National Breakthrough Collaborative
The Organ Donation Breakthrough Collaborative was rolled out in partnership with the Institute for Healthcare Improvement (IHI), the nation's top donor hospitals and their respective organ procurement organizations. Using IHI's Breakthrough Series change methodology, overarching strategies were developed.
The next step was to make these best practices common practice – an initiative that, nationally, has resulted in the number of organ donors being exceeded four times since the first Collaborative began in September 2003.
Collaborative 2 is now underway, having been launched in September 2004. |
How is the Breakthrough Collaborative being implemented in the Greater New York metro area?
Locally, in the New York Organ Donor Network's service area—the Greater New York metropolitan area—New York-Presbyterian Hospital's Columbia University Medical Center and Weill Cornell Medical Center were the first to join the Breakthrough Collaborative. With the aim to reach the 75% conversion rate at each campus through the creation of uniform systems to support organ donation, each campus has seen an increase in outcome and process measures since joining the Collaborative.
In addition, there now exists a true understanding of the partnership that is needed to preserve each family's opportunity to donate, and the resulting lives that are saved.
In September 2004, Bellevue Hospital Center , Montefiore Medical Center , North Shore University Hospital , and Long Island Jewish Medical Center joined the Breakthrough Collaborative 2. Staff members from each of these hospitals traveled to San Diego in September 2004 and Birmingham , AL in January 2005, to attend the national Learning Sessions. (New York Presbyterian had also attended earlier Learning Sessions). These sessions' averaged over 500 attendees at each, and also had representation from top officials from HRSA, Joint Commission, CMS, Medical Examiners, etc. At the last session, more than 100 CEOs from hospitals and OPOs were in attendance.
The Breakthrough Collaborative measures and practices will be expanded in 2005 to the largest hospitals in the New York metro region, setting the pace for improved Donor Network partnerships with each hospital. |
| Breakthrough Collaborative Terminology Donor potential: The number of deaths in the hospitals that, based on a set of criteria, demonstrate potential to be organ donors
Referrals of deaths: The rate at which all hospital deaths are referred to the organ procurement organization (OPO)
Medical suitability: Determination of medical suitability of potential donors by OPO, based on pre-determined criteria
Consent rate: The number of consents divided by the number of requests
Conversion rate: The number of actual donors divided by the number of potentially medical suitable donors
Organs recovered per donor: The number of organs recovered per actual donor
Organs transplanted: The number of organs from an actual donor that are successfully transplanted in recipients |
