MISSION - EXPANDING THE FRONTIERS OF DONATION BEST PRACTICES

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1 MISSION - EXPANDING THE FRONTIERS OF DONATION BEST PRACTICES

2 DONOR HOSPITAL AND OPO EXPANDING THE FRONTIERS OF DONATION BEST PRACTICES ROSEMARY O MEEGHAN, MBChB, INTENSIVIST ROBERT BRAITHWAITE, CEO, HOAG HOSPITAL LISA PEDRAL, BSc, ONELEGACY OCTOBER 13, 2015

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4 HOW THINGS WERE Hospital organ, eye and tissue donation practices lacked oversight Inadequate understanding and adoption of donation best practices THIS TRANSLATED TO Lost donation opportunities Increasing transplant waitlist

5 A CALL TO ACTION WAS REQUIRED HOAG HOSPITAL ONELEGACY

6 HUBBLE

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8 HOAG ORGAN EYE AND TISSUE DONATION COUNCIL

9 HOAG - HOW THINGS WERE

10 HOAG HOW THINGS WERE

11 HARDWIRING THE DONATION PROCESS

12 WHY - PATIENTS ON THE UNOS WAIT LIST National State Greater LA Area Heart 4, Heart/Lung Lung 1, Liver 15,091 2,848 1,134 Kidney 101,206 18,659 7,386 Kidney/ Pancreas 1, Pancreas 1, Intestine TOTAL 122,440 21,955 8,726 Source: OPTN 10/04/15

13 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL ORGAN,EYE AND TISSUE DONATION COUNCIL

14 MISSION AND VISION ORGAN, EYE AND TISSUE DONATION COUNCIL CURRENT STATE TASKS AND WORKGROUPS

15 ORGAN, EYE & TISSUE DONATION COUNCIL WHO - WHAT - WHEN - WHERE Defines Ownership of Processes Performance Improvement Maintenance of Metrics Education Community participation Donor Recognition

16 HARDWIRING THE DONATION PROCESS Multiple disciplines involved Recurring problems fixed but not maintained Problems often occur out of hours Variable knowledge Changing staff

17 INTRANET POLICY AND PROCEDURE

18 CMS METRICS PERFORMANCE IMPROVEMENT RN EDUCATION PATIENT DEATH NOTIFICATION SHEET

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20 PHYSICIAN PRACTICE BRAIN DEATH EXAMINATIONS - TIMING - ELECTRONIC NOTE DONOR MANAGEMENT GOALS ELECTRONIC ORDERS DONOR ACCOUNT ONLY

21 MULTIDISCIPLINARY MEETING DONOR CASE REVIEW PERFORMANCE IMPROVEMENT DOCUMENT REPORTING PROCESS IMPROVEMENT

22 BRAIN DEATH WORKFLOWS DONATION AFTER CIRCULATORY DEATH EDUCATION

23 HARDWIRING THE DONATION PROCESS Visio workflows for each discipline Physician Nurse Respiratory Therapist Pharmacist Unit secretary Computer Support / Information Technology The patient chart

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26 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL IT SYSTEMS

27 IT SYSTEMS DUAL ACCOUNT SETUP BED DISCHARGE PROCESS TWO CAMPUS SYSTEM

28 PATIENT REGISTRATION UNIT SECRETARY IT NOTIFICATION PATIENT CHART

29 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL PHARMACY

30 PYXIS ACCOUNT REGISTRATION PHARMACY CORRECT BILLING MEDICATION CHARGE ON ADMINISTRATION ELIMINATE MEDICATION WASTAGE

31 APNEA TEST PROCEDURE UPDATE RESPIRATORY THERAPY EDUCATION

32 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL DONOR FAMILY SUPPORT

33 PASTORAL CARE DONOR FAMILY SUPPORT CARES TEAM SOCIAL WORKER

34 STAFF SUPPORT AROUND THE TIME OF DONATION CARE FOR THE CAREGIVERS

35 FAMILY SUPPORT PASTORAL CARE STAFF SUPPORT MULTIFAITH AND MULTICULTURAL RESOURCE BOOK DEVELOPMENT

36 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL ONELEGACY

37 ONELEGACY ELECTRONIC REVIEW NOTE DONATION DEVELOPMENT COORDONATOR REMOTE CHART ACCESS PROCUREMENT TRANSPLANT COORDINATOR DEDICATED WORKSPACE INFORMATION BOOK CPOE RIGHTS

38 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL EDUCATION

39 HOSPITAL DEPARTMENTS PHYSICIAN GRAND ROUNDS EDUCATION HOSPITAL ADMINISTRATION NURSING GRAND ROUNDS LOCAL HOSPITAL PRESENTATIONS NATIONAL MEETING PARTICIPATION POSTER PRESENTATIONS

40 WEBSITE COPMPREHENSIVE HOAG WEB BASED INFORMATION SITE

41 ROSE PARADE DONATE LIFE ANNUAL RUN WALK COMMUNITY EVENT EDUCATION BOOTHS COMMUNITY EVENTS

42 MAYOR AND COUNCILORS MEDIA CITY COUNCIL DONOR RECOGNITION CEREMONIES DONATE LIFE MONTH PROCLAMATION

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44 TREE OF LIFE DONOR RECOGNITION BOOK OF LIFE

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46 EVENT PARTICIPATION HOAG HOSPITAL FOUNDATION DIRECTED GIFT

47 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL ST JOSEPH HOAG ALLIANCE HOSPITALS

48 COMBINED HOSPITAL ORGAN,EYE AND TISSUE DONATION COUNCIL ONELEGACY ST JOSEPH HOAG ALLIANCE HOSPITALS EQUIVALENT EXCELLENT DONATION PRACTICE ACROSS THE ALLIANCE HOSPITALS LEADERSHIP IN THE COMMUNITY

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50 REPORT FROM THE COMMANDER

51 PHARMACY CITY COUNCIL UNIT SECRETARY ST JOSEPH-HOAG ALLIANCE FOUNDATION DONOR CASE REVIEW RESPIRATORY THERAPY WORKFLOWS PASTORAL CARE DONOR RECOGNITION POLICY PROCEDURE MISSION VISION PHYSICIAN PRACTICE IT SYSTEMS STAFF SUPPORT EDUCATION HOAG DONATION COUNCIL PERFORMANCE IMPROVEMENT WEBSITE ONELEGACY FAMILY SUPPORT COMMUNITY EVENTS

52 THERES A RULE THEY DON T TEACH YOU AT THE HARVARD BUSINESS SCHOOL. IT IS IF ANYTHING IS WORTH DOING, IT S WORTH DOING TO EXCESS EDWIN H LAND HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL

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55 30 ORGAN DONORS 62 ORGANS TRANSPLANTED 106 TISSUE DONORS 227 TISSUE TRANSPLANTS

56 BEING SMALL DOES NOT MEAN AN ABSENCE OF BIG IDEAS HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL

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58 HOAG ORGAN, EYE AND TISSUE DONATION COUNCIL THANK YOU