Achieving a 75% Conversion Rate at a Non-Transplant Hospital

1. Achieving a 75% Conversion Rate at a Non-Transplant Hospital Maureen Bishop, RN, MA, MSN, CCRN, CCNS Clinical Nurse Specialist – CCU/ICU/PCU Hospital Liaison to Gift of Life Sally Pitt-VanBuren, BS, MS Gift of Life Hospital Development Associate

2. Lakeland HealthCare’s Demographics • Two acute care hospitals serving Southwest Lower Michigan • Niles beds: • 89 licensed beds • 8 bed licensed intensive care beds • 24 hour emergency services • St. Joseph beds • 254 licensed beds • 22 licensed critical care beds (24 hour Intensivist coverage) • 24 hour emergency services

3. Support At All Levels • Board of Directors given reports of donation activity on a regular basis, which is a requirement of CMS • Senior Leadership involvement: • President puts information in associate newsletter • Vice President of Patient Services/Chief Nursing Officer sits on Corporate Organ Donation Advisory Committee • Physician Support • Associate Support

4. Lakeland’s Corporate Organ DonationAdvisory Committee • Multi-disciplinary group • Members include: • Nursing • Chaplain • Senior leadership • Gift of Life representatives • Community representative/s • Reviews policies, procedures, associate education, stats on compliance to rules/regulations, etc.

5. Associate Education • RNs required to do a yearly CBL on donation • Physician education is done via weekly CME as well one to one education • Peer Physician Education Presentation: 11/2007 • Peer Physician Education Presentation: 10/2009 • Organ, tissue, eye donation protocols reviewed in New Nursing Orientation • Yearly promotion of donation awareness in April • One on one education when protocols not followed

6. Other Educational Opportunities • After action review – completed after both DCDs • Departmental education done by Gift of Life: • Emergency departments • Critical/Intensive Care departments • Respiratory Therapy departments • Pastoral Care • Hospital liaison educates when inappropriate approaches have been identified Real time education by Gift of Life when on-site

7. Hospital Liaison Role • Daily rounds on patients to determine any referrals • Participates in monthly death record review with Gift of Life • Works with Gift of Life when at hospital for referrals • Support Gift of Life in getting services completed on consented patients • Liaison has been in role for over 12 years • Has had first hand experience working with patients who were both donors & patients waiting for transplant

8. 2008 Performance Overview atSt. Joseph Site

9. 2008 Performance Overview forNiles Site

10. 2009 First Quarter Performance Overview at St. Joseph Site

11. 2009 First Quarter Performance Overviewfor Niles Site

12. Challenges for Lakeland • Not being a transplant facility gives us some special challenges: • Keeping the “imminent death” criteria in everyone’s minds when we have a lapse in time for patients. • Getting the ED to remember they need to make the calls and not wait for the patient to be seen by an Intensivist. • Calls must be made as early as possible since it takes up to 3 hours for a Gift of Life representative to get to our facilities.

13. Questions Thank You! 1-800-482-4881