2017 AN N UA L REPORT
Matt Castle HEART RECIPIE N T
Matt trains at the Fidalgo Pool and Fitness Center in Anacortes, WA. He will swim for the United States at the 2019 World Transplant Games in the United Kingdom.
Scott Terrell, Skagit Valley Herald
â€” SKAGIT VALLEY HERALD, OCTOBER 2017
For the sixth consecutive year, LifeCenter Northwest has achieved major milestones saving more lives through organ donation than ever before. As a direct result, more transplant recipients were given a second chance at life, and more families found solace in their grief knowing their loved one left behind a legacy of saving lives.
Kevin Oâ€™Connor P RESIDENT & CHIEF E X E CUTIVE OFFIC E R O F LIFECENTER NORTH W E ST
It is truly a privilege to work with the LifeCenter Northwest team â€” an incredibly dedicated group, who work tirelessly to help donor families and transplant recipients through donation and transplantation, no matter how complex or challenging the work at hand. While we are pleased with this success, we are more intent than ever to continue to help as many people as possible in the years ahead. We know the key to our ongoing success lies in strengthening our partnerships and working together towards our shared mission of saving and healing lives. Last year, we heightened our focus on collaboration with our hospital partners through enhanced clinical education programs, frequent leadership meetings, rounding with hospital staff, and implementing process improvements.
In 2018, we plan to build upon our success by continuing to work on maximizing organ utilization, developing new partnerships with tissue processors, and expanding our clinical education programs for our hospital partners.
Finally, we are humbled by, and deeply grateful for the generosity and grace of our donors and donor families. They are responsible for all of the progress we have made thus far and for all of our success in the future.
Working together to save lives through organ and tissue donation. SER VING ALASK A, WASHINGTON, NORTH IDAHO, AND MONTANA
Unlikely Hospitals Making Big Impacts in Donation Potential LifeCenter Northwest serves the largest geographic area of all the 58 federally designated Organ Procurement Organizations in the United States, and as you can imagine, it often comes with unique challenges. No two hospitals are the same, and hospital size does not always determine the potential for organ donation. From rural hospitals to major city trauma centers, each of the 204 hospitals in our service area are extremely important to ensuring every donation opportunity is realized. In 2017, we increased our focus on supporting hospitals with five or less potential donors* in a two-year period, aiming to increase overall organ donor referrals. By increasing referral calls from these hospitals to LifeCenter Northwest, the likelihood of a future donation also increases. As part of our commitment to these hospitals, we added six LifeCenter Northwest staff to support these hospitals through additional training and organ donation education.
The results were inspiring. Our smallest organ donor potential hospitals saw: •
114 percent increase in potential donors*
289 percent increase in potential categorized as donors after circulatory death
73 percent increase in organ donors
These hospitals together saved an additional 27 more lives than the year before through transplanted organs. MultiCare Deaconess Hospital, Spokane, WA: 200 percent increase in organ donation, raised timely vented referral rate* by 35 percentage points, and achieved a 100 percent conversion rate*. Providence Holy Family, Spokane, WA: 200 percent increase in organ donation. Highline Medical Center, Burien, WA: 50 percent increase in organ donation potential and 88 percent collaborative request rate*. Skagit Valley Hospital, Mount Vernon, WA: achieved a 100 percent collaborative request rate and increased their timely vented referral rate by 11 percentage points.
Each potential organ donation begins with a hospital referral call of a vented patient.
Kalispell Regional Medical Center, Kalispell, MT: 16 percentage point increase in timely vented referral rate and a 100 percent increase in actual organ donors.
Last year, we received 5,500 patient referrals — an 11 percent increase from 2016. These calls started the donation process for all of our 246 organ donors.
VA Puget Sound Health Care System, Seattle, WA: referred more vented patients for evaluation than ever before.
In addition to an increase in the number of vented patient referrals, we also saw an increase in the number of potential organ donors.
These, and similar statistics from many other small donation potential hospitals, made a significant impact on our organization-wide metrics in 2017.
Organ donation potential increased by 25 percent in 2017. While there are numerous factors contributing to this upsurge, it is undeniable that a commitment to donation from our smallest organ donor potential hospitals helped significantly.
* D EF I N I T I O N S COLLABORATIVE REQUEST RATE : The percentage of donation conversations occurring after a collaborative plan was made between LifeCenter and healthcare team. CONVERSION RATE : DONATION RATE :
The rate of potential donors that became actual donors.
The percentage of potential donors who become donors.
POTENTIAL DONOR: A patient who has died, who after medical evaluation meets clinical criteria that indicates possible transplantable organs and/or tissue. TIMELY VENTED REFERRAL RATE : The percentage of referrals made within a designated timeframe per requirements from the Center for Medicare and Medicaid Services (CMS).
2017 LifeSaver Award Winners At LifeCenter Northwest, collaborating with local hospitals, medical centers, and medical professionals is an essential part of fulfilling our mission. The LifeCenter Northwest LifeSaver Award was established to honor those who demonstrate a commitment to improving donation outcomes and culture.
Dawn Brefczynski, RN FAI RB A N K S M E M O R IA L HOSPITA L, FA IRBA NKS, A K
Nikki Weitzel H ARBO R V I E W M E D I CA L CENT ER, SEAT T LE, WA
Leah Priestaf, RN & Sarah Hewitt, RN H ARBO R V I E W M E D I CA L CENT ER, SEAT T LE, WA
Dorothy Hensley, RT KAD L E C R E G I O N A L MEDICA L CENT ER, RICHLA ND, WA
Maureen Smith, MD MU LT I C A R E G O O D SAM A RITA N HOSPITA L, PUYA LLUP, WA
Kim Jacobson, RN P RO V I D E N C E R E G I O NA L M EDICA L CENT ER EV ERET T, EVER ETT, WA
Diane King, RN P RO V I D E N C E ST. P E T ER HOSPITA L, OLYM PIA , WA
Debbie Cronin, RN & Deborah Fry, RN S T. P E T E R â€™ S H E A LT H, HELENA , M T
Christina Liebrand, RN S T. V I N C E N T H E A LT HCA RE, BILLING S, M T
2017 Hospital Awards We want to thank and recognize the hospitals in our region that made outstanding achievements in organ and tissue donation last year. We are honored to partner with the staff in these organizations on such important work.
The Donation Excellence Award
is presented to one hospital in our service area that has demonstrated impressive outcomes, strong and effective processes, and unwavering dedication to improving the lives of both donor families and transplant recipients. This year we honor:
Virginia Mason Medical Center (Seattle, WA) had a record year in multiple categories related to organ donation. They had four organ donors out of five potentials, resulting in a conversion rate of 80 percent and an all-time high for donors and potential. As a direct result of the hard work and exceptional leadership of the Intensive Care Unit staff and a commitment to process improvement, their timely referral rate increased 10 percentage points
in 2017. Additional physician engagement brought a 13 percentage point increase in Virginia Masonâ€™s collaborative request rate last year. This work resulted in 11 lives saved through organ transplantation. In addition to a dedication to donation, Virginia Mason worked collaboratively with LifeCenter Northwest as a top transplant center in our region and saw an increase of 21 organs transplanted from LifeCenter Northwest donors.
Donation Champion Award Maureen Smith, MD M U LT I C A RE G OOD SA M A RITA N HOSPITA L, WESTER N WASHINGTON
The Donation Champion Award is chosen from a pool of 2017 LifeSaver Award winners and is presented to one individual who demonstrates a commitment to improving donation outcomes and culture in their hospital through their actions, time, and energy. Dr. Smith was a hospital leader on a remarkable case, which marked a milestone in LifeCenter Northwest history. She was the primary physician on the first organ donor completed entirely in the Emergency Department. Not only did she make the initial referral call herself, she also stayed in direct communication with LifeCenter Northwest staff during the entire donation process and continued medical management while LifeCenter Northwest staff worked towards the recovery. Her commitment to this patient, their family, and the waiting organ recipients makes Dr. Smith an inspiration to medical professionals in our region.
Excellence in Community Partnership Award Rob Kurtzman, MD MO N TA N A M E D I C A L EXA M INER
The Excellence in Community Partnership Award is presented to one organization or individual in our service area that has demonstrated unwavering dedication to collaborating with LifeCenter Northwest to improve the lives of those in our community. Dr. Kurtzman has been critical to organizing Montana’s medicolegal stance on donation. He created the first statewide policy on donation and has worked to ensure every county knows the impact and importance of donation. He works tirelessly to educate coroners on ways to keep the donation option available while still finding closure in cause of death. Dr. Kurtzman is always available to review donation concerns and assess ways to improve relationships throughout the law enforcement community in Montana.
Gift of Life Award
Donation Innovation Award Harborview Medical Center SEATTLE, WASHINGTON
The Donation Innovation Award is presented to one hospital that has demonstrated a commitment to careful evaluation of their organ donation processes and has taken specific steps to improve outcomes. Harborview Medical Center is the busiest donor hospital in LifeCenter Northwest’s four-state region. Harborview has a long history of building effective processes, and last year they did that and more. They have led our region in developing specific process improvements to address rare cases, like no legal next of kin or family opposition to the patient’s legal donation decision. In addition, Harborview implemented a new process to ensure better communication between LifeCenter Northwest and the hospital healthcare team. Through the development of these strong processes, Harborview continues to be a strong community leader in donation, resulting in 156 lives saved through transplantation thanks to organ donors from Harborview Medical Center in 2017.
Fairbanks Memorial Hospital FAI RB A N K S, A L A SK A
There are many aspects of a patient’s clinical progression that impact the number of organs recovered for transplant. We know the heroic efforts made to save a patient’s life will also be beneficial to a donation outcome. This award honors both the life-saving work that occurs before donation and the collaborative care during the donation process.
HEART AND KID N E Y RE C IPIE N T
The family of 20-year-old organ donor Justin Elzinga meet Bobby Nakihei, the recipient of Justin’s heart and kidney. The two families met at the Elzinga home in Kennewick, WA. This heartwarming story generated more than seven media stories throughout South and Central Washington. — TRI-CITY HERALD, AUGUST 2017
PHOTO S :
Noelle Haro-Gomez, Tri-City Herald
Fairbanks Memorial Hospital is one of the most remote hospitals LifeCenter Northwest serves. With the closest transplant center more than 2,000 miles away, there are many unique challenges to placing organs with waiting recipients. In 2017, Fairbanks facilitated three organ donors and saved the lives of 16 people through transplanted organs. An impressive rate for any hospital, but truly remarkable given the logistical and geographical challenges of the region.
2017 Achievement Awards
Donation Referral Achievement Award Timely referrals have a significant impact on donation outcomes. One of the most important steps in donation is recognizing that a patient has met referral criteria and making the referral call in a timely manner. Achieving and maintaining a high timely referral rate is incredibly challenging and requires a strong commitment. This award is presented to the following for reaching or exceeding a referral rate of 90 percent for organ donation and 95 percent for tissue donation:
Organ Donation Alaska Native Medical Center Confluence Health, Central Washington Hospital Harborview Medical Center Mary Bridge Children’s Hospital Providence St. Patrick Hospital Virginia Mason Memorial
Tissue Donation Benefis Teton Medical Center Clark Fork Valley Hospital Dahl Memorial Healthcare Daniels Memorial Healthcare Center Fort Belknap Hospital Franciscan Hospice House, CHI Franciscan Health Gritman Medical Center Kootenai Health Marias Medical Center Missouri River Medical Center Montana State Hospital MultiCare Covington Medical Center MultiCare Deaconess Hospital North Valley Hospital Phillips County Hospital Providence Sacred Heart Medical Center & Children’s Hospital Providence St. Patrick Hospital Rosebud Health Care Center The Ruby Valley Hospital St. Anthony Hospital, CHI Franciscan Health St. James Healthcare St. Peter’s Health Swedish Medical Center, Cherry Hill Swedish Medical Center, Mill Creek Swedish Medical Center, Redmond Western State Hospital
Organ Donation Achievement Award Hospitals with high donation rates often excel at recognizing donation referral criteria and making timely calls, maintaining the opportunity for donation, and collaborating with LifeCenter Northwest for planned donation discussions. Achieving a high donation rate requires a sustained commitment to ensuring every donation opportunity is realized. This award is presented to the following for reaching or exceeding a 75 percent donation rate: Bozeman Health Deaconess Hospital Confluence Health, Central Washington Hospital Fairbanks Memorial Hospital Highline Medical Center, CHI Franciscan Health Madigan Army Medical Center Mat-Su Regional Medical Center MultiCare Deaconess Hospital Northwest Hospital & Medical Center Providence St. Patrick Hospital Skagit Valley Hospital St. Clare Hospital, CHI Franciscan Health St. Francis Hospital, CHI Franciscan Health Swedish Medical Center, Issaquah Virginia Mason Medical Center Virginia Mason Memorial
Tissue Donation Achievement Award Many factors impact tissue donation, including timely referrals, logistics, community education, and outreach. Hospital staff play an integral part in the process, and the average U.S. donation rate is around 50 percent. This award is presented to the following for reaching or exceeding 75 percent: Advanced Care Hospital of Montana North Valley Hospital Northwest Hospital & Medical Center St. Peter’s Health Swedish Medical Center, First Hill The HealthCenter
2017 Facts and Figures 88 Hearts
(HIGHEST IN OUR HISTORY)
(HIGHEST IN OUR HISTORY)
Total Organ Donors in 2017 (HIGHEST IN OUR HISTORY)
Donation after Brain Death*
*There are two ways people die: when their heart stops (circulatory death) and when their brain dies (brain death). Both brain death and circulatory death are formal, legal definitions of death declared by hospital medical professionals and must be declared before donation is possible.
Processed tissue grafts â€” a record number for LifeCenter Northwest
393 Kidneys (HIGHEST IN OUR HISTORY)
Donation after Circulatory Death*
Tissue Donation Rate
(HIGHEST IN OUR HISTORY)
Tissue Authorization Rate
Tissue Donors in March 2017 O U R M O ST DONORS IN A SING LE M ONT H, EVER .
16 Pancreata 1 Intestine
Total Organs Provided for Transplant
More lives saved than ever before!
Total Tissue Donors
Our tissue processing partners prepare the recovered tissues into usable grafts for waiting recipients, and the need for certain tissue grafts is determined by surgeon and patient demand. These will help infants born with congenital heart defects, promote healing for burn victims, prevent amputation for veterans with traumatic nerve damage, and restore health and muscle or joint function for many other patients. In addition, more and more hospitals continue to see the benefit of streamlining their donation process by partnering with LifeCenter Northwest for both organ and tissue donation.
Aftercare & Community Outreach
Organ Donation Rate
students trained on donation through driver’s education
TH E P E R C E N TA G E O F P O TEN T I A L D O N O R S WHO BECOME DONORS
Organ Authorization Rate TH E P E R C E N TA G E O F FAMI L I E S O R PAT I E N T S W H O AU T H O R I Z E D O N AT ION
Letters mailed between donor families and organ/tissue recipients
Points of communication to donor families Personal phone calls to donor families to provide resources and healing
Attended a Donation Celebration in AK, WA, and MT
Donor families served by our Aftercare team
News Media & Donation Stories
Attended the Governor’s Gift of Life Award ceremonies in WA and MT
LifeCenter Northwest Team
LifeCenter Northwest story placement in
40+ media outlets
MO N TAN A
EASTERN WASH IN G TO N & ID AH O
WE S TE RN WA S HI NGTON
Length of employment 30
Bozeman Daily Chronicle, The Journal, Billings Gazette, Independent Record, KBZK, KPAX, KECI, Great Falls Tribune, KFBB, KTVH, Missoulian, KRTV, KULR8
Anchorage Daily News, KTUU, Peninsula Clarion
across our designated service area of AK, MT, ID, and WA
UW Medicine Newsroom, Spokesman Review, KNDU, Peninsula Daily News, KHQ 6, State of Reform, KING5, KOMO, KIRO, FOX Yakima, KREM 2, Tri-City Herald, KEPR-TV, Seattle Times, Orting Times, KAPP-KVEW, The Columbian, Skagit Valley Herald, Q13, Kirkland Reporter, Go Anacortes, Everett Herald, Highline Times
<1 Y EAR
5-10 Y EAR S
10-15 YEAR S 15+ YEAR S
1– 5 Y E A R S
2017 Financial Report LifeCenter Northwest is one of 58 federally designated nonprofit Organ Procurement Organizations (OPO) in the United States. LifeCenter Northwest works together with families, medical professionals, and communities in Alaska, Montana, North Idaho, and Washington to save and heal lives through organ and tissue donation.
Financial Position DECEMBER 31, 2017
ORG A N P R O CUREM ENT
OR GAN & TISSUE PR OCUR EMENT
TOTAL EX P ENSES
T O TA L REV ENUE
T ISSUE PROCUR EMENT
A DMINIS TR ATIV E & G E NE R A L
$530,933 CONT RIBUT IONS & OT HER
Organ Transplant and Tissue Partners
2017 Board of Directors Governing Board Members
Advisory Board Members
Community Volunteer Issaquah, WA
SightLife, Seattle, WA
Debbie Page VICE CHAIR / SECR ETARY
V I C E C H A IR, T REA SURER
Recipient Family Member, Bellevue, WA
Director of Finance and Accounting Virginia Mason Medical Center, Seattle, WA
Maude Blair SE C R E TA RY
General Counsel – Business and Intergovernmental Affairs Southcentral Foundation, Anchorage, AK
Gerard Fischer, FACHE M E M B E R AT LA RG E
Vice President – Ancillary Services Kaiser Permanente, Seattle, WA
Craig Hendrickson M E M B E R AT LA RG E
Executive and Organization Development Coach Kirkland, WA
Joyce Jackson M E M B E R AT LA RG E
President & Chief Executive Officer Northwest Kidney Center, Seattle, WA
Ruth A. McDonald, MD M E M B E R AT LA RG E
University of Washington Medical Center, Seattle, WA
Kathy Jo Freeman
Seattle Children’s Hospital, Seattle, WA
Washington State Hospital Association, Seattle, WA
Donor Family Member, Tukwila, WA
Marquis Hart, MD
Swedish Medical Center, Seattle, WA
Benefis Hospitals, Great Falls, MT
Patrick Healey, MD
Seattle Children’s Hospital, Seattle, WA
Ellen Klohe, PhD
Inland Northwest Blood Center, Reg HQ, Spokane, WA
Christian Kuhr, MD
Virginia Mason Medical Center, Seattle, WA
Professor and Vice President of Medical Affairs Seattle Children’s Hospital, Department of Pediatrics, Seattle, WA
Abhijit Lele, MD
Harborview Medical Center, Seattle, WA
N O N V O T I NG M EM BER
Life Alaska Donor Services, Anchorage, AK
President & Chief Executive Officer LifeCenter Northwest, Bellevue, WA
Okechukwu Ojogho, MD
M E M B E R AT LA RG E
Transplant Recipient Regional Director, North American Sales Boeing Commercial Airplanes, Seattle, WA
Donor Family Member, Puyallup, WA Providence Sacred Heart Medical Center, Spokane, WA
Vicky Phillips, RN, MSN
Providence Alaska Medical Center, Anchorage, AK
Jorge Reyes, MD
University of Washington Medical Center, Seattle, WA
Providence Sacred Heart Medical Center, Spokane, WA
Michael Souter, MD
LifeCenter Northwest, Bellevue, WA Harborview Medical Center, Seattle, WA
Providence Sacred Heart Medical Center, Spokane, WA
Recipient Family Member, Seattle, WA
Bloodworks Northwest, Seattle, WA
3650 131st Ave. SE, Ste 200 Bellevue, WA 98006 www.lcnw.org M A IN 877-275-5269 425-201-6563 FA X 425-688-7641
Jennie Lawrence HEART RECIP IE N T
Donor mom, Laurie Preston (left) of Marysville, WA, sits with Jennie Lawrence, her son Joel’s heart recipient, at Jennie’s home in Anchorage, AK. Joel and Jennie’s story was covered in a special extended story on KING5 in Seattle. — KING5 NEWS, MAY 2017
Pat Goldhahn D O N O R FAT H ER
Pat Goldhahn, donor father, of Fairfield, MT speaks to a group of high school students in Mineral County, MT. After his daughter, Lauryn, died in an auto accident, Pat began making school presentations about the importance of seatbelt safety and the impact of organ donation. — THE MISSOULIAN, JANUARY 2017
Tommy Martino, The Missoulian