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Abstract: Poster Presentations |

COMPLIANCE WITH CMS TIMELY REFERRAL AND ORGAN PROCUREMENT IMPACT VIA TELE-ICU FREE TO VIEW

Elizabethann N. Cowboy, MD*; Scott D. Nygaard, MD; Robin Simmons, RN; Jessica Stefek, RN
Author and Funding Information

Via Christi Helath System, Wichita, KS


Chest


Chest. 2009;136(4_MeetingAbstracts):15S. doi:10.1378/chest.136.4_MeetingAbstracts.15S-b
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Abstract

PURPOSE:  CMS and federal law mandates that when a patient dies in a hospital family must be given the opportunity to donate the deceased organs. Understanding that immenant death is defined as a point of notification was the first step. Making the option available only at the end of a crisis is often too late.

METHODS:  The initial rate of contact was 45% the TeleICU was then charged with making all referrals to the Midwest Transplant Network within the allotted time. Bedside Bedside care teams are reluctant to notify the transplant team, feeling that the patient will not be as aggressively cared for. The eCare TeleICU team has a different perspective when transplantation is considered and refers all potential donors in the mandated time.

RESULTS:  The 2008 - 2009 rate of timely imminent death referrals –as defined by CMS is now at 92% with the addition of eCare. The number of missed referrals has decreased to one. There have been 29 recovered organ donors with 84 organs transplanted and 64 lives saved through the organ donation. 2115 lives have been impacted through tissue donation.

CONCLUSION:  CMS mandates that all hospital comply with notification of organ procurment coordinator with in one hour of GLASGOW < 6 and patient on a ventilator. The 2 year collaborative has increased compliance and given patients and families the ability to choose to give the gife of life.

CLINICAL IMPLICATIONS:  By collaboration and joint efforts to comply with CMS and transplant networks when we are unable to save one life we can allow patients and families to save others.

DISCLOSURE:  Elizabethann Cowboy, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, November 3, 2009

12:45 PM - 2:00 PM


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