Involving Senior Leadership

To Get Results

The Key to SuccessHospital Leadership Philosophy Aligns

With Organ Donation Initiatives

Senior Leader Champion – Bob Page, Sr VP, COO

• Personally leads critical donation initiatives and monitors outcomesLeader in DCD policy evaluationRegularly reviews hospital performanceChampions donation awareness in

leadership forums

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 measuresReports to Hospital Leadership, Physician

Groups, Hospital Quality Council

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

Senior Leader Champion – Tammy Peterman, RN, MSN,

Sr. VP, CNO• Personal commitment to quality care,

donation outcomes and nursing excellence in donationLeader in integrating donation best

practices for nursesServes as resource on critical issuesRecognizes nursing involvement in

donation

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 surveyHighlights success stories

Donor Champion – Mike Lower, RN, Nurse Manager

of Organ Transplant

• Personal commitment to the day-to-day aspects of organ donationCo-chair of the Donor CouncilLeader of the PI Task ForceEvaluates compliance issuesReal-time awareness of each donation opportunityLeader in policy and practice initiativesPartners with MTN

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-

TeamED, Anesthesia, Nurse Educators,

Palliative Care, Respiratory Therapy

Physician Champion – Michael Moncure, MD, FACS

• Personally takes ownership for the process and accountability for results Active member of the Donor CouncilReviews all variancesProvides follow-up on physician issuesPartners on physician educationLeader in policy initiatives

Accountability

• Sets the bar high for Residents regarding interactions during donation processes

• Actively educates residentsModels effective family communicationsIncludes MTN in crucial family meetings

• Promotes the importance of collaboration with MTN in the donation process

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

Donation Champion

• Quality Improvement IssuesBrain death determinationBrain Death Checklist Physician relationshipsDCD initiativeCatastrohpic Brain Injury Order Set

Collaborates on research projects &

papers

Gigi Vulgamott, RN, CPTC – Hospital Services Coordinator

• Coordinates donation initiativesPartners on policy & education effortsChampions donation QI projectsAAR & gets every donor case in front of

Chief of StaffIn-house researchInvited to speak at leadership eventsSeen as “part of the team”

KU Donation Outcomes2001 2002 2003 2004 2005 2006

ORGAN DONORS

12 7 16 12 17 22

CONVER-SION RATE

52% 41% 73% 63% 85% 76%

HEART DONORS

6 2 4 4 5 7

LUNG DONORS

4 1 3 3 1 8

KIDNEY DONORS

12 7 15 12 13 18

LIVER DONORS

9 7 15 13 15 19

PANC

DONORS

6 4 8 4 6 5

INTESTINE DONORS

0 0 0 0 1 1