1. A COLLABORATION PERSPECTIVE
Jim Burdick
Johns Hopkins

2. FEDERAL SUPPORT FOR ORGAN DONATION
Social and Behavioral Grants
Clinical Intervention Grants, e.g. UDCD
Professional Education projects
Public Education and Registry Grants
Donation promotion:
Calendars and Health Passports
Traffic Ads
Multiple meetings and events
Primary physician kits

3. COLLABORATIVE PRE-WORK
Choose players, get “buy-in”
Obtain institutional histories
Identify best results for each category
SET GOALS that are measurable
(and a little above what anybody thinks possible)
Create initial Best Practices document
Establish structure, faculty, time frame

4. Collaborative “Engine”D P S A D P S A D P S A

5. ORGANS TRANSPLANTED PER DONOR, 2004
High, Average, Low by OPO
All
SCD
DCD
ECD
2.0
AZOB
1.5
KYDA
NEOR
1.0
OHOV
0.5
CTOP
WIUW
0.0
Kidney
Liver
Heart
Lung
Pancreas

6. Organs Transplanted Per Donor, 2004
High, Average, Low by OPO
All
SCD
DCD
ECD
2.0
AZOB
1.5
1.0
0.5
0.0
Kidney
Liver
Heart
Lung
Pancreas

7. ORGANS TRANSPLANTED PER DONOR, 2004
High, Average, Low by OPO
All
SCD
DCD
ECD
2.0
1.5
1.0
0.5
0.0
Kidney
Liver
Heart
Lung
Pancreas

8. Organs Transplanted Per Donor by Donor Type
Highest Organs per Donor 2005
Empirical possibilities
Kid
Liv
Hrt
Lng
Pan
1.93
(CAGS)
0.96
(TXSA)
0.54
(NYWN)
0.67
(MDPC)
0.68
(WIUW)
SCD
4.78
1.87 (WIUW)
0.92
(FLUF)
0.25
(MOMA)
0.25
(MNOP)
DCD
3.29
1.61
(WIUW)
1.0
(NYFL)
0.15
(AROR)
0.57
(OHOV)
0.04
(WIUW)
ECD
3.37
Source: OPTN 2005 Dataset

9. UNPRECEDENTED INCREASES IN NUMBER OF ORGAN DONORS
Collaborative
Starts Here

10. [FUTURE] OPPORTUNITIES
Uncontrolled (Mastricht I or II) DCD
ECMO organ preservation after DCD
Decreasing risk of and harm from donor disease transmission
Most effective allocation for each organ type
Matching recipients to donors – rethinking the kidney allocation system
LD Kidney paired/multiple exchanges
Vascularized composite allografts

11. US DONATION STILL MOVING UP
Organ transplants performed in the United States in 2016 reached a new record high for the fourth consecutive year. The growth in overall transplants was largely driven by an increase of 9.2 percent in the number of deceased donors from 2015 to 2016, continuing a six-year trend of annual increases. 
Read full story
US DONATION STILL MOVING UP

12. CONTACT INFORMATION
James F. Burdick, MD
Professor of Surgery
Johns Hopkins Medicne
(410)