Karen Bronchella, MT(ASCP), MBA Hospital Services Coordinator

1. OPO – Physician Leadership CollaborationImproves Effective Request Rate and Bolsters Donation Outcomes Karen Bronchella, MT(ASCP), MBA Hospital Services Coordinator Gift of Life Donor Program, Philadelphia, PA

2. Gift of Life Donor ProgramThe Region’s Organ & Tissue Transplant Network • Non-Profit Organization • Donor Service Area • Eastern PA • Southern NJ • Delaware • 130 acute care hospitals • 15 transplant centers • 10.4 million population • Over 36,000 organs coordinated for transplant

3. Hospital Profile • Level 1 Trauma Center located in South Central PA • 572-bed community teaching hospital with seven (7) residency programs • 5-year annualized average • of 26 potential organ donors • Since 2004, has supported 168 organ donors with 501 organs transplanted

4. Identification of the Problem *Activity through 3/15/2013 Effective Request: Organ donation conversation is initiated by the family or OPO

5. Case Example • 67 year-old Caucasian female with a CVA • Presents to ER; timely referral • Request Process • Physician gave grave prognosis; immediately initiated donation discussion • Resulted in Family Decline • Repetitive pattern noted

6. Challenges Meeting with Physicians… • Schedules • Cancelled meetings and appointments • Turnover • Traumas, emergencies, office hours, administrative duties • On site/off site services covering “health enterprises”

7. Align your expectations with reality Senator Scott Wagner

8. York Hospital Donation Team Chair: CCU Nurse Manager Trauma Administrative Assistant Medical Director, Periop. Svcs. Chief Operating Officer Legal Counsel Director, Quality Improvement Director, Surgical Services Trauma Physician Pulmonary Physician Neurosurgeon Trauma Program Manager Trauma Nurse Manager MSICU Nurse Manager OHICU Nurse Manager Respiratory Care Manager ED Nurse Manager ED Administrator Director, Pastoral Care Palliative Care/Bereavement Counselor Vice President, Public Relations Gift of Life Hospital Services Coordinator Gift of Life Transplant Coordinator

9. Road to Donation Team Meeting with Hospital’s CEO Appointment of a Hospital Staff Chairperson Official Hospital Meeting (invites, agenda, etc.) Identify Physician Representation Invitations from CEO’s office

10. York Hospital Donation Team Chair: CCU Nurse Manager Trauma Administrative Assistant Medical Director, Periop. Svcs. Chief Operating Officer Legal Counsel Director, Quality Improvement Director, Surgical Services Trauma Physician Pulmonary Physician Neurosurgeon Trauma Program Manager Trauma Nurse Manager MSICU Nurse Manager OHICU Nurse Manager Respiratory Care Manager ED Nurse Manager ED Administrator Director, Pastoral Care Palliative Care/Bereavement Counselor Vice President, Public Relations Gift of Life Hospital Services Coordinator Gift of Life Transplant Coordinator

11. Department Chairs’ Meeting • Led by Chief Medical Officer • Chairpersons from hospital’s 7 service lines in attendance • Physician Champion from Donation Team • Scheduled 10 minutes • OPO representation

12. Straight to the Point... Presented hospital’s donation outcomes Stated the problem Need your help Discussion…

13. Additionally… • Hospital Donation Outcomes and Best Practice Standards • Published in physician newsletter • Sent to all physicians within hospital system

14. Results 64% Increase in Organ Donors *April 11, 2012 to April 10, 2013 **April 11, 2013 to April 10, 2014

15. Checklist

16. The Importance of Collaboration Coming together is a Beginning.Keeping together is Progress.Working together is Success. ~Henry Ford

17. Lessons Learned • OPO linkage with CMO and Department Chairs • Education and frank discussion • Physician accountability • Increased effective request rate can lead to increased conversion rate • Keep the momentum going