30/2018



Jackson Memorial Hospital University of Miami School of Medicine (FLJM) National 2Mount Sinai Medical Center (NYMS) National 1The Nebraska Medical Center (NEUN) National 1UPMC Children's Hospital of Pittsburgh (PACH) National 1






Figure E3. Programs transplanting kidneys procured by MIOP, 07/01/2017 to 06/30/2018*



Table E3. Programs transplanting kidneys procured by MIOP, 07/01/2017 to 06/30/2018



Children's Hospital of Michigan (MICH) Local 10Harper University Hospital Detroit Medical Center (MIHH) Local 18Helen DeVos Children's Hospital (MIDV) Local 2Henry Ford Hospital (MIHF) Local 56Mercy Health Saint Mary’s (MISM) Local 36St John Hospital and Medical Center (MISJ) Local 30University of Michigan Medical Center (MIUM) Local 86William Beaumont Hospital (MIBH) Local 45Children's Hospital Medical Center (OHCM) Regional 1Indiana University Health (INIM) Regional 9Lutheran Hospital of Fort Wayne (INLH) Regional 1Ohio State University Medical Center (OHOU) Regional 8St Vincent Hospital and Health Care Center (INSV) Regional 1The Christ Hospital (OHTC) Regional 1The Cleveland Clinic Foundation (OHCC) Regional 2University Hospitals of Cleveland (OHUH) Regional 2University of Cincinnati Medical Center (OHUC) Regional 14University of Toledo Medical Center (OHCO) Regional 1






Table E3. Programs transplanting kidneys procured by MIOP, 07/01/2017 to 06/30/2018 (continued)



Abbott Northwestern Hospital (MNAN) National 1Albany Medical Center Hospital (NYAM) National 1Banner University Medical Center-Tucson (AZUA) National 2Baylor University Medical Center (TXTX) National 1Cleveland Clinic Florida Weston (FLCC) National 2Emory University Hospital (GAEM) National 2Erie County Medical Center (NYEC) National 11Georgetown University Medical Center (DCGU) National 3Hartford Hospital (CTHH) National 2Hospital of the University of Pennsylvania (PAUP) National 1Jackson Memorial Hospital University of Miami School of Medicine (FLJM) National 2Johns Hopkins Hospital (MDJH) National 2Keck Hospital of USC (CAUH) National 2Lehigh Valley Hospital (PALV) National 1Loma Linda University Medical Center (CALL) National 1Loyola University Medical Center (ILLU) National 4Mayo Clinic Florida (FLSL) National 1Mayo Clinic Hospital (AZMC) National 3Medical University of South Carolina (SCMU) National 1Memorial Hermann Hospital, University of Texas at Houston (TXHH) National 1Methodist University Hospital (TNMH) National 1Michael E. DeBakey VA Medical Center (TXVA) National 1Montefiore Medical Center (NYMA) National 5New York University Medical Center (NYUC) National 4Northwestern Memorial Hospital (ILNM) National 1NY Presbyterian Hospital/Columbia Univ. Medical Center (NYCP) National 1Rush University Medical Center (ILPL) National 2Sanford Health/USD Medical Center (SDSV) National 1Scott and White Memorial Hospital (TXSW) National 1Scripps Green Hospital (CAGH) National 1State University of New York Upstate Medical University (NYUM) National 7State University of New York, Downstate Medical Center (NYDS) National 1Strong Memorial Hospital, University of Rochester Medical Center (NYFL) National 1UAMS Medical Center (ARUA) National 1University of California at Los Angeles Medical Center (CAUC) National 2University of California Davis Medical Center (CASM) National 4University of California San Francisco Medical Center (CASF) National 1University of Kentucky Medical Center (KYUK) National 1University of Maryland Medical System (MDUM) National 7University of Minnesota Medical Center, Fairview (MNUM) National 1University of Washington Medical Center (WAUW) National 1






Table E3. Programs transplanting kidneys procured by MIOP, 07/01/2017 to 06/30/2018 (continued)



University of Wisconsin Hospital and Clinics (WIUW) National 1Vidant Medical Center (NCEC) National 1Wake Forest Baptist Medical Center (NCBG) National 1Willis-Knighton Medical Center (LAWK) National 1Yale New Haven Hospital (CTYN) National 1






Figure E4. Programs transplanting livers procured by MIOP, 07/01/2017 to 06/30/2018*



Table E4. Programs transplanting livers procured by MIOP, 07/01/2017 to 06/30/2018



Henry Ford Hospital (MIHF) Local 71University of Michigan Medical Center (MIUM) Local 57William Beaumont Hospital (MIBH) Local 23Children's Hospital Medical Center (OHCM) Regional 2Indiana University Health (INIM) Regional 22Ohio State University Medical Center (OHOU) Regional 3The Cleveland Clinic Foundation (OHCC) Regional 9University Hospitals of Cleveland (OHUH) Regional 1University of Cincinnati Medical Center (OHUC) Regional 7Jackson Memorial Hospital University of Miami School of Medicine (FLJM) National 3Lucile Salter Packard Children's Hospital at Stanford (CAPC) National 1Michael E. DeBakey VA Medical Center (TXVA) National 1Rochester Methodist Hospital (Mayo Clinic) (MNMC) National 1Stanford Health Care (CASU) National 1The Nebraska Medical Center (NEUN) National 1University of Wisconsin Hospital and Clinics (WIUW) National 1UPMC Children's Hospital of Pittsburgh (PACH) National 1






Figure E5. Programs transplanting lungs procured by MIOP, 07/01/2017 to 06/30/2018*



Table E5. Programs transplanting lungs procured by MIOP, 07/01/2017 to 06/30/2018



Henry Ford Hospital (MIHF) Local 22Spectrum Health (MISH) Local 11University of Michigan Medical Center (MIUM) Local 9Indiana University Health (INIM) Regional 7Ohio State University Medical Center (OHOU) Regional 11The Cleveland Clinic Foundation (OHCC) Regional 31Brigham and Women's Hospital (MAPB) National 2Duke University Hospital (NCDU) National 4Hospital of the University of Pennsylvania (PAUP) National 5Loyola University Medical Center (ILLU) National 4Massachusetts General Hospital (MAMG) National 2Northwestern Memorial Hospital (ILNM) National 6St. Louis Children's Hospital at Washington University Medical Center (MOCH) National 2Temple University Hospital (PATU) National 2The Nebraska Medical Center (NEUN) National 1University of Chicago Medical Center (ILUC) National 2University of Maryland Medical System (MDUM) National 2University of Minnesota Medical Center, Fairview (MNUM) National 2






Table E5. Programs transplanting lungs procured by MIOP, 07/01/2017 to 06/30/2018 (continued)



University of Pittsburgh Medical Center (PAPT) National 15






Figure E6. Programs transplanting pancreata procured by MIOP, 07/01/2017 to 06/30/2018*



Table E6. Programs transplanting pancreata procured by MIOP, 07/01/2017 to 06/30/2018



Henry Ford Hospital (MIHF) Local 5University of Michigan Medical Center (MIUM) Local 10Indiana University Health (INIM) Regional 4Ohio State University Medical Center (OHOU) Regional 4Georgetown University Medical Center (DCGU) National 1Jackson Memorial Hospital University of Miami School of Medicine (FLJM) National 2Loyola University Medical Center (ILLU) National 1Montefiore Medical Center (NYMA) National 1The Nebraska Medical Center (NEUN) National 1UPMC Children's Hospital of Pittsburgh (PACH) National 1Willis-Knighton Medical Center (LAWK) National 1





F. Transplants Facilitated by MIOP

Table F1. Characteristics of deceased donor heart-lung recipients


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018

Total Number of Transplants 0 1 26 34Race (%)

White -- 100.0 57.7 52.9African-American -- 0.0 15.4 14.7Hispanic/Latino -- 0.0 15.4 26.5Asian -- 0.0 11.5 5.9Other -- 0.0 0.0 0.0

Age (%)0-1 Years -- 0.0 0.0 2.92-11 Years -- 0.0 0.0 0.012-17 Years -- 0.0 3.8 5.918-34 Years -- 100.0 34.6 32.435-49 Years -- 0.0 26.9 17.650-64 Years -- 0.0 34.6 38.265+ Years -- 0.0 0.0 2.9

Gender (%)Male -- 0.0 57.7 55.9Female -- 100.0 42.3 44.1

Blood Type (%)O -- 100.0 34.6 47.1A -- 0.0 38.5 23.5B -- 0.0 19.2 23.5AB -- 0.0 7.7 5.9

Primary Cause of Disease (%)Congenital Disease -- 0.0 23.1 17.6Primary Pulmonary Hypertension -- 100.0 34.6 47.1Cystic Fibrosis -- 0.0 3.8 5.9Idiopathic Pulmonary Fibrosis -- 0.0 26.9 11.8Alpha-1-Antitrypsin Deficiency -- 0.0 0.0 0.0Emphysema/COPD -- 0.0 3.8 0.0Retransplant/Graft Failure -- 0.0 0.0 0.0Other -- 0.0 7.7 17.6Missing -- 0.0 0.0 0.0






Table F2. Characteristics of deceased donor heart recipients


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018

Total Number of Transplants 88 88 3,207 3,306Race (%)




Blood Type (%)O 43.2 34.1 39.7 40.5A 40.9 44.3 40.3 39.3B 13.6 15.9 14.6 15.5AB 2.3 5.7 5.4 4.8

Medical Urgency Status (%)1A 75.0 81.8 68.9 67.51B 25.0 17.0 28.9 29.52 0.0 1.1 2.1 3.0Other 0.0 0.0 0.0 0.0

Primary Cause of Disease (%)Cardiomyopathy 69.3 65.9 60.5 60.3Coronary Artery Disease 22.7 20.5 28.2 28.3Valvular Heart Disease 0.0 1.1 1.0 0.8Congenital Heart Disease 8.0 12.5 9.4 9.7Retransplant/Graft Failure 0.0 0.0 0.0 0.0Other 0.0 0.0 0.8 0.8Missing 0.0 0.0 0.1 0.1






Table F3. Characteristics of deceased donor intestine recipients


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018





Blood Type (%)O 60.0 0.0 47.2 42.6A 40.0 100.0 37.4 46.3B 0.0 0.0 8.9 7.4AB 0.0 0.0 6.5 3.7

Primary Cause of Disease (%)Short Gut Syndrom 60.0 80.0 74.8 61.1Functional Bowel Problem 20.0 0.0 13.0 13.9Other 20.0 20.0 12.2 25.0Missing 0.0 0.0 0.0 0.0






Table F4. Characteristics of deceased donor kidney recipients (demographic)


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018


White 48.3 47.6 38.4 38.4African-American 39.6 38.7 33.3 31.9Hispanic/Latino 6.9 7.1 19.2 19.9Asian 4.0 3.9 7.3 7.8Other 1.1 2.6 1.9 1.9Unknown 0.0 0.0 0.0 0.0








Table F5. Characteristics of deceased donor kidney recipients (clinical)


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018

Total Number of Transplants 447 382 13,840 14,299Blood Type (%)

O 48.5 40.1 45.8 45.8A 33.1 34.8 35.1 35.1B 14.3 17.8 13.9 14.0AB 4.0 7.3 5.2 5.1

Calculated Panel Reactive Antibody (CPRA%)0-9 58.8 58.6 57.9 58.210-79 20.8 23.0 21.6 22.880+ 20.4 18.3 20.5 18.9

Primary Cause of Disease (%)Glomerular Diseases 23.3 22.0 22.8 22.2Tubular and Interstitial Disease 6.3 5.0 4.2 4.6Polycystic Kidneys 6.5 7.6 7.3 7.8Congenital, Familial, Metabolic 2.9 2.4 3.1 2.7Diabetes 26.2 30.9 26.6 27.3Renovascular & Vascular Diseases 0.7 0.3 0.3 0.2Neoplasms 0.2 0.3 0.4 0.4Hypertensive Nephrosclerosis 27.5 21.5 24.4 23.6Other Kidney 6.5 9.7 10.6 10.9Missing 0.0 0.5 0.3 0.3






Table F6. Characteristics of deceased kidney-pancreas recipients


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018





Blood Type (%)O 36.7 60.9 48.3 48.7A 56.7 21.7 37.2 37.9B 3.3 17.4 10.0 10.7AB 3.3 0.0 4.4 2.8







Table F7. Characteristics of deceased donor liver recipients (demographic)


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018










Table F8. Characteristics of deceased donor liver recipients (clinical)


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018

Total Number of Transplants 248 205 7,674 7,783Blood Type (%)

O 45.6 39.0 45.5 45.2A 37.5 37.6 36.2 36.5B 11.7 15.6 13.4 13.6AB 5.2 7.8 5.0 4.7

Medical Urgency Status (%)Status 1A 3.6 3.4 3.4 3.5Status 1B 1.2 0.5 1.6 1.5MELD 6-10 15.7 8.8 14.8 14.4MELD 11-14 9.7 15.6 12.1 13.2MELD 15-20 23.4 24.4 20.5 20.3MELD 21-30 28.2 25.9 23.3 22.4MELD 31-40 16.1 15.1 21.4 20.7PELD <= 10 1.2 2.0 1.2 2.1PELD 11-14 0.0 1.5 0.3 0.3PELD 15-20 0.4 2.0 0.5 0.4PELD 21-30 0.4 0.5 0.7 0.7PELD >= 31 0.0 0.5 0.3 0.3

Primary Cause of Disease (%)Acute Hepatic Necrosis 2.8 4.4 4.2 4.7Non-Cholestatic Cirrhosis 67.7 64.4 61.8 60.3Cholestatic Liver Disease/Cirrhosis 10.1 10.2 8.2 7.0Biliary Atresia 2.8 4.4 2.3 3.0Metabolic Diseases 4.0 3.9 3.3 3.2Malignant Neoplasms 9.3 6.8 16.9 18.2Other 3.2 5.9 3.3 3.6Missing 0.0 0.0 0.0 0.0






Table F9. Characteristics of deceased donor lung recipients


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018





Blood Type (%)O 50.0 39.0 43.3 44.9A 36.9 39.0 42.0 40.5B 11.9 16.9 11.0 11.2AB 1.2 5.2 3.8 3.5

Primary Cause of Disease (%)Congenital Disease 0.0 0.0 0.0 0.0Primary Pulmonary Hypertension 4.8 3.9 4.1 5.8Cystic Fibrosis 9.5 11.7 12.9 12.5Idiopathic Pulmonary Fibrosis 53.6 51.9 53.3 52.8Emphysema/COPD 29.8 31.2 26.7 26.8Retransplant/Graft Failure 0.0 0.0 0.0 0.0Other 2.4 1.3 3.0 2.2Missing 0.0 0.0 0.0 0.0






Table F10. Characteristics of deceased donor pancreas recipients


Jul 2017-Jun 2018

Jul 2016-Jun 2017

Jul 2017-Jun 2018





Blood Type (%)O 42.9 37.5 43.2 42.1A 42.9 62.5 40.5 41.1B 14.3 0.0 9.7 12.9AB 0.0 0.0 6.6 4.0






G. Counties Served by MIOP

Table G1. Counties served by MIOP

State Name County Name County FIPS Shared with

Michigan Alcona County 26001

Michigan Allegan County 26005

Michigan Alpena County 26007

Michigan Antrim County 26009

Michigan Arenac County 26011

Michigan Baraga County 26013

Michigan Barry County 26015

Michigan Bay County 26017

Michigan Benzie County 26019

Michigan Berrien County 26021

Michigan Branch County 26023

Michigan Calhoun County 26025

Michigan Cass County 26027

Michigan Charlevoix County 26029

Michigan Cheboygan County 26031

Michigan Chippewa County 26033

Michigan Clare County 26035

Michigan Clinton County 26037

Michigan Crawford County 26039

Michigan Dickinson County 26043

Michigan Eaton County 26045

Michigan Emmet County 26047

Michigan Genesee County 26049

Michigan Gladwin County 26051

Michigan Gogebic County 26053

Michigan Grand Traverse County 26055

Michigan Gratiot County 26057

Michigan Hillsdale County 26059

Michigan Houghton County 26061

Michigan Huron County 26063

Michigan Ingham County 26065

Michigan Ionia County 26067

Michigan Iosco County 26069

Michigan Iron County 26071

Michigan Isabella County 26073

Michigan Jackson County 26075

Michigan Kalamazoo County 26077

Michigan Kalkaska County 26079

Michigan Kent County 26081

Michigan Lake County 26085

Michigan Lapeer County 26087

Michigan Leelanau County 26089





G. Counties Served by MIOP

Table G1. Counties served by MIOP (continued)

State Name County Name County FIPS Shared with

Michigan Lenawee County 26091

Michigan Livingston County 26093

Michigan Luce County 26095

Michigan Mackinac County 26097

Michigan Macomb County 26099

Michigan Manistee County 26101

Michigan Marquette County 26103 WIUW

Michigan Mason County 26105

Michigan Mecosta County 26107

Michigan Midland County 26111

Michigan Missaukee County 26113

Michigan Monroe County 26115

Michigan Montcalm County 26117

Michigan Montmorency County 26119

Michigan Muskegon County 26121

Michigan Newaygo County 26123

Michigan Oakland County 26125

Michigan Oceana County 26127

Michigan Ogemaw County 26129

Michigan Osceola County 26133

Michigan Oscoda County 26135

Michigan Otsego County 26137

Michigan Ottawa County 26139

Michigan Presque Isle County 26141

Michigan Roscommon County 26143

Michigan Saginaw County 26145

Michigan Sanilac County 26151

Michigan Schoolcraft County 26153

Michigan Shiawassee County 26155

Michigan St. Clair County 26147

Michigan St. Joseph County 26149

Michigan Tuscola County 26157

Michigan Van Buren County 26159

Michigan Washtenaw County 26161

Michigan Wayne County 26163

Michigan Wexford County 26165

Documents

Section D: Description of Donors Recovered by MIOP Section D presents tabular descriptions of the donor recovered by the OPO. Data are shown orf the most recent two years with comparisons