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Successful Strategies in Case Reviews

Successful Strategies in Case Reviews. Dominic Adorno CPTC, CTP Manager of Recovery Services California Transplant Donor Network. Case Review Objectives . Concise, objective, multi-disciplinary review of data and processes Focused analysis on a finite number of cases

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Successful Strategies in Case Reviews

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  1. Successful Strategies in Case Reviews Dominic Adorno CPTC, CTP Manager of Recovery Services California Transplant Donor Network

  2. Case Review Objectives • Concise, objective, multi-disciplinary review of data and processes • Focused analysis on a finite number of cases • Collaborative and transparent approach with ownership and accountability • Retro, but prospective review of CMS and OPTN measures to monitor OPO compliance • Automated, interactive and user-friendly visual platform for case review data to be displayed and analyzed

  3. Organ Activity Summary

  4. Case Review Overview • Getting to the Yes • Conversion Rates • Effective Approaches • Authorization Rates • Authorized Not Recovered (ANR) • ME/Coroner Declines • Hospital follow-up/perspective on case • Maximizing the Yes • Observed vs. Expected Yield • Donor Management Goals • Organs Transplanted per Donor • Clinical Management Gaps/Trends/Opportunities

  5. Case Review Overview (Cont’d) • Process Improvement • Ownership/Follow-up • Track/Trend • Educational Component • CEU’s

  6. Getting to the Yes

  7. Getting to the Yes (Cont’d)

  8. Getting to the Yes (Cont’d)

  9. Maximizing the Yes

  10. Maximizing the Yes (Cont’d) AADY475

  11. Donor Case Review

  12. Process Improvement

  13. Educational Component • Topics: • Steroids • Shock and Vasoactive Medication • Abdominal Compartment Syndrome as a Potential Mechanism of Organ Failure and Instability • Family Support to Transgender Community • CEUs • BRN (1 hour) • ABTC (Category 1) • EMS (1 hour)

  14. Case Review Development • Staff Surveys • Survey Monkey • Anonymous • Feedback: • Agenda Distribution • Audio/Visual Clarity • Staff Participation (location) • Improvements? -CEUs -Staff Involvement -Less cases, more in-depth review

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