Transcript No Slide Title

Aim of Organ Donation
Breakthrough Collaborative
“Committed to saving or enhancing thousands of
lives a year by spreading known best practices
to the nation’s largest hospitals, to achieve
organ donation rates of 75% or higher in these
hospitals.”
-- Health and Human Services Secretary
Tommy G. Thompson, National Leaders &
Collaborative Teams
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Record-Shattering Results
Previous Record Month for Donation: 556 Donors
October, 2003: 584 Donors
January, 2004: 594 Donors
May, 2004:
609 Donors
June, 2004:
590 Donors
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3
4
% of Hospitals Meeting
Monthly Goal
ay
M
A
pr
il
ar
ch
M
Ju
l
y/
Se
pt
O
ct
ob
er
N
ov
em
be
r
D
ec
em
be
r
Ja
nu
ar
y
Fe
br
ua
ry
50%
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
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Cumulative Percentage Increase/Decrease of Deceased Donors by Month From
October 2003 Through May 2004 Compared to Analagous time in previous Year
Collaborative and Non-Collaborative Hospitals
40.0%
35.0%
Percentage
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
Oct-03 Nov-03 Dec-03 Jan-04 Feb-04 Mar-04 Apr-04 May-04
Oct-03
Nov-03 Dec-03
Jan-04
Feb-04 M ar-04 Apr-04
M ay-04
Collaborative Hospitals
34.0%
21.2%
9.1%
8.1%
9.1%
9.4%
7.6%
12.5%
0.0%
0.0%
0.0%
0.0%
Non-Collaborative Hospitals
3.2%
4.9%
4.3%
5.0%
5.2%
5.5%
6.6%
6.2%
0.0%
0.0%
0.0%
0.0%
Month
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Monthly Deceased Donors by Year (1997- May 2004)
700
Number of Donors
600
1997
500
1998
400
1999
300
2000
200
2001
2002
100
0
2003
Jan
Feb
M ar
Apr
M ay
June
July
Aug
Sept
Oct
Nov
Dec
1997
451
417
454
440
499
453
455
459
447
490
446
467
1998
495
434
425
502
524
472
479
505
490
482
481
505
1999
468
456
498
464
507
482
475
530
475
504
463
502
2000
522
420
506
521
489
510
551
508
541
460
477
480
2001
481
446
499
493
550
516
528
537
503
558
506
463
2002
517
432
518
482
553
517
536
542
526
536
497
534
2003
558
514
549
506
544
489
558
553
536
584
533
533
2004
594
553
590
560
608
2004
Month
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Summary of Results

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Major, Sustained Increases in Process
Measures
Breakthrough Increases in Outcome
Measures are Emerging
Over 20 Hospitals Have Achieved
Sustained Outcomes of 75% or Better
Almost All Teams Know How to Test &
Improve
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High Leverage Changes: What
Successful Teams Have Done


These Have a Direct Relationship To
Outcomes/Results
Most Are A Synergistic Combination
Of Change Concepts Within
Or Across Strategies
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First Things First


What Successful Teams Have
Tackled First
They Assure That Change is
Deep Enough into the System
to be Sustained
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System Redesign
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
The High Leverage Changes Are the
Framework for the Redesigned System
First Things First are building blocks
that need to be in place to create that
system – these are the basics, the key
change concepts and action items that
teams need to do first.
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A Call to Action on
High Leverage Changes
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Advocate Organ Donation As the Mission
Involve Senior Leadership to Get Results
Deploy A Self-Organizing OPO/Hospital
Team
Practice Early Referral, Rapid Response
Learn Effective Requesting
Implement Donation After Cardiac Death
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First Things First

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Physician & clinical champions are
known.
Process in place for conducting real
time death record reviews.
OPO “Presence": in house coordinator
Focused change agenda based on
analysis of current hospital data
"Team Huddles" are the norm
Clinical Triggers in use
After Action Reviews are the norm
"Effective Requesting" in place, in
action
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Timetable for Spread

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Now: Launch Spread Strategy at LS3
Thru September, 2004: Sustain Pace With Current
Collaborative Teams
Summer/Fall: Develop Knowledge Management
System
Summer: Pre-work for 2nd Collaborative Teams
July, 2004: Convene Spread Leaders
September, 2004: LS4 + LS1 of 2nd Collaborative
Thru May, 2005: Continue Basic Support to Teams
May, 2005: Conduct “National Learning Congress”
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Learning Session 4-1
San Diego, California
September 13-14, 2004
Satellite Broadcast:: 8:00 am to 12:30 pm on September 13
550 Current Collaborative Participants
~700 New Participants for Collaborative 2
Satellite Downlink Sites Across the Nation
Recipient Whose Life Was Saved by Collaborative 1
Celebratory, High-Energy, Launching the Next Bigger Phase
Getting New Teams in Action, Fostering Existing Teams as Mentors
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“Never doubt that a small group of
thoughtful, committed citizens can
change the world; indeed it is the only
thing that ever has.”
Margaret Mead,
Cultural Anthropologist
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