1. Region 9 Collaborative New York Academy of Medicine 3/20/18
Setting the Stage
Region 9 Collaborative New York Academy of Medicine
3/20/18

2. National Organ Donation Trends in 2017
3.1% Deceased Donors Recovered
3.7% Deceased Organs Transplanted
3.5.% Living Donors

3. UNOS Regions

4. U.S. Region 9 Donors Recovered Organs Recovered Organs Transplanted
OTPD
2016
9,971
35,361
30,497
3.059
2017
10,284
36,413
31,614
3.074
% Change
3.1%
3.0%
3.7%
0.5%
Region 9 
Donors Recovered
Organs Recovered
Organs Transplanted
OTPD
2016
443
1,366
1,195
2.698
2017
458
1,457
1,278
2.790
% Change
3.4%
6.7%
6.9%

5. Deceased Donors by Type and UNOS Region

6. Closing the Gap
Average of 7.9 patients waiting per donor

7. Closing the Gap
Average of 10.6 patients waiting per donor

8. Variation in Region 9 Performance

9. Organ Donor Conversion Rate
CMS Eligible Death: Individual </= 75 years who is declared brain dead and does not exhibit any of the following indications: tuberculosis, HIV, Creutzfeldt-Jacob Disease, herpetic septicemia, rabies, reactive hepatitis B surface antigen, any retrovirus infection, active malignant neoplasms, Hodgkin disease, multiple myeloma, leukemia, miscellaneous carcinomas, aplastic anemia, agranulocytosis, fungal and viral encephalitis, gangrene of bowel, extreme immaturity, or positive serological or viral culture findings for HIV.
Eligible Donor: A donor whose death met the definition of eligible death.
CMS Conversion Rate = Eligible Donors/Eligible Deaths
Additional Potential/Donors: Individuals who are declared brain dead and >/= 76 years, and DCD Donors;

10. Donor Conversion Rates
347 Donors/ 573 Deaths (61% Conversion Rate)
458 Donors/1,272 Estimated Deaths (36% Conversion Rate)
Organ Transplants
Donors
CMS Eligible Deaths
Referrals to OPO
In Hospital Deaths
CMS eligible deaths and total actual donors from 2017 UNOS data. Estimated potential deaths estimated using 1/1/17-7/31/17 actual potential conversion rate for hospital systems with transplant centers in NY.

11. OPPORTUNITIES TO INCREASE DONATIONS Registry Enrollments

12. OPPORTUNITIES TO INCREASE DONATIONS
USA
January December 2016
January December 2017
Total Donors
9,971
10,287
Organs Transplanted
30,409
31,527
OTPD
3.05
3.06
Consented Eligibles
75.7
73.7
Collaborative Conversion Rate
77.0%
74.4%
Region 9
January December 2016
January December 2017
Total Donors
443
458
Organs Transplanted
1,186
1,269
OTPD
2.68
2.77
Consented Eligibles
60.1%
61.6%
Collaborative Conversion Rate
66.7%
67.0%

13. OPPORTUNITIES TO INCREASE DONATIONS Organs Transplanted per Donor
Organs transplanted per donor (OTPD): Total number of organs transplanted divided by the number of donors, not limited to eligible deaths.

14. Improvements in Registry Enrollments, Conversion Rates & Organs Transplanted per Donor will help Close the Gap
Waitlist 3/2018
Hearts
Lung
Kidneys
Livers
Other
370 67
7,897
1,081
349

15. Region 9 Collaborative Goals
Increase Eligible Donor Conversion Rate: Baseline 61.6%
Increase Total Donor Conversion Rate: Baseline 36%
Increase Transplanted Organs per Donor: Baseline 2.77