• Conduct financial analysis of the long-term impact of DCD organ use on transplant centers.

  • Use regional meetings as a venue for discussion of and education about DCD.

NATCO (The Organization for Transplant Professionals)

  • Expand DCD in all NATCO education programs.

American Society of Transplant Surgeons and American Society of Transplantation

  • Establish a joint committee to increase DCD recovery and utilization.

Joint Commission on Accreditation of Healthcare Organizations

  • Revise accreditation standards to require hospitals to implement DCD protocols.

  • Provide an annual DCD report that includes regional profiles, new developments, and trends and outcomes.

Centers for Medicare & Medicaid Services

  • Revise regulations governing donation, utilization, and reimbursement to reflect the unique characteristics of DCD procurement and transplantation.

SOURCE: Bernat et al. (2006).

respond to demands for DCDD (Alvarez et al., 2002; Sanchez-Fructuoso et al., 2003; del Rio Gallegos et al., 2004). Furthermore, in the early 1990s efforts were made in Washington, D.C., to develop a program for uncontrolled DCDD.

Washington, D.C.

In the early 1990s, the Washington Hospital Center in Washington, D.C., developed a rapid organ recovery program that focused on DCDD, particularly organ donation from victims of fatal trauma (Kowalski et al., 1996; Light et al., 1996). The emphasis on DCDD donors (termed “non-heart-beating donors” at the time) included a strong component of community education and input (WHC, 1993). A Community Oversight Committee was formed to provide input into the development of the DCDD protocol (Appendix F) and its implementation. Furthermore, the Office of Decedent

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