1. Phone Request Training

2. Objective  Providing families an informed, compassionate opportunity to donate tissues:  You Are an Important Partner in the Process

3. Phone Consent Model Hospital Advantages Improved tissue consent rates Sustained high customer satisfaction Increased information to family Reduced litigious risk 24/7 coverage All divisions covered

4. This 15-year-old is a cornea recipient

5. Three-year-old Only 4 days after a heart valve transplant

6. This gentlemen is a Recipient of Donor Vein used for bypass surgery

7. Cancer of her lower leg had this 8-year-old facing amputation. A bone transplant saved her leg. “It makes the difference between being a normal person with two legs and a strange person that people will stare at.”

8. CMS Regulations Requires Hospital Staff to Notify OPO (MTS) of Every Death. To be reported as close to time of death as possible, within one hour. Only Trained MTS Requestors are to Offer Donation Opportunity to Families

9. Your Role In The Process  Report all deaths to MTS – Donor Services.  Provide patient information to Donor Services so they can determine patient eligibility for donation  Determine Donor Registry Status  Arrange for family to speak to MTS staff on phone

10. Eligibility  Donor Services Staff Will Screen for Eligibility  Demographics  Infectious status  PMH  Current Medical Status  COD  If Not Eligible: There is not a need for Family to speak to MTS

11.  Intent Registry  Family Must Consent  Consent Registry  Patient Has Already Given Consent Donor Registry

12.  It Gives the Family Information they need to Honor their Loved One’s Wishes  Many feel a burden has been lifted from them; they do not have to make the decision; their loved one has done it for them. Intent Registry and The Family

13. Phone Consent Process Donor Services staff will ask you for your assessment as to whether this is a good time for the family to speak to MTS. If you think the family is in a good place to speak to MTS, we will ask you to get them on the phone. If this is not a good time, MTS will ask you for contact information for the family and will contact them later.

14. Arrange the Call  Arranging for Next of Kin to Speak to MTS  Donor Services Staff will Assist if There is a Question Who Should be Person MTS Speaks To  Requirements 1.Phone 2.Privacy 3.Comfort

15. “The staff at Mid-America Transplant would like to speak to you on the phone about some end of life decisions regarding (deceased name).” Introduction Phrase

16.  MTS coordinator will offer the opportunity for tissue donation to the family.  If family consents, MTS coordinator will complete consent form and proceed directly to the medical social history with the family. What MTS Does

17.  The Med-Soc Questionnaire  Required  Sensitive Information  “Your representative encouraged us to share stories and anecdotes of Uncle Rich and we ended up laughing, it was something we never thought would have happened on such a sad day. I appreciated that she encouraged us to do that and she willingly listened.” What MTS Does

18.  Families That Choose Donation Will be Offered Gift of Life Donor Medal to be couriered to Funeral Home or mailed to family  MTS coordinator will need to speak with the hospital staff once again to share result of approach and complete the donation process. What MTS Does

19. Road Blocks  Family Does Not Want to Speak On Phone  Family Wants to Leave Hospital ASAP, or has Already Left

20. Road Blocks  We can contact the family at a later time.  Provide MTS with contact information-  Home Phone or Cell Phone

21. Hospitals With Designated Requestors Approaching 30% MTS Donor Services Phone Approaches 57% Jan-Sept 2010 Data Approach Outcomes

22. Donor Family Satisfaction MTS Phone vs. Hospital Designated Requestor

23.  Donation will not interfere with a timely visitation or viewing at the funeral home.  There will be no cost to the donor family for the donation.  Family may mistakenly question that patient is too old or too sick to be a donor. Frequently Asked Questions

24.  Where available take to morgue as soon as possible  Follow hospital P&P, i.e., notify security  Tag as MTS Tissue Donor  Elevate head with pillow Care of the Deceased

25. Approach the situation with the attitude that tissue donation is the right thing for this family, and that we can make this happen for them. Together we can Change Lives!

26. Partnership Results

27. Partnership Results

28. Port Wentworth Sugar Refinery Explosion  Sixty-Two workers were injured in the blast  Six died at the scene; one died at the burn unit (95%TBSA)  As of March 31, 2008, we sent 800 sq ft of allograft skin to the Augusta Burn Unit for 16 patients 61 MTS donors sent to this burn unit.

29. Given the Opportunity to Save a Life or Help Someone Most People Would

30. Thank You! Your commitment can save and improve the lives of hundreds