DTCPCollectiveGoal

Donation and Transplantation Community of Practice (DTCP)

Individuals and organizations who are committed to improving donation and transplantation practices across the nation.

Report on Progression toward the Goal:

April 2017 Report – download

March 2016 Report – download

April 2015 Report – download

Messaging Tools (download and share):

Messaging Points – download

Messaging Slides – download

Recommended Actions Slides – download


DTCP Vision and Mission

Vision:
A national organ donation and transplantation system that inspires public trust, provides donor organs for all those in need, and balances maximum transplant benefit, equity, and justice.
Mission:
To align the goals and actions of public and private sector stakeholders in the organ donation and transplant community to collectively meet the need for organ donation and transplantation and effectively support the individuals and families involved in the process

DTCP Commitment

The Donation and Transplantation Community of Practice is committed to a national culture of donation and transplantation where each individual has the opportunity to donate and the intention of those who are designated donors is honored 100% of the time. This culture will result in more lives saved through successful transplantation each year.

DTCP Strategic Planning Committee

The DTCP Strategic Planning Committee, comprised of many community partner organizations and government agencies, including the Centers for Medicare and Medicaid Services (CMS) and the Health Resources and Services Administration (HRSA), has been meeting since September 2012 to develop a strategic plan for improving donation and transplantation practices across the nation.

Most recently, this group of committed individuals and organizations identified and approved a collective goal.

DTCP Strategic Planning Committee Member Organizations

  • American Hospital Association (AHA)
  • American Society of Transplantation (AST)
  • American Society of Transplant Surgeons (ASTS)
  • Association for Multicultural Affairs in Transplantation (AMAT)
  • Association of Organ Procurement Organizations (AOPO)
  • Centers for Medicare and Medicaid Services (CMS)
  • Donate Life America (DLA)
  • Health Resources and Services Administration (HRSA)
  • North American Transplant Coordinators Organization (NATCO)
  • Organ Donation and Transplantation Alliance (The Alliance)
  • Society of Critical Care Medicine (SCCM)
  • The Joint Commission (TJC)
  • United Network for Organ Sharing (UNOS)

DTCPCollectiveGoal

 

5000 in Five DTCP Collective Goal

As measured by

  • Number of solid organs transplanted (living and deceased donors)
  • Baseline year is 2014: projected 31,454 all organs transplanted
  • Goal is defined as 5,000 more transplants over 5 years, not compounded

 

Time for Action

Recommended Actions Identified

Regulatory Actions

Message: Committees are in action to work with regulatory agencies to improve processes.

  1. Alignment of transplant center and OPO regulations by CMS (ACOT recommendation #55)
  2. Development of an organ acceptance score (SRTR, OPTN)
  3. Developing methods to reduce organ wastage through more efficient organ placement (Performance Improvement for National Standards (PINS), AOPO/AST/ASTS/UNOS (AAAU), Data Advisory Committee (DAC))

Donor Hospital Actions

  1. Treat any missed donor as a never event
  2. Participate in increasing state donor registries
  3. Honor all first person authorizations on  deceased donors
  4. Hold physicians accountable to complete brain death declaration regardless of family decisions about donation
  5. Engage palliative care in family conversations regarding brain death
  6. Collaborate with OPOs to treat potential donors and stop deceleration of care in ICUs

OPO Actions

  1. Lead efforts to increase state donor registries, involve public & hospital partners
  2. Honor all first person authorizations on  deceased donors
  3. Collaborate with donor hospitals to treat every missed donor as a never event
  4. Develop accountability measures to assess  true potential and increase donation rates
  5. Process improvements to reduce organ discard rates
  6. Work with Transplant Centers to improve living donation

Transplant Center Actions

  1. Implement centralized repository of resources on living donation
  2. Living donation app and advocacy to increase living donors
  3. Participate in increasing state donor registries for first person authorization
  4. Decrease organ wastage