Table 1 Continued: Summary of the key elements of reform Key elements of Croatia Portugal Australia United Kingdom European reform Implementation of a clinical Quality assurance Hospital audits were As of 2013, Portugal Reporting and auditing of organ and Data on donation activity The EU issued a Directive governance framework that programme is on a initially commenced in was planning its tissue donation practice has been is issued to the national requiring member states to supports quality assurance continuous clinical chart 2002 and have been method for enhanced and embedded across body every six months establish and maintain a and audit of hospital clinical review of all deaths gradually refined into a conducting hospital hospitals in the DonateLife and used to monitor framework for quality and practice and governance of occurring in critical care clinical practice audits Network. In March 2012, the performance safety. The action plan donation process units. It includes both an improvement programme DonateLife leadership the Clinical included an action to promote internal and external audit and quality assurance Governance Framework (CGF) and quality improvement process by 2010 Clinical Practice Improvement programmes Program (CPIP) was established to support and guide DonateLife Network (DLN) staff in achieving the national objective of increasing organ and tissue donation rates across Australia Financial support to donor A specific budget is In 2006 a funding model Financial support for Organ Donation Hospital Support An analysis of the costs hospitals to ensure that allocated to fund the was introduced to ensure organ donation Funding (ODHSF) provides a involved in the costs related to donation management at hospitals are funded for all activity was contribution towards the costs management of potential management are not a trial hospital additional costs associated introduced in 2006 associated with organ donation organ donation was barrier to donation with organ and tissue and revised in 2011 activity undertaken and donation additional funding provided to cover these costs engagement and The national coordinating Coordinated public Since 2009, the National community awareness and A high-prolife, The action plan included an national community body utilises media to awareness campaigns national body has education campaigns were campaign to action to improve the awareness and education promote organ donation have been progressively organised joint implemented, including promote organ donation knowledge and through the dissemination introduced 1998 community events engagement with culturally and was launched in 2009, communication skill of health of positive news and has worked with linguistically diverse communities followed by targeted professionals and patient the media on general campaigns in early support groups on organ awareness 2010. transplantation International cooperation to Joined the Eurotransplant Australia has based its reform on The action plan included an share best practice in 2007 international best practice through action to facilitate the engagement with high performing identification of donors countries across Europe and donation
Table 1 Continued: Summary of the key elements of reform Key elements of reform Croatia Portugal Australia United Kingdom European Implementation of a clinical governance framework that supports quality assurance and audit of hospital clinical practice and governance of donation process Quality assurance programme is on a continuous clinical chart review of all deaths occurring in critical care units. It includes both an internal and external audit Hospital audits were initially commenced in 2002 and have been gradually refined into a clinical practice improvement programme and quality assurance process by 2010 As of 2013, Portugal was planning its method for conducting hospital audits Reporting and auditing of organ and tissue donation practice has been enhanced and embedded across hospitals in the DonateLife Network. In March 2012, the DonateLife leadership the Clinical Governance Framework (CGF) and Clinical Practice Improvement Program (CPIP) was established to support and guide DonateLife Network (DLN) staff in achieving the national objective of increasing organ and tissue donation rates across Australia Data on donation activity is issued to the national body every six months and used to monitor performance The EU issued a Directive requiring member states to establish and maintain a framework for quality and safety. The action plan included an action to promote quality improvement programmes Financial support to donor hospitals to ensure that costs related to management are not a barrier to donation A specific budget is allocated to fund the donation management at hospital In 2006 a funding model was introduced to ensure hospitals are funded for all additional costs associated with organ and tissue donation Financial support for organ donation activity was introduced in 2006 and revised in 2011 Organ Donation Hospital Support Funding (ODHSF) provides a contribution towards the costs associated with organ donation activity An analysis of the costs involved in the management of potential organ donation was undertaken and additional funding provided to cover these costs engagement and national community awareness and education The national coordinating body utilises media to promote organ donation through the dissemination of positive news Coordinated public awareness campaigns have been progressively introduced 1998 Since 2009, the national body has organised joint community events and has worked with the media on general awareness National community awareness and education campaigns were implemented, including engagement with culturally and linguistically diverse communities A high-prolife, campaign to promote organ donation was launched in 2009, followed by targeted campaigns in early 2010. The action plan included an action to improve the knowledge and communication skill of health professionals and patient support groups on organ transplantation International cooperation to share best practice Joined the Eurotransplant in 2007 Australia has based its reform on international best practice through engagement with high performing countries The action plan included an action to facilitate the identification of donors across Europe and donation trial
discussion_doc-_international_reform_programmes.docx