Case length Matthew Bock

23% 18% 43%

Three phases of an organ donation Evaluation phase Allocation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase Organ offers Match runs, tissue typing, more diagnostics Recovery phase Transportation and surgical recovery

Three phases of an organ donation Evaluation phase Allocation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recovery phase Transportation and surgical recovery

Three phases of an organ donation Evaluation phase Allocation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase Transportation and surgical recovery

Three phases of an organ donation Evaluation phase Allocation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase New national organ offer procedure Transportation and surgical recovery

Three phases of an organ donation Evaluation phase Allocation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase New national organ offer procedure Transportation and surgical recovery Increased emphasis on thoracic organs

Three phases of an organ donation Evaluation phase Allocation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase New national organ offer procedure Transportation and surgical recovery Increased emphasis on thoracic organs New HLA testing for kidney match

Serial progression One stage follows the other Evaluation phase Allocation phase Recovery phase

Three phases in parallel (overlap) Evaluation phase Allocation phase Recovery phase

organ donation case length The big picture for organ donation case length Evaluation phase Serology testing Declaration, consent, med-soc, diagnostic testing Allocation phase Organ offers Case moves from referral to active Match runs, tissue typing, more diagnostics Recovery phase 1st match run Set-up, transportation and recovery 3 major themes in case length reduction Set the OR time Pt goes to the OR First: The duration of each phase should be limited by it’s longest unalterable factor. Second: Phases should be overlapped as much as possible rather than strung together. Third: Pt families and hospital staff should have expectations that match the reality of case length.