LifeLink of Florida - Mid-America Transplant Services

LifeLink of Florida
The Road to Yes
One Path to a Successful DR Program
Liz Lehr, BSN, MHA
Senior Vice President / Executive Director
Patricia Carroll, PA-C, CPTC
Manager, Recovery Services
Shannon Dierickx, RN, CPTC
Supervisor, Designator Requester Program
LifeLink of Florida
Liz Lehr, BSN, MHA
Senior Vice President/Executive Director
LifeLink of Florida
Donor Service Area
DSA – 15 Counties
11,747 Sq Miles
5,116,415 Population
Hospitals - 63
Transplant Centers – 3
1 heart -- All Children’s Hospital
1 Multi Organ -- Tampa General Hospital
1 Kidney -- Gulf Coast Medical Center
DSA Population
DSA
Population
Percentage of
Population in DSA
White
3,643,972
71%
Black
547,886
11%
Hispanic
770,310
15%
Other
154,247
3%
Total
5,116,415
100%
Our Service Area
 Mature
Hospital Development Program
 High Visibility
 98% Compliance to Calling in all Deaths
 Medical Record Reviews Show Few
Missed Opportunities
 Solid Public Education Campaign
LifeLink Of Florida
Prior to DR Program
Consent/Conversion Rate
07/01/2002 – 07/01/2003 - 07/01/2004 –
06/30/2003
06/30/2004
06/30/2005
# Organ Donors
130
138
135
Overall Conversion Rate
53.28%
50.00%
51.14%
Vascular/Tissue
Consents
37.89%
50.00%
49.44%
Total African American
Donors
13
14
9
Total Hispanic Donors
13
15
15
Why Change

Increase Donors

Manage Increased Referrals

We Thought We Could do Better

Good Model in LifeLink of Georgia

Staff Retention
LifeLink Of Florida
# of Referrals
RC
Blog Started
Start of DR Program
DR Trial Program
Effective Requester
Pilot Project
2000
Formalized Blog
2500
1500
1000
500
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
LifeLink of Florida
Patricia Carroll, PA-C, CPTC
Recovery Services
How

Looked at LifeLink of Georgia’s
Designated Requester Program

Looked at LifeLink Foundation’s Tissue
Requester Program

Identified Key Staff

Set a Date to Start
Staffing Before
2004 – 2005
Organ Recovery Coordinators
HD Staff
Total Staff
11
7
18
Pilot Staffing
2005
Case Coordinators
11
DR Staff
-3
Case Coordinators
8
Staffing Now
2010 - 2011
Organ Recovery Coordinators
11
DR / Triage
6
Hospital Development Staff
5
In-House Coordinators
4
Total Staff
26
LifeLink Of Florida
Consent/Conversion Rate
07/01/02 –
06/30/03
07/01/05 –
06/30/06
07/01/09 –
06/30/10
130
158
167
Overall Conversion
Rate
53.28%
70.85%
81.19%
Vascular/Tissue
Consents
37.89%
53.20%
45.92%
Total African American
Donors
13
21
23
Total Hispanic Donors
13
15
26
# Organ Donors
LifeLink Of Florida
African American / Hispanic Donors
African American Donors
Hispanic Donors
30
25
20
15
10
5
0
FY 03
FY 04
FY 05
FY 06
FY 07
FY 08
FY 09
FY 10
LifeLink of Florida
Shannon Dierickx, RN, CPTC
Supervisor, Designator Requester Program
DR Program Implemented 2006
Process Improvement

Annual training with Key Elements of
Consent

Monitor consent rates closely

AAR, DAC, CCR

Monthly DR meetings and sharing ideas
between our programs, LifeLink of Puerto
Rico and LifeLink of Georgia
DR Meeting
Review Critical factors
Referral

Family dynamics

Multicultural issues

Timing of discussion

Decoupling

Timeliness of being onsite
 Introduction

Self vs. staff
 EOL discussion

Information and circumstances

Brain dead discussion

Medical Examiner jurisdiction

Funeral arrangements

Transition to donations
Referral Notes
Formalized Blog 2008
Team Work
2010 Team

Referral Coordinators

Designated Requesters

Vascular Coordinators

In-house Coordinators

Hospital Development
DCD Donors
18
16
14
12
10
8
6
4
2
0
FY 2008
FY 2009
FY 2010
Economic Issues
 Housing
Crisis
 Collapse of Construction
 Four Counties Experiencing 30% Vacancy
Rate in Housing Market
State of Florida Comparison of Traffic fatalities to Unemployment rate
Year Unemployment Rate Total Traffic Fatalities Motorcycle Fatalities
2006
3.4%
3,365
521
2007
4.1%
3,221
517
2008
6.3%
2,983
502
2009
10.5%
2,563
376
2010
12%
2,430
Flamingo Highway
Flamingo Highway
Thank You!