3. We have achieved and sustained a 75% conversion rate nationally We continue to transplant more organs annually We continue to engage more partners to save more lives We have continued to increase organ recovery from donors following circulatory determination of death

4. (OPTN Data, September 2013)

6. Adults 3.09 Pediatrics 4.06 All donors 3.08 -DCDD donors-

8. UNOS. OPTN data. 2013, Pediatrics patients < 18 years of age Adult DCDD donorsPediatric DCDD donors 2006645 adult77 pediatric 2007793 adult 66 pediatric 2008847 adult 73 pediatric 2009747 adult 81 pediatric 2010939 adult 72 pediatric 20111053 adult 115 pediatric 20121102 adult 124 pediatric

9. (OPTN Data, September 2013)

12. 120,188 people are currently on the national waiting list. 16, 669 organ transplants have been performed from 8,215 donors* through July 2013 3,450 people have died waiting for a needed organ* 2,973 people were removed from the waiting list because they became too sick to transplant* www.UNOS.orgwww.UNOS.org. Data obtained October 14, 2013 * Data through July 2013

13. 28,052 organ transplants from 14,013 donors were performed in 2012 16, 669 organ transplants have been performed from 8,215 donors* through July 2013 3,450 people died waiting for a needed organ* 2,973 people were removed from the waiting list because they became too sick to transplant* 2012: 46,000+ corneas transplanted www.UNOS.orgwww.UNOS.org. Data obtained October 14, 2013 * Data through July 2013

15. October 23, 2012 Growing transplant waiting list exceeding 112,000 In 2011: 7,370 died waiting for a needed organ* 4,519 removed from wait list because they became too sick to transplant 92 deaths were children *OPTN data accessed October 14, 2013 October 15, 2013 Growing transplant waiting list exceeding 116,000 In 2012: 7,040 died waiting for a needed organ* 4,794 removed from wait list because they became too sick to transplant 104 deaths were children

16. An average of 18 people die every day in the US waiting for a needed organ Although the number of people that died waiting for an organ last year was decreased, more people were removed from the waiting list because their condition deteriorated to a point where they were too sick to transplant In California, an average of 3 people die everyday waiting for a needed organ

17. * OPTN data. Accessed October 14, 2013 www.OPTN.org 575 deaths through June 2013 2012: 1,109 people died waiting for a needed organ transplant

19. Transplant 2 more people every day  2 more organs, 1 additional donor  243 transplant programs  Reduce deaths on the waitlist to 6,303 (~10% decrease) Continue to improve care with advancing technology for patients with end-organ failure  More time on the waiting list Education programs to help keep people off the waitlist

20. Ensure we never miss opportunities for donation Preserve the option of donation for every person and their family facing end-of-life issues Education  Healthcare professionals  Public Donor registries

21. 108,963,103 as of 12/31/12

22. 108,963,103 designated donors nationwide 24 states have signed up more than 2 million designated donors In 31 states, donor designation share is at least 50% of the adult population The number of donor designations increased 7.5% over the last 12 months

23. In the 50 states, DC and Puerto Rico, 41.1% of recovered organ donors, 46.2% of recovered tissue donors, and 50.2% of recovered eye donors were authorized by state donor registries Donor designation rate increased year-over- year in 16 of 28 states reporting

24. Designated Donors Among Recovered Donors

25. The process of donation begins when a critically ill or injured patient is identified as a potential donor with a timely referral to the organ procurement organization (OPO) Medical management of the potential organ donor requires knowledge of the physiologic derangements associated with this patient population This process of donation relies on collaboration between the critical care team and the OPO to optimize organ recovery for transplantation

27. Identification of the potential donor Declaration of death in a timely manner Consent from the family Management of the donor Recovery of organs and tissues

29. Be open Listen, learn, and teach others Be bold: Share your thoughts and experiences Focus on what we can do, not what we can’t do Determine what we as a community of health care professionals can do to decrease and eventually eliminate deaths on the waiting list

30. "Sometimes our light goes out but is blown again into flame by an encounter with another human being. Each of us owes the deepest thanks to those who have rekindled this inner light." – Albert Schweitzer