Involving Senior Leadership To Get Results

1. Involving Senior Leadership To Get Results

2. The Key to Success Hospital Leadership Philosophy Aligns With Organ Donation Initiatives

3. Senior Leader Champion – Bob Page, Sr VP, COO • Personally leads critical donation initiatives and monitors outcomes • Leader in DCD policy evaluation • Regularly reviews hospital performance • Champions donation awareness in leadership forums

4. Accountability • Reviewed original findings of KU PI Task Force on Organ Donation (2002) • Commitment to change & improvement • Attended HRSA collaborative meetings • Process support “What can I do? What do you need?” attitude • Seeks opportunities to include donation outcome measures • Reports to Hospital Leadership, Physician Groups, Hospital Quality Council

5. DCD Policy Initiative Formed a Physician/Leadership Workgroup to evaluate hospital position on DCD Convened emergency meetings for a potential DCD donor before p/p implemented Approved transfer of DCD donor to another hospital Led a focused charge to implement a successful DCD program at the hospital “Roll-out” plan included ICU/OR/physician education Mock DCD case Plan for follow-up on critical issues

6. Senior Leader Champion – Tammy Peterman, RN, MSN, Sr. VP, CNO • Personal commitment to quality care, donation outcomes and nursing excellence in donation • Leader in integrating donation best practices for nurses • Serves as resource on critical issues • Recognizes nursing involvement in donation

7. Accountability • Sets a top-down standard for nurses • Attended HRSA collaborative meetings • Disbanded Donor Council. Reformed with “effective” membership • Follow-up letters to nurses on donor cases • Hospital badges/office for MTN taff • Includes MTN in leadership meetings • MTN involved in Magnet survey • Highlights success stories

8. Donor Champion – Mike Lower, RN, Nurse Manager of Organ Transplant • Personal commitment to the day-to-day aspects of organ donation • Co-chair of the Donor Council • Leader of the PI Task Force • Evaluates compliance issues • Real-time awareness of each donation opportunity • Leader in policy and practice initiatives • Partners with MTN

9. Commitment • PI Task Force/FMEA Analysis • Led End-of-Life work-group • Attended HRSA collaborative meetings • Facilitates scheduling physician/nurse education • Formed an “expanded” Collaborative Home-Team • ED, Anesthesia, Nurse Educators, Palliative Care, Respiratory Therapy

10. Physician Champion – Michael Moncure, MD, FACS • Personally takes ownership for the process and accountability for results • Active member of the Donor Council • Reviews all variances • Provides follow-up on physician issues • Partners on physician education • Leader in policy initiatives

11. Accountability • Sets the bar high for Residents regarding interactions during donation processes • Actively educates residents • Models effective family communications • Includes MTN in crucial family meetings • Promotes the importance of collaboration with MTN in the donation process

12. Involvement • Allows MTN to participate in Trauma PI Committee • Trauma PI goals include donation outcome measures • Northeast Regional Trauma Council • ATS donation champion • Leads DSA Critical Care Task Force • HRSA OTBC co-chair

13. Donation Champion • Quality Improvement Issues • Brain death determination • Brain Death Checklist • Physician relationships • DCD initiative • Catastrohpic Brain Injury Order Set • Collaborates on research projects & papers

14. Gigi Vulgamott, RN, CPTC – Hospital Services Coordinator • Coordinates donation initiatives • Partners on policy & education efforts • Champions donation QI projects • AAR & gets every donor case in front of Chief of Staff • In-house research • Invited to speak at leadership events • Seen as “part of the team”

15. KU Donation Outcomes