1. Region 7 Moving Into Action Through DSA Action Teams and Regional Forums Planning for Success

2. To continue generating performance improvement by developing stronger partnerships at the DSA and Regional levels. Intent

3. DSA 3 Estate Action Team Accountability For Performance On National Goals Local Donor Hospitals Local Transplant Center Hospitals Organ Procurement Organization Local DSA Action Teams Introduced at 2008 National Learning Congress

4. X The 4 Estates Donor Hospitals Transplant Centers OPO Tissue/Eye Partners

5. What Are the Goals? 75% Collaborative Conversion Rate 3.75 Organs Transplanted Per Donor (OTPD) 10% DCD (Donation after Cardiac Death)

6. Where Do We Start? 1.Identify Key Players 2.Issue “A Call to Action” 3.Outline measurable goals and clear timelines 4.Equip partners with “tools” to take ownership

7. Regional Strategy Establish partnerships with the DSA Action Teams to identify specific goals to focus on in 2009- 2010.  Regional Collaborative Events – Promoting the DSA process improvements into regional strategies

8. All Regions

9. Region 7 Illinois: Gift of Hope (ILIP) Wisconsin: - University of Wisconsin – Madison (WIUW) - Wisconsin Donor Network – Milwaukee (WISE) Minnesota: LifeSource (MNOP) - Includes North Dakota and South Dakota

10. Region 7 January - June 2008 January - June 2009 Percent Increase Total Donors3113409.3% Organs Transplanted9561,10015.1% OTPD3.073.245.3% Consented Eligibles79.0%83.6% Collaborative Conversion Rate 79.5% 83.5% How Are We Doing?

11. January - June 2009 Collaborative Conversion Rate Conversion Gap Region 783.5%8.5% ILIP86.5%11.5% MNOP76.3%1.3% WISE80.0%5.0% WIUW89.9%14.9% Conversion Rate: Region 7 DSA’s

12. Conversion Rate by Regions

13. January - June 2009Actual OTPDGoal OTPDThe Gap Region 7 3.243.61-0.38 ILIP 3.283.55-0.27 MNOP 3.313.74-0.43 WISE 2.843.36-0.51 WIUW 3.233.70-0.47 Organs Transplanted per Donor (OTPD)

15. Region 7 January - June 2008 January - June 2009 Percent Increase Standard Criteria Donors17120218.1% SCD Organs Transplanted67678816.6% SCD OTPD3.953.90-1.3% % of All Donors55.0%59.4% Extended Criteria Donors8780-8.1% ECD Organs Transplanted1571687.0% ECD OTPD1.802.1016.4% % of All Donors28.0%23.5% Donation After Cardiac Death Donors 53589.4% DCD Organs Transplanted12314417.1% DCD OTPD2.322.487.0% % of All Donors17.0%17.1% Donor Types – Region 7

16. DCD % – All Regions

17. Did We Reach Our Goals? In our Region:  100% of 4 DSAs met the 75% goal  0% of 4 DSAs met the 3.75 goal  100% of 4 DSAs met the DCD goal

18. Region 7 Strategy The biggest opportunity for improvement in our Region is to INCREASE OTPD by:  Focus on ECD (Extended Criteria Donors)  23.5% of total donors  OTPD 2.10  ECD ≠ A “Bad” Donor

19. Region 7 Strategy What vehicles, forums, and partnerships can we use to establish powerful, exciting Regional accountability within and among the four estates?  Bi-Monthly Webinars  Collaborative sessions at Regional UNOS meetings  Attendance at annual NLC (National Learning Congress – Nov. 3-4, 2010 – Grapevine, TX)

20. What’s Next? What can we do by next Tuesday?  Gain Commitment to keep moving forward  Engage partners to commit to attending Regional Webinars - Next Webinar – November 19 th at 2:00pm  Commit to implementing strategies to improve outcomes  Continue to keep the 4 estates in action on the collaborative goals