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Donation and Transplantation Community of Practice September 25, 2013

Donation and Transplantation Community of Practice September 25, 2013. Teresa M. Beigay , DrPH Director, Special Donation Initiatives Division of Transplantation Health Resources and Services Administration U.S. Department of Health and Human Services. Donor Management Task Force.

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Donation and Transplantation Community of Practice September 25, 2013

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  1. Donation and Transplantation Community of PracticeSeptember 25, 2013 Teresa M. Beigay, DrPH Director, Special Donation Initiatives Division of Transplantation Health Resources and Services Administration U.S. Department of Health and Human Services

  2. Donor Management Task Force • Optimize organ viability • Encourage appropriate donation path – BD/DCD • Improve timely determination of BD • Advance knowledge base • Workgroups & products : • DSA Practices – Toolbox • Declaration of death – AAN guidelines, BD training • Scientific Knowledge – Standard outcome measures, Donor Management Research Consensus Conference

  3. Transplant Center Task Force • Improve engagement of transplant centers in DSA and DTCP • Recognize high performance meaningfully • Improve and share quality processes • Workgroups & products: • Awards Criteria – Performance goals • Best Practices – Quality Resource • Communication – NATCO Best Abstract, TMF poster, ATC poster

  4. Quality Improvement Task Force • Use data to drive performance • Implement formal quality processes • Optimize DSA-wide performance • Develop educational opportunities • Workgroups & products: • Core measures – Quarterly Scorecard • Performance/Best Practices – Composite yield • Education – PI Summit

  5. Collaborative Conversion Rate: Goal 75% (OPTN Data, September 2013)

  6. Organs Transplanted per Donor: Goal 3.75 (OPTN Data, September 2013)

  7. Proportion of Cases by DCD: Goal 10% (OPTN Data, September 2013)

  8. Inpatient Hospital Deaths, 2000-2010

  9. Trends in Hospital Deaths, 2000-2010 • 8% decrease* (776,000→715,000) (in spite of 11% increase in hospitalizations) • ¾ age 65+; ¼ age 85+ (both stable) • LOS: Deaths 7.9 days; all pts. 4.8 days* • Deaths from septicemia up 17%* • Deaths from stroke down 27%* • Average age of death: 72-73 (stable) CDC/NCHS 3/27/13 National Hospital Discharge Survey http://www.cdc.gov/nchs/data/databriefs/db118.htm

  10. Trend in Adult Donor Age, 1988-2011 (OPTN, March 2013)

  11. Trend in Adult Recipient Age, 1988-2011 (OPTN, March 2013)

  12. Contact Information Teresa Beigay, DrPH Director, Special Donation Initiatives 301-443-5464 tbeigay@hrsa.gov

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