1. Aspirus Alliance Multi-Departmental Team: Dr. Kris Lahren: MD, Pulmonologist, Forward Focus Faculty Member Sandy McCrory: ICU RN, MSN, Donation Liaison, Forward Focus Co-Lead Barb Heilmann: ICU RN Pam Mootz: ER RN Susan Tobin: RN, BSN, NE-BC, Manager Surgical Services Denise Falkowski: OR RN Christine Sullivan: AIM, Chaplain

2. Starting the Expedition (The start of the journey) We joined the collaborative. We completed our first improvement project.

3. Casting a Wider Net (Shifting our Focus) We attended Learning Session 2 and were introduced to a new tool to help guide teams on case review. We adapted the tool based on the data review. We added, deleted and modified the categories in the tool to better fit our historical data set and known trouble spots.

4. Catch of the Day (Current State) Then we started using the tool promptly after every donor and potential donor case. Now we are using the tool to discuss and reflect on each donor and potential donor case as a standard part of our donation process.

5. Trophies (Takeaways) Not every change has to be big. If something isn't working then try something else – it is not a failure to try multiple things until something works. Having a structured way to review donor and potential donor cases can help the team better identify areas of improvement. Study every potential and donor case for both what worked and didn’t work.