Involving Senior Leadership
To Get Results
The Key to Success
Hospital Leadership Philosophy Aligns
With Organ Donation Initiatives
Senior Leader Champion –
Bob Page, Sr VP, COO
• Personally leads critical donation
initiatives and monitors outcomes
Leader in DCD policy evaluation
Regularly reviews hospital performance
Champions 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 measures
Reports 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 donation
Leader in integrating donation best
practices for nurses
Serves as resource on critical issues
Recognizes 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 survey
Highlights success stories
Donor Champion –
Mike Lower, RN, Nurse Manager
of Organ Transplant
• Personal commitment to the day-to-day
aspects of organ donation
 Co-chair of the Donor Council
 Leader of the PI Task Force
 Evaluates compliance issues
 Real-time awareness of each donation opportunity
 Leader in policy and practice initiatives
 Partners with MTN
Commitment
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PI Task Force/FMEA Analysis
Led End-of-Life work-group
Attended HRSA collaborative meetings
Facilitates scheduling physician/nurse
education
• Formed an “expanded” Collaborative HomeTeam
ED, 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 Council
Reviews all variances
Provides follow-up on physician issues
Partners on physician education
Leader in policy initiatives
Accountability
• Sets the bar high for Residents regarding
interactions during donation processes
• Actively educates residents
Models effective family communications
Includes 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 Issues
Brain death determination
Brain Death Checklist
Physician relationships
DCD initiative
Catastrohpic Brain Injury Order Set
Collaborates on research projects &
papers
Gigi Vulgamott, RN, CPTC –
Hospital Services Coordinator
• Coordinates donation initiatives
Partners on policy & education efforts
Champions donation QI projects
AAR & gets every donor case in front of
Chief of Staff
In-house research
Invited to speak at leadership events
Seen as “part of the team”
KU Donation Outcomes
2001
2002
2003
2004
2005
2006
ORGAN
DONORS
12
7
16
12
17
22
CONVERSION 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
0
0
0
0
1
1
DONORS