Donor Care Network Centers of Excellence are Committed to:

  • Only kidney transplant programs with no donor deaths (prior ten years) are invited to participate in the Donor Care Network unless a root cause & corrective action plan is accepted by the Donor Care Network Board of Directors with guidance from the Medical Advisory Committee.
  • Only kidney transplant programs with normal complication rates (prior five years) are invited to participate in the Donor Care Network unless a root cause & corrective action plan is accepted by the Donor Care Network Board of Directors with guidance from the Medical Advisory Committee.
  • Donor surgeons at the Donor Care Network Centers of Excellence must have completed at least 300 laparoscopic donor nephrectomies for the prior five year period.
  • Donor Care Network Centers of Excellence must have a laparoscopic procedure utilization rate greater than 95% for nephrectomies completed for the prior two year period.
  • Donor Care Network Centers of Excellence pay for all Uncovered Donor Complications for all DCN donors that undergo donor surgery at the center. Uncovered Donor Complications are defined as medical complications that arise as a direct result of the donation that are not reimbursable by the recipient insurance, recipient center, or recipient.
  • Offer online donor screening and medical history data collection.
  • Provide a dedicated living donor transplant team to support kidney donation.
  • Present easy to understand educational materials supported by published research.
  • Will not ask the donor to fill out redundant medical history information.
  • Offer the option to ship the 24 hour urine collection container to donor’s home or office.
  • Offer Monday through Friday donor work-up appointments to accommodate the donor’s schedule.
  • Streamline the standard donor work-up so it can be completed in one day.
  • Provide laparoscopic nephrectomy including single port, full or hand assisted techniques.
  • Utilize the Pain/Problem Survey for data collection and remedy recommendations.
  • Proactively let donors know all common pains & problems, the remedies and typical duration.
  • Minimize donor pain from the surgery when medically appropriate by:
    • Utilizing a TAP block.
    • Evacuating as much of the gas as possible before closing.
    • Careful positioning during surgery to minimize back pain.
  • Use IV to deliver pain medication until the donor is capable of managing oral pain medication.
  • Promote, encourage, and facilitate early activity (walking).
  • Provide a dedicated recovery facility/transplant floor for kidney donors and recipients.
  • Provide donors & caretakers with a recovery plan explaining what the donor must do before:
    • The urinary catheter can be removed.
    • The IV can be disconnected.
    • The donor can be discharged.
  • The recovery plan should include approximate timeframes for each step of the recovery process.
  • Minimize extraneous tape/bandages and remove them from the donor as soon as feasible.
  • Collaborate with the donor to set a discharge time that meets their needs and expectations.
  • Remove all bandages, tape and related markings from donors prior to discharge.
  • Discharge donors within 15 minutes of the promised discharge time.
  • Donor or caretaker should be called within 2 days of discharge by a team member who directly provided care during the stay to see how the donor is feeling.
  • At the first follow up appointment (2 weeks) donor labs should be performed to ensure there are no post-donation medical abnormalities.
  • Provide comfortable sleeping accommodations for caretakers in the patient’s room.
  • Provide timely updates to caretakers throughout the surgery & recovery process.
  • Provide a convenient and secure method for patients and caretakers to store personal belongings after hospital check in to avoid carrying items around the hospital.
  • Utilize 5-star Surveys so that donors can provide feedback throughout the process.
  • Hospital bills for medical services will not be sent to donors.
  • Solicitations for financial donations will not be sent to donors.
  • Utilize DCN issued tablet/computer for Pain and Problem Survey
  • Support lifetime donor follow-up for data collection and donor feedback through DCN system.
  • Make all DCN data available for research.
  • Provide root cause and corrective action for major problem areas.
  • Benchmark across all Member Centers:
    • 5-star Survey results
    • Pain/Problem Surveys
  • Assign a guide to accompany the donor at all times during the work-up and pre-op visits
  • Provide a 3D picture/map and clear directions for donor movement within the hospital.
  • Offer Valet Parking for donor and caretaker.
  • Pay for donor and caretaker parking (validate).
  • Provide car service for donors in urban locations.
  • Offer Monday through Saturday work-up appointments.
  • Donor reception area clearly marked and easy to find.
  • Minimize the number of different employees that interface with donors.
  • Provide timely email updates to the donor throughout the entire donation process.
  • Provide urologist style bathrooms for convenient urine specimen collection.
  • Create a dedicated streamlined donor clinic ( see example ).
  • Provide chairs in the recovery area outside the OR so that caretakers can sit next to the donor’s bed.
  • Provide donor surgeon(s) profile & performance statistics:
    • Laparoscopic nephrectomy performed supporting kidney donation
    • Percent of donor surgeries that were laparoscopic
    • Complication rate
    • Other information relevant to donors
  • Offer manual physical therapy to donors experiencing back pain from surgery.
  • Utilize recovery beds that minimize back pain.
  • Free Wi-Fi high speed internet
  • Strive to provide private inpatient rooms:
    • In-suite bathroom
    • Shower
    • Room service so that caretakers do not need to leave the inpatient room for meals.
  • Assign only one nurse per shift to support a donor after surgery.
  • Minimize the number and frequency of hospital staff entering the inpatient room.
  • Provide a TV in the donor’s inpatient room.
  • Utilize private in-patient rooms as a waiting/staging area for donors & caretakers prior to surgery.
  • Provide a comprehensive discharge care package that includes:
    • BP monitor
    • Appropriate OTC medications (e.g. Malox, Gas-X, Tylenol, etc.)
    • After care brochure (same as DCN web site)
    • Pillow to place over incision for ride home
  • Replace the hospital satisfaction surveys (Press Ganey) for donors with the 5-star Survey.