OneLegacy Staffing Model. Aaron Cohen Manager of Recovery and Technical Operations

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1 OneLegacy Staffing Model Aaron Cohen Manager of Recovery and Technical Operations

2 OneLegacy DSA 220 hospitals 7 Coroner s/medical Examiners 450 Funeral homes ~19 Million population base (2006 estimate, US Census Bureau) ~700 deaths per 100,000 (2006 estimate, CDC )

3 OneLegacy Tissue Operations Recovered Tissue Donors 866 Bone 811 Transplantable Ocular Donors 295 HV 202 Veins 785 Skin

4 OneLegacy Tissue Operations 2008 Projected 1800 Tissue Recoveries (~22% growth) 1150 Bone 1000 Transplantable Ocular Donors 400 HV 310 Veins 1100 Skin

5 OneLegacy Case breakdown ~50% of recovered tissue donors are CME cases ~15% of recovered donors are CME direct referrals OneLegacy is committed to developing the direct referral program as the average age of those cases is 42. Weight Bearing, high yielding donors to better serve the community

to developing the direct referral program as the average age of those

6 Office Locations Los Angeles Redlands Santa Ana Bakersfield

7 Office Locations Tissue and Organ recovery operations separated Each office maintains: Laboratory Full supplies management operations Courier pick-up/drop off schedule Every office has redundant operations with the others so that any team can perform all recovery steps at any office.

Courier pick-up/drop off schedule Every office has redundant

8 Staffing Titles Surgical Recovery Technician (SRT) FTE and Per Diem Consent Approach Coordinator (CAC) FTE Donor Recovery Coordinator (DRC) FTE Donor Information Coordinator (DIC) FTE Tissue Hospital Services Specialist (THSS) FTE Central Supply Technician (CST) FTE

Coordinator (DRC) FTE Donor Information Coordinator (DIC) FTE

9 Staffing - Recoveries SRT s Call Schedule is binding to each staff member. 3 person MTS team per office location This team is required to respond at all times during there shift.» Teams based out of each office primarily respond to cases in their region, but can and will be activated to respond to cases in the other office regions. 1 person ocular call per 12 hour shift per office location SRT s can and will be scheduled for admin shifts (CME screenings) or call shifts based on manager s discretion.

» Teams based out of each office primarily respond to cases in their region, but can and will be activated to respond to

10 Staffing CME Screenings SRT Program Review of all reportable CME cases for donor suitability Staff dedicated to maximization of potential CME Direct Referrals. Goal is to improve CME direct referrals as a percentage of total donors Screeners are dedicated to CME screenings and are not scheduled on call for recoveries during screening shifts. Screenings are done primarily by FTE staff Per Diem staff are used for CME screenings on occasion. 16 FTE and 50 Per Diem budgeted managed by Recovery Operations Managers and Supervisors

Goal is to improve CME direct referrals as a percentage of total donors Screeners are dedicated to CME screenings and are not

11 Staffing Call Center CAC s and DRC s Accept donor referral Perform medical screening Consent / Medical Social Hx. Recovery logistics coordination Post Recovery follow up DRC s split time between Donor Coordination and Call Shifts for recoveries. CAC s do not perform recoveries. 24 budgeted positions managed by the Call Center Manager and Call Center Supervisors

Recovery logistics coordination Post Recovery follow up DRC s split time between Donor

12 Staffing Central Supply Operations SCT- Responsible for: Supply Management Central Instrument Sterilization All Laboratory maintenance 3 budgeted positions managed by the Central Supply Supervisor

13 Staffing Donor Information DIC Gatekeeper of all donor record information. Any donor relevant documentation passes through the hands of a DIC Responsible for the gathering of all relevant documentation post recovery and subsequent sharing of information among all processor involved in the recovery. Processor Chart release groups best friend at OneLegacy 5 DIC s and 1 DIC assistant budgeted managed by the Donor Information Supervisor

relevant documentation post recovery and subsequent sharing of information among all processor involved in

14 Staffing Tissue Hospital Development THSS Specifically focused on developing tissue potential in the Hospitals, Coroner s Offices, and Funeral Homes/Mortuaries Work to Protect and Grow tissue potential in our DSA. Focus on major tissue producing units in the hospitals Rank hospitals by tissue potential, which doesn t always mirror organ potential 6 THSS s and 1 Funeral Home Liaison managed by the Manager of Donor Services

15 Ideal Candidates - SRT 1. Previous tissue banking experience never hurts! 2. Surgical Techs 3. EMT s / Medic s 4. Degree holders, 2 or 4 year

16 Training OneLegacy has a dedicated training program, headed by our Training and Research Specialist. Structured New Hire training process Training benchmarks Group learning Certified trainers in the field Best suited staff member s. Not necessarily the most senior staff member s.

Structured New Hire training process Training benchmarks Group

17 Recruitment Strategies Constantly recruiting We ask all potential hires for a 2 year commitment (verbal) Costs ~$25,000 to train new hire to first tissue (Corneas) Recruitment avenues: College Career fairs Online advertising Monster, Career Builder Newspaper ads Surgical Tech School recruiting Direct referrals from school administration EMT / Medic School recruiting

avenues: College Career fairs Online advertising Monster, Career Builder Newspaper ads

18 Retention Strategies Accessibility Manager s and Supervisor s maintain guarded accessibility. Guarded because we cannot divulge all of the organizations strategic planning, but still there to triage any concerns. Going to the staff for there opinion prior to implementation of some initiatives. Sharing the vision Our staff is always made aware to the best of our ability our plans for growth or cut backs and the reasons why. Gives the staff what they carve the most: Sense of Job Security Discipline Disciplined staff feel better knowing that there co-workers can t get a away with whatever they want. That often lowers moral.

Going to the staff for there opinion prior to implementation of some initiatives.

19 Retention continued Consistent growth and opportunities 22% growth has afforded: New call center (over 30 new positions) Centralization of sterilization and Supplies management (CST S) Online monitoring of refrigerator/freezer temps (Veriteq) One Database for all of OneLegacy (LifeGuard America) combines: Call Center Tissue Recovery Organ Recovery Donor Development Family Services Etc.

monitoring of refrigerator/freezer temps (Veriteq) One Database for all of OneLegacy (LifeGuard

20 Direction Specialization Call Center Central Sterilization / Supply Training CME program Plan for more dedicated staff to work with CME s exclusively More focused recovery staff No longer have to: Wash instruments Pack supplies prior to recovery

work with CME s exclusively More focused recovery staff No

21 Thank you Questions?

Transplant Coordinator

Transplant Coordinator Have you signed your organ donor card? Hearts, kidneys, livers, and lungs can all be transplanted. When you die, one of your organs could help a critically ill patient live a longer life. What I do every