1. 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

2. 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

5. % of Hospitals Meeting Monthly Goal

8. Summary of Results 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

9. 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
WHAT I WANT TO BRING TO YOUR ATTENTION ARE HIGH LEVERAGE CHANGES---
---CHANGES THAT HAVE A DIRECT RELATIONSHIP TO OUTCOMES AND RESULTS AND OFTEN CUT ACROSS THE FOUR STRATEGIES---
YOU WILL SHORTLY HEAR FROM TEAMS WHO ARE IN ACTION AROUND THESE CHANGES, AND HAVE THE RESULTS TO PROVE IT
THEY, THE FACULTY, AND COLLABORATIVE LEADERSHIP, BELIEVE ALL TEAMS SHOULD BE FOCUSING ON SUCH HIGH LEVERAGE CHANGES TO PROPEL YOU FORWARD.
MY REQUEST TO YOU IS THAT YOU REVIEW THESE HIGH LEVERAGE CHANGES, AND OVER THE NEXT 36 HOURS IDENTIFY ACTIONABLE ITEMS FOR YOUR TEAM AND PLAN ACTION IN AS MANY AS POSSIBLE AFTER LS3.

10. First Things First What Successful Teams Have Tackled First
They Assure That Change is Deep Enough into the System to be Sustained
WHAT I WANT TO BRING TO YOUR ATTENTION ARE HIGH LEVERAGE CHANGES---
---CHANGES THAT HAVE A DIRECT RELATIONSHIP TO OUTCOMES AND RESULTS AND OFTEN CUT ACROSS THE FOUR STRATEGIES---
YOU WILL SHORTLY HEAR FROM TEAMS WHO ARE IN ACTION AROUND THESE CHANGES, AND HAVE THE RESULTS TO PROVE IT
THEY, THE FACULTY, AND COLLABORATIVE LEADERSHIP, BELIEVE ALL TEAMS SHOULD BE FOCUSING ON SUCH HIGH LEVERAGE CHANGES TO PROPEL YOU FORWARD.
MY REQUEST TO YOU IS THAT YOU REVIEW THESE HIGH LEVERAGE CHANGES, AND OVER THE NEXT 36 HOURS IDENTIFY ACTIONABLE ITEMS FOR YOUR TEAM AND PLAN ACTION IN AS MANY AS POSSIBLE AFTER LS3.

11. System Redesign
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.

12. A Call to Action on High Leverage Changes
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
THEY FALL INTO SIX AREAS OF ACTION
BUT THIS IS NOT MEANT TO BE THE DEFINITIVE LIST OF WHAT WORKS AND WHAT’S MAKING IT WORK.

13. First Things First 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

14. Timetable for Spread 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”

15. 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

16. “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