1. Case length
Matthew Bock

2. 23%
18%
43%

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

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

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

11. 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.