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Alternative Deployment Model Family Support Team

Alternative Deployment Model Family Support Team. Ron Gegg Mid-America Transplant Services. Agenda. Hospital profiles Reasons for action Initiation of PDSA Results analysis Conclusions. Hospital Profiles. Large, urban, teaching medical centers 1,615 licensed beds 206 ICU beds

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Alternative Deployment Model Family Support Team

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  1. Alternative Deployment ModelFamily Support Team Ron Gegg Mid-America Transplant Services

  2. Agenda • Hospital profiles • Reasons for action • Initiation of PDSA • Results analysis • Conclusions

  3. Hospital Profiles • Large, urban, teaching medical centers • 1,615 licensed beds • 206 ICU beds • 3,564 member medical staff • Level 1 trauma centers • 83 beds / 10 trauma & critical care beds • 134,262, ED visits • 8,092 trauma visits • Largest donor potential hospitals in DSA • 400-500 organ referrals annually • 50-80 eligible organ donors annually • 40-60 organ donors annually Barnes-Jewish Hospital Saint Louis University Hospital

  4. What are we trying to accomplish?

  5. Reasons for Action Steady decline in organ conversion rates • Flat or declining organ authorization rates Formula: (Organ donors + consented not recovered) / (Organ donors + eligible brain dead refusals + consented not recovered) Formula: Organ donors / (organ donors + eligible brain dead refusals)

  6. Reasons for Action Flat satisfaction rates from hospital partners • Complications with the authorization process (Columns) = = (Scatter) Formula: Yes to each of the following criteria pieces- brain death timely declaration, timely referral, and MTS collaboration Formula: Calendar year 2012; average overall satisfaction on a 5-point scale; % top box is the % of respondents scoring MTS the top score of 5.0

  7. What changes did we make to achieve our goal?

  8. Initiation of PDSA Purpose of Study The purpose of this study is to evaluate the effectiveness of a “team approach” with consistent members responding to all organ referrals at BJH and SLUH. Methodology MTS will identify the FSS members from the existing department that will create the team responsible for responding to 100% of all organ referrals at BJH and SLUH. The role of this individual requestor will be to respond to the hospital, to provide an onsite assessment, and to determine what, if any, additional resources may be necessary. Timeline Pre-fix: before 2013 Post-fix: January-March, 2013 (PDSA Cycle 1) April-December, 2013 (PDSA cycle 2)

  9. Initiation of PDSA Hospital Benefit • Consistent MTS representation in the hospital • Enhanced level of service provided to healthcare team • Increase in satisfaction with overall donation experience • Increase in family authorizations leads to increased organs available for transplantation OPO Benefit • Enhanced relationships with hospital personnel • Improved hospital partner satisfaction with overall donation experience • Increase in overall donors and associated organs transplanted

  10. Initiation of PDSA Outcome Measures • Deployment of “team model” on all eligible organ donors • 100% compliance meets expectations • PDSA authorization rate target at both institutions • 80-83% meets expectations • ≥84% exceeds expectations • 95% authorization process compliance • Increase in “PDSA Team” rates vs. same time last year for • Authorization • Hospital partner satisfaction

  11. What are the results?

  12. Results Pre-Fix Post-Fix Formula: (Organ donors + consented not recovered) / (Organ donors + eligible brain dead refusals + consented not recovered) 2014 results through August

  13. Results Formula: Organ donors / (organ donors + eligible brain dead refusals); 2014 results through August

  14. Results Formula: Yes to each of the following criteria pieces- brain death timely declaration, timely referral, and MTS collaboration; 2014 results through August

  15. Results Team Deployment Compliance NOTE:2014 results through July

  16. Results Pre-Fix Post-Fix Formula: Average overall satisfaction on a 5-point scale; % top box is the % of respondents scoring MTS the top score of 5.0; 2014 results through August

  17. conclusions

  18. Conclusions Demonstrated increases in the following pre-determined areas: • Hospital partner satisfaction • Authorization process compliance • Authorization rates Additional, unplanned outcomes: • Increased African American authorization rates • OPO workforce satisfaction

  19. Next Steps • Further segmentation of results • Hospital specific • ICU specific • Develop action plans based on segmentation • Continue to provide results to hospital partners • Further enhancement of existing relationships • Continue monitoring of OPO performance www.PresentationPro.com

  20. For additional information, please contact:Ron GeggDirector, Academic Donor ProgramsMid-America Transplant servicesrgegg@mts-stl.org(314) 735-8306

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