November 28, 2012

WelcomeLifeSource DSA Action Team

Meeting

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.

Together we can make a difference. And together we can save lives!

DSA Action Team

My Donation Resource

Visit www.mydonationresource.org

to see slides from today’s webinar and to review any

remaining questions.

Questions???Use the Q & A panel displayed on

your screen

–Type your question in at the very bottom portion of the Q & A panel.

–Time permitting, questions will be repeated and answered at the end of the hour.

Nov 28th AgendaOur DSA Data

Collaboration for a Successful Family Discussion

The Medical Examiner and Donation

County Coroner Connect to Purpose

Your Input/Q & A/Wrap Up

DSA Dashboard Ann Gihl, Manager, Organ Procurement

DSA Performance Dashboard

Definitions Targets Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov YTD PYE

Organs transplanted from deceased local donors

500 30 26 15 18 44 52 64 46 30 58 43 426 470

Organ donors (all)

160 9 10 7 6 14 17 18 13 12 18 18 142 157

Donation after Circulatory Death (DCD) donors

22 1 2 1 2 1 3 4 3 1 3 3 24 26

Conversion rate (all organ donors/possible organ donors)

80% 64% 91% 70% 50% 82% 81% 82% 81% 67% 78% 86% 77% 77%

Authorization rate for OD (overall)

73% 55% 63% 36% 38% 59% 55% 73% 52% 50% 71% 81% 57% 57%

Organs Transplanted Per Donor

3.40 3.33 2.60 2.14 3.00 3.14 3.06 3.56 3.54 2.50 3.22 2.39 3.00 3.00

Tissue donors

445 33 45 39 37 47 42 48 39 38 48 31 447 493

Donor Designation increase in DSA

80,000

13,809

29,941

37,484

81,234 108,312

Mary Rinella , RN, Regions Hospital, St. Paul, MNRob Osterlund, Chaplain, Regions HospitalJohn LeMay, Family Support Coordinator, LifeSourceJody Haugen, RN, Mercy Hospital, Valley City, ND Cathy Dudley, Communication Specialist, LifeSourceNaomi Bowman, Hospital Services Manager, LifeSource

Collaboration for a Successful Family Discussion

A collaborative process involving the hospital and LifeSource that culminates in the donation discussion with intent to seek legal-next-of-kin authorization or disclose donor designation.• Timely referral • Huddles• LifeSource (or Certified Designated

Requestor) leads discussion/approach

Effective Request Process

Regions Hospital, St. Paul, MN• Referral Timeliness• Team Huddles

– Donation Assessment– Family Support

• LifeSource Leads Family Discussion– Family Outcome

Successful Collaboration for Organ Donation

• Timely referral

• Huddles

• LS or CDR leads family discussion

Effective Request ProcessKeys to Success

Mercy Hospital, Valley City, ND: 2012 North Dakota Tissue Donation Partner

Accomplishments that led to this award included:• Ensuring on-site donation education is

provided annually to all nursing staff• Creation of a timely referral worksheet to

identify every donation opportunity• Support of donor families and

collaboration with LifeSource 100% authorization rate for the past three years

Successful Collaborationfor Tissue Donation

• Referral timeliness

• Evaluation for donation opportunities

• Preserving donation opportunities

• Family discussion for authorization

My Donation Resource

Reminder!

Recordings of our webinarsare posted on

www.mydonationresource.org

Mike Burakowski, D-ABMDILifeSource Medical Examiner Liaison

Donation and the ME/Coroner

ME/Coroner Contact

• Organ donors– ME/C contacted every time by

LifeSource – Minnesota law requires reporting organ

donors to ME/C– Brain death/DCD differences

• Tissue Donors– When hospital reports ME/C involvement

• Clearance guidelines– What can LifeSource offer?– What does the ME/C need?

• Donor management continues• Coordination with autopsy

Organ Donors

• What can LifeSource offer?• What does the ME/C need?

Chart copy with toxicology resultsAvailable pre-transfusion blood Diagnostic tests to document or rule out

injuryDigital photography of the potential donorBlood sample for ME/C prior to

administration of heparin Observe the recovery

Organ Donors

Tissue Donors

• ME/C contact information gathered at time of referral

• Coordination with autopsy• What can LifeSource offer?• What does the ME/C need?

Tissue Donors

• What can LifeSource offer?• What does the ME/C need?

Pre-autopsy Tissue Donor Information Form

Pre-autopsy recovery photos Blood, urine, vitreous Cardiac pathology Observe the recovery

• Commitment to “zero denials”• ME/Coroner Advisory Committee• Cross-training staff• Out of hospital referrals• Designated recovery suites

Donation and the ME/C

mburakowski@life-source.org651.603.7888

Questions?

Connect to Purpose

Kriste Ross, D-ABMDICass County Deputy Coroner

Why I Do What I Do

Advocacy and collaboration for donation• My motivation• My inspiration• My commitment

Thursday, November 29, 2012• 3:00 pm – 4:00 pm CST

(registration is at capacity)

Thursday, December 13, 2012 • 1:00 pm – 2:15 pm CST

REMINDER: Brain Death Declaration Webinars

CMEs available!

• Wednesday, Feb 13 noon-1PM

• Wednesday, May 22 noon-1PM

• Wednesday, Sept 25 noon-1PM

2013 DSA Meeting Dates

For your convenience, LifeSource will send you invitations for each meeting

Polling

Questions and Answers

My Donation Resource

To “Leave a Reply” about the

webinars, go to www.mydonationresource.org

February 13, 201212:00-1:00 PM

Thank you!

Next Meeting