3333333333Trillium Gift333333333 of Life NetwTrilliumork Gift of Life k Business 2019-2020 Plan BUSINESS PLAN 2/15 Page 1 of 54 Table of Contents Executive Summary ...................................................................................................................... 3 Business Plan at a Glance ............................................................................................................. 5 Mandate, Mission & Vision .......................................................................................................... 6 Overview of Programs & Activities ............................................................................................. 7 Environmental Scan ................................................................................................................... 10 Strategic Direction ...................................................................................................................... 11 Implementation Plan .................................................................................................................. 12 Risk Assessment and Management ........................................................................................... 24 Human Resources ....................................................................................................................... 26 Information Technology/ Electronic Service Delivery ............................................................ 26 Initiatives Involving Third Parties ............................................................................................ 27 Communications Plan ................................................................................................................. 30 Leadership Organizational Chart ............................................................................................. 37 Staff Numbers .............................................................................................................................. 38 Performance and Directional Indicators & Targets ................................................................ 43 Appendix 1: Detailed Explanation of Organ Yield Target ..................................................... 44 Appendix 2: Detailed Explanation of Organ Donation Targets ............................................. 45 Appendix 3: Detailed Explanation of Tissue Targets .............................................................. 46 Appendix 4: Resources Needed to Meet Objectives................................................................. 47 Page 2 of 54 Executive Summary Organ donation in Ontario has grown swiftly in the last 10 years surpassing expectations with the number of deceased organ donors increasing by 98% and the number of organ transplants by 46%. To date, the number of Ontarians who have registered consent is more than four million people, over double from a decade ago. Trillium Gift of Life Network (TGLN) and Ontario have firmly established their reputation as a national leader and are recognized internationally for successes in organ and tissue donation and transplantation. TGLN is proud of its achievements; however, the need for transplants continues to outweigh the number of organs available for transplant. In the coming fiscal year, to prevent deaths on the wait list, reduce wait times and better meet needs of patients waiting for transplantation, TGLN will drive further improvements in performance and strive to grow donor registrations and organ and tissue donations. TGLN’s mission to save and enhance more lives through the gift of organ and tissue donation and transplantation in Ontario continues to significantly shape TGLN’s goals, objectives, strategies and action plans for 2019/20. In the fiscal year 2019/20, similar to previous years, TGLN has proposed four overarching goals, composed of three program and one enabling goal. Program goals directly support achievement of TGLN’s mission and mandate; and enabling goals have a cross-functional impact and support realization of the program goals. The goals for 2019/20 are outlined below: 2019/20 Goals PROGRAM GOALS ENABLING GOAL PROMOTE QUALITY, EQUITY AND FAIRNESS IN TRANSPLANTATION MAXIMIZE ORGAN AND TISSUE DONATION FOR ENHANCE OPERATIONAL EXCELLENCE AND TRANSPLANTATION IN PARTNERSHIP WITH STAKEHOLDERS INNOVATION ESTABLISH A STRONG ORGAN AND TISSUE DONATION CULTURE IN ONTARIO To achieve these goals, eight objectives have been identified. Similar to goals, objectives are grouped as either program or enabling objectives. The objectives set out for 2019/20 are outlined below: Page 3 of 54 2019/20 Objectives PROGRAM OBJECTIVES ENABLING OBJECTIVES IMPROVE ACCESS TO TRANSPLANTATION, SUPPORT SUPPORT CONTINUOUS QUALITY IMPROVEMENT OPTIMAL PATIENT OUTCOMES AND TRANSPLANT CAPACITY AND MEETING OF QUALITY STANDARDS PLANNING AND ACHIEVE AN ORGAN YIELD OF 3.28 ACHIEVE A 63-65% CONVERSION RATE FOR PROVINCIAL ENHANCE IT TO DRIVE EFFICIENCY AND HOSPITALS, 365-385 ORGAN DONORS INNOVATION ACHIEVE A 51% CONSENT RATE, 2300 OCULAR DONORS CULTIVATE A WORK ENVIRONMENT THAT AND 280 MULTI-TISSUE DONATIONS FOSTERS STAFF ENGAGEMENT ENGAGE ONTARIANS IN SUPPORTING ORGAN AND TISSUE DEVELOP AND SUPPORT RESEARCH INITIATIVES DONATION AND TRANSPLANTATION (OTDT) TO ADVANCE INNOVATION AND LEADING AND INSPIRE OVER 233,000 TO REGISTER CONSENT PRACTICES IN DONATION AND TRANSPLANTATION In order to meet its targets and act on the plans identified in the Business Plan, TGLN requires an investment in incremental annualized base funds. TGLN has identified and prioritized the required 2019/20 resources in the following key areas: donation & transplantation growth, regulatory compliance, replacement of TOTAL (TGLN’s outdated mission critical high risk waitlist, donor/recipient matching and allocation system), tissue system redesign, improved donation performance and efficiency, meeting needs of transplant patients, managed funds and economic adjustment. Resources requested will enable TGLN to grow donation volumes and support implementation of goals and objectives delineated for 2019/20. TGLN is seeking $9,397,100 incremental annualized base funds and $11,235,900 one-time funding. It is important to note that 62% of TGLN’s incremental budget request for 2019/20 pertains to transfer payment programs, funded by TGLN to support broader donation and transplantation system needs. These resources are not used to fund TGLN’s operations. A detailed description of resources requested in 2019/20 is outlined in Appendix 4. Page 4 of 54 Business Plan at a Glance Page 5 of 54 Mandate, Mission & Vision Mandate 1. Plan, promote, coordinate and support activities relating to the donation of tissue for transplant and activities related to education or research in connection with the donation of tissue. 2. Coordinate and support the work of designated facilities in connection with the donation and transplant of tissue. 3. Manage the procurement, distribution and delivery of tissue. 4. Establish and manage waiting lists for the transplant of tissue and for establishing and managing a system to fairly allocate tissue that is available. 5. Make reasonable efforts to ensure that patients and their substitutes have appropriate information and opportunities to consider whether to consent to the donation of tissue and to facilitate the provision of that information. 6. Provide education to the public and to the health-care community about matters relating to the donation and use of tissue and, facilitate the provision of such education by others. 7. Collect, analyze and publish information relating to the donation and use of tissue. 8. Advise the Minister on matters relating to the donation of tissue. 9. To do such other things as the Ministry may direct. Mission Saving and enhancing more lives through the gift of organ and tissue donation and transplantation in Ontario. Vision To be a world-class leader that enhances and saves lives through organ and tissue donation for transplantation. Page 6 of 54 Overview of Programs & Activities TGLN executes its broad mandate through the following interdependent programs and services: Transplantation Standardizing Practice, Equalizing Access and Measuring Outcomes TGLN leads system planning and works with key stakeholders to plan and coordinate transplant services in Ontario. TGLN works to drive improvements that support fair and equitable access through standardized processes and provincial waitlists, enable performance outcome measurement to improve pre-transplant through to post-transplant care, and develop evidence based initiatives to enhance the quality of care of transplant patients as they transition through the patient continuum. Hospital Programs Maximizing Donation opportunities in Ontario Hospital Programs work with 55 Ontario hospital corporations with Level III critical care services and 14 Ontario hospitals with Level II critical care services to establish and maintain successful organ and tissue donation programs within the hospital. This includes identifying opportunities for organ and tissue donation and implementing donation best practices through promulgation of provincial policies and procedures. Organ and Tissue Donation Coordinators (OTDCs) provide on-site clinical support while staff in the Provincial Resource Centre manage notification calls and coordinate case activity. In addition to real time support, TGLN’s Donation Physician Model includes Hospital Donation Physicians and Regional Medical Leads who support physician practice across the province.