1. International Society
For
Organ Donation and Procurement
ISODP

2. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
– membership
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

3. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
– Membership
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

5. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

6. Mission
The global organization to foster, promote and develop
organ and tissue donation and procurement through:
• Improving professional practice
• Enabling information sharing
• Strengthening international networking
The ultimate aim is to increase the supply of high quality
organs and tissues to match patients’ needs and to promote
countries increasing performance towards self sufficiency
and improved opportunity for transplantation.

7. Strategic Directions
Implementation plan for Goals and Strategic
Priorities….
Strategic Direction A
Improving Professional Practice for Donation
Strategic Direction B
Enabling Information Sharing
Strategic Direction C
Strengthen International Networking

8. Activities over the past 3 years
 2009 10th ISODP Congress Berlin &
World Day of Organ Donation
 2010 World Day of Organ Donation New Delhi
 2011 World Day of Organ Donation Cape town
11th ISODO Congress Buenos Aires

9. Critical pathways for organ donation*
POSSIBLE DECEASED ORGAN DONOR
A patient with a devastating brain injury or lesion OR a patient with circulatory failure
AND apparently medically suitable for organ donation
DonationafterCirculatory Death (DCD) Treating physician
to identify/refer a potential donor Donation after BrainDeath (DBD)
POTENTIAL DCD DONOR POTENTIAL DBD DONOR
A. A person whose circulatory and respiratory Reasons why a potential donor A person whose clinical condition is suspected to
functions have ceased and resuscitative does not become a utilized donor fulfill brain death criteria.
measures are not to be attempted or continued.
System
or
• Failure to identify/refer a potential or eligible donor
B. A person in whom the cessation of circulatory
• Brain death diagnosis could not be confirmed
and respiratory functions is anticipated to occur
within a time frame that will enable organ (e.g. does not fulfill criteria) or completed
recovery. (e.g.lack of technical resources or clinician
to make diagnosis or performconfirmatory tests)
• Circulatory death not declaredwithin the appropriate
time frame. ELIGIBLE DBD DONOR
ELIGIBLE DCD DONOR • Logisticalproblems (e.g.norecovery team)
A medically suitable person who has been A medically suitable person who has been
• Lack of appropriaterecipient (e.g.child, blood type,
declared dead based on the irreversible absence declared dead based on neurologic criteria as
serologypositive)
of circulatory and respiratory functions as stipulated by the law of the relevant jurisdiction.
stipulated by the law of the relevant jurisdiction, Donor/Organ
within a time frame that enables organ recovery. • Medicalunsuitability(e.g.serologypositive, neoplasia)
• Haemodynamicinstability / unanticipatedcardiac
arrest ACTUAL DBDDONOR
ACTUAL DCDDONOR
• Anatomical, histological and/or A consented eligible donor:
A consented eligible donor: functionalabnormalities of organs A. In whom an operative incision was made
A. In whom an operative incision was made • Organsdamagedduringrecovery with the intent of organ recovery for the
with the intent of organ recovery for the
• Inadequate perfusion of organs or thrombosis purpose of transplantation.
purpose of transplantation.
Permission and/or
and/or
B. From whom at least one organ was
B. From whom at least one organ was • Expressedintent of deceased not to be donor
recovered for the purpose of transplantation.
recovered for the purpose of transplantation. • Relative’srefusal of permissionfororgandonation
• Refusalbycoroner or otherjudicialofficer to
allowdonationforforensicreasons UTILIZED DBD DONOR
UTILIZED DCD DONOR
An actual donor from whom at least one organ
An actual donor from whom at least one organ
was transplanted.
was transplanted.
*The “dead donor rule” must be respected.That is, patientsmayonly become donors after death, and the recovery of organs must not cause a donor’s death.

10. Regional Health development on
Organ Donation and Transplantation
Presentation of the survey and discussion
on the methodology
Zagreb, 22nd February 2011

11. Development of organdonation and
procurmentprograms (national and hospitallevel)
Organ Donation Process – Trained and accountable:
Donor assessment
Donor management
Donor organ distribution
Family support
Professional education
Performance reporting (donors)
Public awareness - registries
Support hospital performance – implementation of critical pathway
Death audit
Living donation?

12. 0
5
10
15
20
25
30
35
Spain 34,4
Portugal 31,0
Pierto Rico 26,3
USA 26,1
Belgium 25,8
Austria 25,0
Estonia 24,6
Italy 21,4
Norway 21,1
Malta 20,0
Urugay 19,4
Czech. Rep. 19,1
Target group
Iceland 18,8
Finland 17,6
Croatia 17,4
Slovenia 17,0
Ireland 16,5
UK 15,5
Germany 14,9
Latvia 14,8
Lithuania 14,7
Denmark 13,9
Sweden 13,8
Switzerland 13,3
Argentina 12,5
Colombia 12,3
Cyprus 11,5
Australia 11,3
Poland 11,0
New Zealand 10,0
Israel 8,8
Brazil 8,7
Hong Kong 7,5
Chile 6,5
Greece 6,5
Singapore 4,6
Paraguay 4,4
Turkey 4,2
Saudi Arabia 3,3
Venezuela 3,2
Iran 2,9
Russia 2,7
Quatar 2,6
13 Donors / pmp.
Bulgaria 1,6
Malaysia 1,4
Dominican Rep. 1,0
Japan 0,8
Ukraine 0,5

13. Requirements for application for support
Review of current status
 Support of stakeholders
 Legislative framework and integration in health care system
 Public acceptance of transplantation and donation
 Central organization with coordination authority (Organ procurment
organistation - OPO)
Analyse needs for support

14. How can ISODP support?
 Assist in installment or support of an OPO
 Define major tasks and duties of donor hospitals
 Development of organ donation programs
(national and hospital level)
 Transplant programms
 Education of professionals
 Puplic relations

15. Assist in installment or support of an OPO
 Key features of national coordinating body:
 Required reporting by all tx and dx programs
 IT system
 Policy for consent - approach for the nation
 Allocation of organs - establish algorithms
 Quality program (audit / accreditation)
 Standards/ leading practices /policies
 Establish targets / performance measures
 Aggregate reports on performance for all sites
 Professional education
 Public awareness / education / registry (for expressed wishes of the public)
 Collaborative / coordination role
 Professionalize donation (coordination is medical responsibility in hospitals / regions)
 Funding accountability
 Certification of programs
 Traceability of organs / tissues transplanted and vigilance or surveillance
 Link to Istanbul / Madrid / WHO guiding principles
 Research and innovation part of national system

16. Hospital Accountability- Donation: Define major
tasks and duties of donor hospitals
 Hospital administration core responsibilities clearly defined – establish donation committee
 Professionalize donation - responsible person for donation named in each site
 Compliance of national guidelines
 Required reporting for potential donors
 Required reporting for performance (dx / tx)
 Implementation of critical pathway
 Family follow up
 Death audit
 Engagement of ICU / ED professionals
 Responsible for quality end of life care including donation
 Donor declaration
 Donor management
 Triggers
 Death audit linked to performance review
 Participate on organ donation committee
 CME linked to performance requirements
 Funded for practice
 ICU/ED has payment for services including service to donors (ICU or ventilated bed)
 ICU /ED / OR has funding for patient care prognostication or for donor management including surge
capabilities for ICU (on call teams, overtime, OR team, ect.)

17. Development of organ donation and procurment
programs (national and hospital level)
 Organ Donation Process – Trained and accountable:
 Donor assessment
 Donor management
 Donor organ distribution
 Family support
 Professional education
 Performance reporting (donors)
 Public awareness - registries
 Support hospital performance – implementation of critical pathway
 Death audit
 Living donation?

18. Hospital Accountability - Transplantation
 Adhere to allocation algorithm established by coordinating
body
 Staff programs – professional responsibility clarity - enforced
 Train recovery specialists
 Required reporting on performance
 Professional education
 Transplant clinic

19. Health Care Professional Education
 Link to professional academic sources
 Link to established teaching sites
 Meet professional requirements for continuing medical
education (CME) needs
 Establish strategic partnerships / internships (link to
scholarship program)

20. Public Relations
 Develop curriculum schools
 Develop public messages
 Develop opportunity to indicate intent (registry / donor card)
 Media relations

21. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
– Membership
6. Announce Congress 2013
7. Announce Election Results
8. Final words from incoming President Dr. Anwar Naqvi

22. Report of the Treasurer
Balance Sheet as at December 31, 2010
US$ US$
CURRENT ASSETS
31-Dec-10 31-Dec-09
Short term receivables $ 124.49 $ -
Liquid recourses
Cash at bank $ 13,800.74 $ 36,456.54
GIC Investment $ 25,000.00 $ -
$ 38,925.23 $ 36,456.54
CURRENT LIABILITIES
Creditors & Accounts Payable $ - $ -
Equity $ 38,925.23 $ 36,456.44
$ 38,925.23 $ 36,456.44

23. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
– Membership
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

24. ByLaws
• Bylaws review underway
• Please respond with changes

25. MEMBERSHIP REPORT
2009 2010 2011
TOTAL MEMBERS: 225 281 273
PAID: 132 141 135
UNPAID: 93 140 138

26. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
– Membership
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

28. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

29. Travel Grants
The recipients are:
1. Ana Paula Baptista, Brazil
2. Kelly Burnett, USA
3. Hani Haider, Kuwait
4. NilgunKececioglu, Turkey
5. YoshihideOgawa,Japan
6. Alvaro Rojas Pena, USA
7. Franz Schaub, Germany
8. Michael Sereinigg, Austria
9. Sharon Swain, USA

30. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

31. NEW COUNCIL
2011 - 2013

32. ISODP Business Meeting
DATE: Monday, November, 28, 2010
TIME: 1830 - 1900
AGENDA
1. Welcome and call to order
2. Approval of Minutes of Business Meeting October 6, 2009
3. President Address
4. Financial Report
5. Secretary Report
– By-Law Amendments
6. Announce Congress 2013
7. TTS Travel Grants
8. Announce Election Results
9. Final words from incoming President Dr. Anwar Naqvi

33. 2gether 4ever
Session
ISODP Open Meeting
Wine and Cheese Reception
Monday, November 28, 2011
1900 -2000
Buenos Aires Room

34. World Cafe
GuenterKirste
What does ISODP stand for?

35. World Cafe
Anwar Naqvi
ISODP in the developing world…..

36. World Café
Kimberly Young
ISODP – The Strategic Plan
To Increase Donation Internationally
Improve Professional Practice for Donation
To Enhance Available Resources to
Improve Donation Practices
To Establish an Integrated Network of
Donation Professionals