OPO Performance Improvement: Increasing Kidney Utilization Kevin O’Connor UNOS Region 6 Forum Seattle, WA October 3, 2013.

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Presentation transcript:

OPO Performance Improvement: Increasing Kidney Utilization Kevin O’Connor UNOS Region 6 Forum Seattle, WA October 3, 2013

National kidney discard rate near 20% LCNW rate lower than US, but increasing Opportunity for performance improvement Led by LCNW Surgical Recovery Coordinators Assist with recovery process Place kidneys Kidney Utilization From LCNW Donors

NYT Article, September 2012

Over 8000 Kidneys Discarded in Three Years,

Source: OPTN DSA Dashboard US and LCNW Discard Rates

Stepwise Process 1.Identify Opportunity for Improvement (data) 2.Engage Staff Directly Involved in Process 3.Establish Clear Directive and Goal 4.Allow Staff to Develop Solutions 5.Test and Monitor New Approaches (data) 6.Do More of What Works 7.Stop Doing Things That Don’t Work 8.Acknowledge and Celebrate Progress

Reducing Kidney Discards at LCNW 1.Analyze Data to Identify “At Risk” Kidneys 2.Include Transplant Program Staff in Process 3.Get a Head Start On At Risk Kidneys 4.Streamline Local Offer Process 5.Improve Work Flow with UNOS Organ Center 6.Have Knowledge of “Go To” Kidney Programs 7.Early Decision to Avoid Kidney Wastage 8.Expedite Placement of Exported Kidneys

AJT 2010:10,

Regression Model for Predicting Discard

Exported LCNW Kidneys in 2011

Source: OPTN DSA Dashboard US and LCNW Discard Rates

Source: OPTN DSA Dashboard US Discard Rates

Source: OPTN DSA Dashboard LCNW Discard Rates

Summary LCNW Identified Opportunity for Improvement Followed a Systematic Approach Reinforced Practices That Worked Continue to Monitor This Closely LCNW Kidney Utilization is Second Best in US