3. Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard J. Fantus, MD, FACS Director, Trauma Services Advocate Illinois Masonic Medical Center

4. Organ Donation Advocate Illinois Masonic Medical Center Strong institutional interest dating back over 2 decades Trauma Surgeons take an active role Brain Death work up put into place Internal process for family communication Trauma Coordinator as ROBI liaison Excellent working relationship with our OPO ROBI/GOH

5. 1998

6. Organ Donation Advocate Illinois Masonic Medical Center But then in 1998 the “LAW” changed Federal Government entered the picture to promote organ donation nationally and restricted conversations regarding organ donation to an OPO representative or “designated requestor”

7. Organ Donation Advocate Illinois Masonic Medical Center Working with ROBI - several of the trauma surgeons became designated requestors Trained by ROBI staff during a dedicated educational activity Retooled our process AIMMC remained near the top of list for ROBI/GOH hospitals

8. 2006

9. Organ Donation Advocate Illinois Masonic Medical Center Then on January 1st 2006 Illinois becomes 43rd state to pass first person consent “LAW” not as straight forward approaching a family without knowing if they are in the registry Numerous meetings, collaborations and review of internal guidelines to account for this new change.

10. 2008

11. Organ Donation Advocate Illinois Masonic Medical Center Increased efforts with Donation after Cardiac Death Started to explore ways to incorporate organ donation in a patient care conference model

12. Organ Donation Advocate Illinois Masonic Medical Center AIMMC is having its most successful year with organ donation under the current collaborative model What if the “LAW” changes again? We will be ready

13. 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center

14. Organ Donation Advocate Illinois Masonic Medical Center Organ and Tissue Donation Policy - update 2009 includes a more proactive approach PhysiciansNurses Mission and Spiritual Care

15. 38% 55% 83%

16. Organ Donation Advocate Illinois Masonic Medical Center Challenges and discussions for the future Addition of a “Patient Care Conference” to the Organ and Tissue Donation Policy Update John/Jane Doe Policy 1999 - Policy created 2001 - Health Care Surrogate Act is amended to add the Next of Kin “LAW” 2010 goal - to create a more detailed checklist