HUDDLES

1
HUDDLES

• Elizabeth Spencer, CPTC
• Director of Hospital Development
• Washington Regional Transplant Consortium

2
Why did WRTC begin to Huddle?

• To build partnerships
• Joint accountability for donation outcomes
• To develop utilize hospital-based champions to
  create a better donation process
• Possible barriers in any potential case fixed by
  an insider
• To reach the goals of the Collaborative
• Increase Conversion Rates to 75

3
Benefits of Huddling to OPO

• Fostering vested interest in outcome/ joint
  accountability among hospital partners
• OPO team in the loop on hospitals care plan
• More focused pre- brain death care
• Putting donation on the radar of caregivers
• Medical preservation of the donation option
  (NMS/PC)
• Grave prognosis preparation (Coordinator jam)
• Internal help in problem-solving
• Appropriate co-requestors
• Timeliness of testing, suitability info, OR
  scheduling, etc.
• Creating an All-About-the-Ones attitude

4
Benefits of Huddling to the Hospital

• Sharing our assessment of potential options,
  developing a joint game plan, increases their
  comfort level with donation approach
• Helps them medically preserve those potential
  options
• Provides them with tools (i.e. resources,
  language, etc.)
• Results in increased comfort with OPO
  Coordinators our good intentions
• Further solidifies the OPO access partnership
• Leadership roles within their institution
• Hospital partners become participants in the
  donation process
• Witness assist in something positive from
  something otherwise only negative

5
Benefits of Huddling to the Family

• The Old Days Hospital to OPO Pass Off
• Did the family really benefit from this strict
  separation?
• Donation as a scary thing from which the hospital
  caregivers must be disassociated
• Huddles ? Unified Game Plan ? Continuity of Care
  for the grieving family
• Donation as a positive part of the care continuum
• Consistency in information discussed
• We know what the hospital knows can reinforce
  message

6
Learning from Huddles

• Refining the donation process within each
  institutions unique system
• Improve process to set up for success with the
  very next potential case
• Examples
• Specific pediatric between-testing needs
• Addition of addl department rep to Donation
  Cmte.
• Gaps in case preparation
• Real-time post-case educational opportunities

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Powerful Example The Huddle Helped Make It
Happen

• INOVA Fairfax Hospital last week
• 18/M/B s/p GSWH (alleged homicide) ? BD
• Very large family from Ghana
• Minister responsible for raising several people
  from the dead
• Withdrawal planned Family in denial Lawsuit
  threatened
• Described as physically hostile towards hospital
  staff
• You can not approach this family about donation
• Huddle Meeting of the minds
• Unique family support ? donation approach plan
• Outcome
• 6 Organs Transplanted
• Total family transformation at peace with death
  interactions
• Hospital grateful for assistance with the family

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Why You Should Huddle

• Increase the ability of your approach team to
  work effectively with families.
• Create an atmosphere of teamwork to fix
  problems/dissolve barriers.
• Foster partnership with both hospital leadership
  frontline hospital colleagues.
• Develop sense of joint accountability.
• Some cases, that wouldnt have converted, will.

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Interested? First Steps

• Identify potential Huddle participants
• Attending MD, Intensivist, Resident, Bedside RN,
  Charge RN, etc.
• Addl hospital specific based on structure
  needs
• Soc work, chaplaincy,
• Donation Cmte members PI, OR administration,
  Clin Spec, etc.
• OPO Coordinator, HD, AOC, Medical Director
• Make user friendly for Coordinators hospital
  participants
• Develop distribute hospital-specific contact
  plans
• Utilize a resource on Huddle discussion topics to
  follow
• Preparation maintenance
• Educate key players beforehand in real-time
• Purpose
• Process
• Benefits
• Keep huddles brief to-the-point
• Maintain consistency Expectation of a Huddle
  every time

10
Questions?