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Achievement Meeting Goals and Transforming Lives in the Process Mission Saving and Enhancing More Lives Through the Gift of Organ and Tissue Donation in Ontario

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Achievement Meeting Goals and Transforming Lives in the Process Mission Saving and Enhancing More Lives Through the Gift of Organ and Tissue Donation in Ontario Trillium Gift of Life Network Annual Report 2010-2011 Achievement Meeting goals and transforming lives in the process Mission Saving and enhancing more lives through the gift of organ and tissue donation in Ontario. Vision To be a world-class organization that enhances and saves lives through organ and tissue donation for transplantation. Values We are an effective, innovative leader in organ and tissue donation. We work in an environment of honesty, trust, respect, compassion and cooperation. Table of Contents Message from the Chair of the Board and the President and CEO ........................................................................2 Objectives for the 2010-2011 Fiscal Year....................................................................................................................5 Objective 1: Achieve 55 per cent TGLN conversion rate for organ donation at Tier 1 Hospitals, 233 donors and 3.67 organ yield per donor ......................................................................................6 Objective 2: Achieve a 38 per cent consent rate, 1,520 tissue donors and 1.16 tissue yield per donor ............................................................................................................................................10 Objective 3: Implement a comprehensive corporate-wide quality management system, meet reporting requirements and achieve efficiencies in work processes ................................13 Objective 4: Engage stakeholders and build effective partnerships.................................................................14 Objective 5: Increase donor registrations in Ministry of Health and Long-Term Care (MOHLTC) database..........................................................................................................................16 Objective 6: Improve staff engagement................................................................................................................19 In Conclusion ..............................................................................................................................................................20 Appendix I Tables and figures for tissue: 2008/09, 2009/10, 2010/11 Table 1 Tissue Donation by Tissue Type ......................................................................................................21 Table 2 Tissue Donors by Hospital................................................................................................................21 Figure 1 Tissue Referrals and Donors............................................................................................................23 Figure 2 Tissue Approach and Consent .........................................................................................................23 Figure 3 Call-Screen-Connect Strategy – TGLN/Hospital Consent Ratio ..................................................23 Tables for organs: 2008/09, 2009/10 and 2010/11 Table 1 Organ Donation Performance Indicator Results (Tier 1 Hospitals)............................................24 Table 2 Organ Donors from Ontario and Out-of-Province.........................................................................24 Table 3 Deceased Organ Donors by Region and Hospital .........................................................................25 Table 4 Number of Organs Recovered and Transplanted from Deceased Donors in Ontario ..............26 Table 5 Organ Transplant Yield per Deceased Donor in Ontario..............................................................26 Table 6 Organ Transplants in Ontario from Deceased (Provincial and Non-Provincial) and Living Donors from Ontario......................................................................................................27 Table 7 Living Kidney Transplants as a Percentage of all Kidney Transplants .......................................27 Table 8 Living Liver Transplants as a Percentage of all Liver Transplants ..............................................28 Table 9 Waiting List for Organ Transplant ...................................................................................................28 Table 10 Deceased Organ Donation Funding, Tier 1 Hospitals – April 1, 2010 to March 31, 2011 .....................................................................................................29 Table 11 Deceased Organ Donation Funding, Non-Tier 1 Hospitals – April 1, 2010 to March 31, 2011 .....................................................................................................30 Appendix II Board of Directors as of March 31, 2011..................................................................................................................31 Appendix III Management Group as of March 31, 2011................................................................................................................31 Audited Financial Statements ...................................................................................................................................32 Trillium Gift of Life Network Annual Report 2010-2011 1 Message from the Chair of the Board and the President and CEO Trillium Gift of Life Network (TGLN) has a lot to celebrate. We reached many milestones during the 2010/11 fiscal year, meeting and exceeding the ambitious goals we set for ourselves and transforming lives in the process. A total of 930 lives were saved and thousands more were enhanced by transplants that took place in Ontario. These procedures were made possible through the gifts of 213 deceased organ donors, 255 living kidney and liver donors and a record 1,619 tissue donors and their families. The generosity of these individuals and their families was marked by the distribution of commemorative medals at the Celebration of Life ceremonies held in Ottawa, Hamilton and Toronto. We exceeded our tissue donation goals, thanks in part to base funding for tissue donation received from the provincial government. This vote of confidence in TGLN’s Call-Screen-Connect telephone screening and consent plan and the support of tissue bank partners enabled us to hire new staff and implement new procedures. The result was an 18.5 per cent increase in the number of tissue donors over 2009/10, and a 47 per cent increase over 2008/09. 2 Trillium Gift of Life Network Annual Report 2010-2011 Deceased organ donation was up nearly 16 per cent over 2008/09. We did not surpass the number recorded in 2009/10, however, which saw a record 221 deceased donors. Continued progress in the implementation of donation best practices in Ontario hospitals and an increased number of hospitals following routine notification helped nudge these numbers higher. The number of deceased donors in February 2011 – 26 – was the highest recorded in a single month. TGLN crossed a major threshold in 2010/11 with the work completed on the new online donor registration channel. A joint Ministry of Health and Long-Term Care (MOHLTC)/ServiceOntario/TGLN working group was struck to guide the development of an easy, quick and convenient way for Ontarians to record their donation decisions. The coordination and secure linkage of the three elements – TGLN’s beadonor.ca portal, the ServiceOntario registration pages and MOHLTC’s health card database – was a complex but crucial first step before TGLN could launch an awareness marketing campaign on the urgent need to register consent. Three external organizations put TGLN under the microscope this year, and we were judged quite favourably. Our commitment and professionalism were recognized in a number of ways: • In its annual report, the Office of the Auditor General of Ontario noted TGLN’s significant accomplish- ments since inception. While the value-for-money audit did find some shortcomings, the Auditor’s recommendations supported programs such as expanding routine notification to a greater number of hospitals and the need for an easy, online organ and tissue donor registration mechanism, which TGLN has been working toward for some time. In January, TGLN took its first steps toward increasing the number of hospitals required to report potential organ and tissue donors to TGLN. We are working hard to implement the report’s recommendations. • Health Canada’s inspection found TGLN in compliance with national regulations and that our quality of service meets or exceeds requirements. • The Transplant Action Team, formed as a result of the Report of the Organ and Tissue Transplantation Wait Times Expert Panel, recommended expanding TGLN’s responsibility from donation to trans- plantation, and developing a multi-year, multi-initiative plan to increase donation results. The team’s suggestions are a powerful stimulus for the adoption of a single waiting list in Ontario for all organs, which we have long supported. The Transplant Action Team also initiated meetings of the Transplant Steering Committee and its subgroups. The Committee is making good progress. We are also working with the government to create the additional resources needed to implement these recommendations. Public awareness of the need for organ and tissue donors grew. We reached out to a broader segment of the public, especially faith communities and youth (through the One Life...Many Gifts secondary school program and seven more RecycleMe.org post-secondary campus tour stops). As well, our volunteer base grew by 59 per cent, community events increased by 267 per cent and the partnership with ServiceOntario continued to expand. Continued on page 4 Trillium Gift of Life Network Annual
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