UPDATE: The 2020 National Critical Issues Forum will be held
virtually during the week of November 16, 2020.
Agenda and registration details coming soon.
Biennially, The Alliance hosts the National Critical Issues Forum, a one-of-a-kind event geared toward collective ideation among the donation and transplantation professional community. Each forum takes on critical topics affecting the community and leverages The Alliance’s unique collaborative platform to create innovative solutions, and develop the necessary tools to effect change.
About the 2020 Forum: “Increasing Transplantation: Making Optimal Decisions in an Ever-Changing Environment”
The 2020 National Critical Issues Forum will examine how to best adapt to change and will explore how to identify areas of opportunity when change occurs, with particular focus on learnings from the COVID-19 pandemic. Examples of COVID-19’s impact include a slowing in living donation, enhanced screening for donors and recipients, and an overall reduction in the total number of transplants for the first time in 15 years.
The forum will provide illustrative examples of organizations that have effectively adapted during all phases of care, and what innovative practices ultimately allowed them to maintain the mission and vision of our community of practice.
The forum will focus on five distinct areas:
- Improving identification of “beyond criteria” potential donors
- Increasing utility when a donor is identified
- Delivery of the identified organ most effectively
- How optimizing utilization enhances economic performance for programs, payers and, most importantly, the people on the waiting list
- The critical pieces of information that one needs to make the best decision amid challenging circumstances and how environmental factors (i.e. resources and staffing levels) can be optimized to accommodate change
Download these Outstanding Resources from Previous Forums
The Great Ideas Strategy Guide: Strategies and Solutions from the 2018 NCIF Idea Labs
This guide serves as a record of the problems and proposed solutions discussed within each idea lab. The top solutions were voted on by forum attendees, and are highlighted in this guide with detailed problem statements and the proposed solutions.
Disrupting the Status Quo: A Process to Facilitate Donor Identification
This position paper is a product of the 2016 National Critical Issues Forum: “Disrupting the Status Quo,” and focuses on understanding how to improve information and behavior for better decision making in identifying potential donors and utilization of organs for transplantation.
- 2018: Innovation in Action
2018 Forum Summary & Next Steps
Every other year, The Alliance hosts a National Critical Issues Forum with the goal of providing an interactive, creative and innovative environment for collaboration among stakeholders of pressing needs within the donation and transplantation community. Participants are encouraged to leave in action by making commitments to the implementation of transferable successful practices and strategies.
On November 1-2, 2018, The Alliance hosted their second National Critical Issues Forum. This year’s theme was “Innovation-in-Action.” The primary goal of this dynamic and interactive event was to spur novel ideas and actions to increase organ utilization and transplantation. Innovative methodology, high impact interventions to enhance critical phases of organ utilization, such as behavioral economics, OPO & transplant center practices, transportation logistics, and organizational culture were identified.
At the forum, three idea labs were hosted. Participants attended their idea labs of choice and engaged in problem identification and ideation of solutions as each topic pertains to increasing organ donation, utilization and transplantation:
- Expedited and effective communication of information
- Utilizing data analytics and improving systems utilization to increase organ acceptance
- Using technology and systems to overcome barriers to transplantation and improve upon logistics
Design thinking was utilized to keep the flow of ideas and solutions fast-paced and actionable. Below are the top three solutions identified for each idea lab. Click on the Great Ideas Strategy Guide button (right, orange button) to download the comprehensive summary of all problems and solutions identified.
Top 3 Solutions Identified for Each Idea Lab
Idea Lab #1: Expedited and effective communication of information
- Incorporate an instant messenger tool between OPO and transplant center through DonorNet to allow for 2-way communication and accountability.
- Develop a platform, such as an app, that can be used to document all communications and patient information in real time. This platform could be used by all the hospital, OPO, transplant center and the donor’s family and would provide consistency in communication and sharing of information.
- Talk to leaders from other industries to identify the best methods for connecting disparate systems.
Idea Lab #2: Utilizing data analytics and improving systems utilization to increase organ acceptance
- Allow OPOs to know which centers will take ‘like’ organs based on decision history – skip those centers that never take those organs.
- Build decision support tools into DonorNet – center specific parameters, time to next organ offer, predicted survival.
- Batch organ offers at regular time intervals with emergency offer capability – permits better staffing predictably.
Idea Lab #3: Using technology and systems to overcome barriers to transplantation and improve upon logistics
- Standardize organ recovery techniques and practices and encourage all surgeons (abdominal and thoracic organs) to procure organs locally to send to accepting transplant centers.
- Develop an adaptable DonorNet allocation system that promotes high organ utilization rates by prioritizing transplant programs whose acceptance practices are consistent with their listing practice. Transplant programs with a history of low utilization rates for certain types of donors will be automatically filtered out unless they narrow their acceptance criteria to a range where they will routinely accept and allow them to gradually increase criteria as long as utilization stays at acceptable levels.
- Offer live-streaming during organ procurement to increase transplant surgeons’ comfort level with accepting organs procured by local teams. System must be standardized to ensure it is UNet accessible, secure, portable and can be recorded for future teaching opportunities.
Special Thanks to Our 2018 Forum Sponsors
- 2016: Disrupting the Status Quo
National Critical Issues Forum 2016: ‘Disrupting the Status Quo‘
In 2016, the Organ Donation and Transplantation Alliance (The Alliance) invited key hospital system, transplant, OPO and physician/surgical leaders to convene for a 1½ day national critical issues forum. The primary goal of the forum was to identify novel collaborations and strategies to increase the number of transplants done in the United States. Expert leaders discussed the science of decision-making as it relates to organ utilization, and analyzed how existing practice patterns may limit the number of transplants performed. Examples of unconventional strategies implemented by transplant centers, organ procurement organizations, and hospitals that have been successful in expanding organ utilization were presented and discussed. The forum was very interactive and crucial conversations occurred to explore normative behaviors and to discuss how they could be disrupted.
During this forum, commitments were made. Themes of these commitments were:
- Application of behavioral economics
- Allocation and expedited allocation practices
- Acceptance practices and listing parameters
- Organ utilization practices
- Communication and relationship between OPO and transplant program
- Patient communication/education practices
Learn more from your colleagues about their actions in follow-up to their commitments by clicking on this button: