In-house coordinator programs improve conversion rates for organ donation

Ali Salim, Cherisse Berry, Eric J. Ley, Danielle Schulman, Chirag Desai, Sonia Navarro, Darren Malinoski

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

BACKGROUND:: The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) will improve organ donor conversion rates. METHODS:: This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support. RESULTS:: Post-IHC was associated with a significantly lower family decline rate (6% vs. 18%, p <0.001), a significantly higher consent for research rate (8% vs. 0.4%, p <0.001), and a significantly higher conversion rate (77% vs. 63%, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p <0.05) and organs transplanted per eligible death were noted Post-IHC. CONCLUSION:: The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.

Original languageEnglish (US)
Pages (from-to)733-736
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume71
Issue number3
DOIs
StatePublished - Sep 2011
Externally publishedYes

Fingerprint

Tissue and Organ Procurement
Tissue Donors
Referral and Consultation
Organizations
Public Health
Transplantation
Demography
Outcome Assessment (Health Care)
Delivery of Health Care
Education
Research

Keywords

  • Donor management
  • In-house coordinator
  • Organ donor
  • Transplantation

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

In-house coordinator programs improve conversion rates for organ donation. / Salim, Ali; Berry, Cherisse; Ley, Eric J.; Schulman, Danielle; Desai, Chirag; Navarro, Sonia; Malinoski, Darren.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 71, No. 3, 09.2011, p. 733-736.

Research output: Contribution to journalArticle

Salim, Ali ; Berry, Cherisse ; Ley, Eric J. ; Schulman, Danielle ; Desai, Chirag ; Navarro, Sonia ; Malinoski, Darren. / In-house coordinator programs improve conversion rates for organ donation. In: Journal of Trauma - Injury, Infection and Critical Care. 2011 ; Vol. 71, No. 3. pp. 733-736.
@article{f783b648093240d08197c034dcd6545d,
title = "In-house coordinator programs improve conversion rates for organ donation",
abstract = "BACKGROUND:: The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) will improve organ donor conversion rates. METHODS:: This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support. RESULTS:: Post-IHC was associated with a significantly lower family decline rate (6{\%} vs. 18{\%}, p <0.001), a significantly higher consent for research rate (8{\%} vs. 0.4{\%}, p <0.001), and a significantly higher conversion rate (77{\%} vs. 63{\%}, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p <0.05) and organs transplanted per eligible death were noted Post-IHC. CONCLUSION:: The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.",
keywords = "Donor management, In-house coordinator, Organ donor, Transplantation",
author = "Ali Salim and Cherisse Berry and Ley, {Eric J.} and Danielle Schulman and Chirag Desai and Sonia Navarro and Darren Malinoski",
year = "2011",
month = "9",
doi = "10.1097/TA.0b013e31820500e6",
language = "English (US)",
volume = "71",
pages = "733--736",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - In-house coordinator programs improve conversion rates for organ donation

AU - Salim, Ali

AU - Berry, Cherisse

AU - Ley, Eric J.

AU - Schulman, Danielle

AU - Desai, Chirag

AU - Navarro, Sonia

AU - Malinoski, Darren

PY - 2011/9

Y1 - 2011/9

N2 - BACKGROUND:: The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) will improve organ donor conversion rates. METHODS:: This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support. RESULTS:: Post-IHC was associated with a significantly lower family decline rate (6% vs. 18%, p <0.001), a significantly higher consent for research rate (8% vs. 0.4%, p <0.001), and a significantly higher conversion rate (77% vs. 63%, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p <0.05) and organs transplanted per eligible death were noted Post-IHC. CONCLUSION:: The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.

AB - BACKGROUND:: The organ supply shortage continues to be a public health care crisis, with nearly 20 people dying each day awaiting transplantation. Inability to obtain consent remains one of the major obstacles to converting potential donors into organ donors. We hypothesize that the presence of in-house coordinators (IHCs) from organ procurement organizations (OPOs) will improve organ donor conversion rates. METHODS:: This retrospective review analyzed the effect of an IHC program on organ donation outcome. Referrals for possible organ donation from three IHC programs to regional organ procurement organizations were included. Data regarding organ donation demographics and outcomes were compared before (Pre-IHC) and after (Post-IHC) the establishment of an IHC program. The main outcome measures were conversion and family decline rates. The conversion rate was calculated as the number of actual donors divided by the number of eligible deaths and is represented as a percentage. The IHC functioned to assess for potential donors, ensure timely referrals, provide hospital staff education, assist with family consent and donor management, and provide family support. RESULTS:: Post-IHC was associated with a significantly lower family decline rate (6% vs. 18%, p <0.001), a significantly higher consent for research rate (8% vs. 0.4%, p <0.001), and a significantly higher conversion rate (77% vs. 63%, p = 0.007) compared with Pre-IHC. In addition, a significant increase in referralsper day (0.35 vs. 0.27, p <0.05) and organs transplanted per eligible death were noted Post-IHC. CONCLUSION:: The presence of an IHC program significantly improves conversion rates for organ donation as well as organ yield. An IHC program should be considered as a viable option to bridge the gap between organ supply and organ demand.

KW - Donor management

KW - In-house coordinator

KW - Organ donor

KW - Transplantation

UR - http://www.scopus.com/inward/record.url?scp=80052775621&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052775621&partnerID=8YFLogxK

U2 - 10.1097/TA.0b013e31820500e6

DO - 10.1097/TA.0b013e31820500e6

M3 - Article

VL - 71

SP - 733

EP - 736

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 3

ER -