OPO Code: GALL Public Report Release: August 09, 2018 Based on Data as of: April 30, 2018

Transcription

1 Table of Contents User Guide A. Description of the Donation Service Area (DSA) Served by GALL B. US Population Density, Deaths, Death Rates, and Donations C. Organ Utilization D. Description of Donors Recovered by GALL E. Programs Transplanting Organs Procured by GALL F. Transplants Facilitated by GALL G. Counties Served by GALL under contract with the Health Resources and Services Administration (HRSA). Page: 1

2 User Guide This report contains a wide range of useful information about the operations and performance of the Organ Procurement Organization (OPO). The report is divided in seven main sections: A. Description of the Donation Service Area (DSA) Served by GALL B. US Population Density, Deaths, Death Rates, and Donations C. Organ Utilization D. Description of Donors Recovered by GALL E. Programs Transplanting Organs Procured by GALL F. Transplants Facilitated by GALL G. Counties Served by GALL Some common abbreviations are used throughout the report: Organ Designars: HR: Heart IN: Intestine KI: Kidney LI: Liver LU: Lung PA: Pancreas Other Abbreviations: DSA: Donation Service Area DBD: Donation after Brain Death DCD: Donation after Circulary Death Section A: Description of the Donation Service Area Served by GALL Section A provides a broad geographic overview of the area of the United States served by the OPO. Figure A1 shows the DSA within the context of the nation with the location of the OPO's headquarters indicated on the map. Figure A2 zooms in on the OPO's DSA and highlights counties served by the OPO. SRTR staff worked with each OPO during 2013 determine the list of counties functionally served by the OPO. This list may not necessarily match the list of ofcial CMS-designated counties for each OPO. For a full description of the counties served, see Section G. Figure A2 also shows the locations of transplant programs within the DSA. All transplant programs within the DSA are identied in Table A1. Note that only programs that performed at least one transplant of the various types from 01/01/ /31/2017 are listed in Table A1. under contract with the Health Resources and Services Administration (HRSA). Page: 2

3 User Guide Section B: US Population Density, Deaths, Death Rates, and Donations Section B describes the population of the US served by the OPO. Figure B1 provides a map of the population density of the US with the DSA highlighted. Summary statistics are provided for the OPO along with an indication of where the OPO ranks among the 58 OPOs. Figures B2 and B3 are similar, but provide different perspectives, with Figure B2 focusing on deaths per 1000 population and Figure B3 focusing on deaths per 1000 square miles covered by the OPO. Note that each of these maps, population data are derived from the US Census Bureau. For a more detailed description of the counties served by this OPO, see section G. Table B1 provides counts of deaths meeting the eligible death denition (as reported by each donor hospital) along with counts of donors procured by the OPO (tal donors and those meeting the eligible death denition). To contextualize these numbers, minimum, maximum, and average values for all 58 OPOs are provided. The observed donation rate per 100 eligible deaths and the expected donation rate per 100 eligible deaths are provided. The expected donation rate is determined from a statistical model and is described in the OSR Technical Methods document. The standardized donation rate ratio is the observed donation rate divided by the expected donation rate. The P Value indicates if the standardized donation rate ratio is statistically signicantly different from 1.0. If the P Value is less than 0.05, we have evidence that the standardized ratio is either higher or lower than expected and that this difference is likely not due chance alone. Additionally, the 95% condence interval (CI) of the standardized donation rate ratio will not include 1.0 if the P Value is less than The standardized donation rate ratio is put in context of all 58 OPOs in Figure B4. Figure B4 is arranged by the number of eligible deaths within each DSA so that you can more easily compare the OPO with OPOs of similar size. Finally, trends in donations per 100 eligible deaths over the ve most recent one-year periods are shown in Figure B5. Table B2 provides counts of eligible deaths and actual donors procured from each of the donor hospitals served by the OPO. Additional Donors are those donors that did not meet the eligible death denition. Observed and expected donation rates per 100 eligible death are provided for each donor hospital, but tests of whether each hospitals donation rate is signicantly higher or lower than expected are not performed due generally small sample sizes within each donor hospital. Section C: Organ Utilization Section C begins by providing 5-year trends in the numbers of organs transplanted by organ type and donor type (donations after brain death [DBD] and donations after circulary death [DCD]). Figure C1, Figure C2, and Figure C3 present counts of transplants in tal (Figure C1), for DBD donors (Figure C2), and for DCD donors (Figure C3). For the purpose of counting transplants, right and left kidneys are counted separately, as are right and left lungs. The under contract with the Health Resources and Services Administration (HRSA). Page: 3

4 User Guide Donors count simply counts the donors from whom at least one organ was recovered for the purpose of transplant. Table C1 then provides a full description of the numbers of donors authorized by each organ type along with the ultimate disposition of the organs for the most recent one-year period. In Table C1, kidneys and lungs are counted individually yielding approximately twice the number of organs authorized when compared the other organs. Table C2 presents organ-specic donation rates per 100 eligible deaths. Expected rates are based on a statistical model detailed in the OSR Technical Methods document. If the P Value is less than 0.05, we have evidence that the difference between the observed and expected organ-specic donation rate is not simply due chance. Figure C4 presents the standardized organ-specic donation rate ratios along with their 95% condence intervals (CI). Figures C5 and C6 present organs recovered per donor and organs transplanted per donor, respectively. Each of these gures presents where the OPO stands relative all 58 OPOs with the OPO's performance indicated by the diamond. The distribution of all 58 OPOs is shown by the bell-shaped curve with the national average of all 58 OPOs indicated by the horizontal line. Trends in organs transplanted per donor over the previous ve 1-year periods are shown in Figure C7. Table C3 presents the Observed vs. Expected organ yields for the most recent 2-year period. For a full description of the models used by the SRTR estimate expected organ yields, please visit our website at The Observed Expected (O/E) organ-specic ratios are then presented graphically in Figure C8 so that it can be seen where the OPO stands relative the other OPOs. In Figure C8, the x-axis is the number of donors procured by each OPO so that one can compare the OPO with other OPOs that are relatively the same size. Figures C9, C10, and C11 present data specic donors after brain death (DBD) and donors after circulary death (DCD). Figure C9 shows 5-year trends in the number of organs transplanted per donor by DBD and DCD status with comparisons the US as a whole. Figures C10 and C11 present where the OPO stands in relation all 58 OPOs with regards organs transplanted per DBD/DCD donor. Section D: Description of Donors Recovered by GALL Section D presents tabular descriptions of the donor recovered by the OPO. Data are shown for the most recent two years with comparisons the US as a whole. Breakdowns are provided for race, age, gender, blood type, cause of death, and DCD status. under contract with the Health Resources and Services Administration (HRSA). Page: 4

5 User Guide Section E: Programs Transplanting Organs Procured by GALL Section E presents ight maps showing locations of programs that transplanted organs from the OPO. Separate maps are provided for each organ type. Note that all arrows originate from the location of the OPO's headquarters rather than the location of each donor hospital. In addition, many programs within the OPO's DSA will not be visible on the map due scale. Each map is accompanied by a table providing the full detail of each program transplanting organs recovered by the OPO. Geographic indicars are provided based on whether the program is within the same DSA (Local), within the same OPTN region but not the same DSA (Regional), or not within the same DSA or OPTN region (National). Section F: Transplants Facilitated by GALL Section F provides tabular descriptions of the recipients that received organs that were procured by the OPO, regardless of where the transplant ok place. Separate tables are provided by each organ type along with separate tables for heart-lung recipients and kidney-pancreas recipients. The most recent two years are provided along with data for the US as a whole for the same two periods. Breakdowns are provided by demographic facrs (race, age, and gender) and clinical facrs (blood type, PRA [kidney, pancreas, and kidney-pancreas only], medical urgency status [if applicable], Expanded Criteria Donor status [kidney only], and primary cause of disease). Section G: Counties Served by GALL Table G1 presents the counties served by the OPO. Counties are ordered alphabetically within state. For the purposes of this report, counties are those actually served by the OPO and do not necessarily reect CMS assignments. SRTR staff worked closely with the OPOs during 2013 determine the correct county assignments. Please contact the SRTR at srtr@srtr.org if you feel any counties are assigned in error. If more than one OPO serves different donor hospitals within the same county, the county is indicated as a shared county and the OPO sharing the county is indicated by OPO code. For the purpose of calculating population density, land area, and death rates presented in Section B, the one--one CMS county OPO assignment is used. under contract with the Health Resources and Services Administration (HRSA). Page: 5

6 A. Description of the Donation Service Area (DSA) Served by GALL Figure A1. Donation service area of GALL Location of OPO headquarters Figure A2. Counties served by GALL Table A1. Transplant programs* in GALL's DSA Hospital Name (Code) HR IN KI LI LU PA AU Medical Center, Inc. (GAMC) X X Children's Healthcare of Atlanta at Eglesn (GAEH) X X X Emory University Hospital (GAEM) X X X X X Piedmont Hospital (GAPH) X X X X Locations of transplant programs (See Tables A1 and G1 for more details) *Performed at least one transplant of that type from 01/01/ /31/2017. under contract with the Health Resources and Services Administration (HRSA). Page: 6

7 B. US Population Density, Deaths, Death Rates, and Donations Figure B1. Population density* Population of GALL's DSA: 10,311,505. This ranks 8th among the 58 DSAs (1st is the highest). Persons Per Square Mile < 12 Land area of GALL's DSA: 58,216 square miles. This ranks 16th among the 58 DSAs (1st is the highest) > 190 *US Census Bureau, 2015 projected population/2010 land area Figure B2. Deaths per 1000 population* Deaths within GALL's DSA: 78,073. This ranks 8th among the 58 DSAs (1st is the highest). Deaths Per 1000 Population < Death rate within GALL's DSA: This ranks 45th among the 58 DSAs (1st is the highest) *US Census Bureau, 2015 projected death (includes all deaths, not limited eligible deaths) and population > Figure B3. Deaths per 1000 square miles* Deaths per 1000 square miles within GALL's DSA: 1,341. This ranks 33rd among the 58 DSAs (1st is the highest). Deaths Per 1000 Square Miles < *US Census Bureau, 2015 projected death (includes all deaths, not limited eligible deaths) and population under contract with the Health Resources and Services Administration (HRSA). > 1705 Page: 7

8 B. US Population Density, Deaths, Death Rates, and Donations Table B1. Measures of donation rate*, 01/01/ /31/2017 GALL National Min. Average Max. Eligible Deaths Deceased Donors (All) Deceased Donors Meeting Eligibility Criteria Observed Donation Rate Per 100 Eligible Deaths Expected Donation Rate Per 100 Eligible Deaths 64.7 Standardized Donation Rate Ratio (95% CI) 0.99 (0.92,1.06) P Value *The donation rate is calculated as the number of deceased donors meeting eligibility criteria per 100 eligible deaths. Figure B4. Standardized donation rate ratios (observed/expected), 01/01/ /31/ Standardized Donation Rate Ratios GALL Other OPOs Eligible Deaths Figure B5. Donations per 100 eligible deaths, 01/01/ /31/ Jan 2013 Dec 2013 Jan 2014 Dec 2014 Jan 2015 Dec 2015 Jan 2016 Jan 2017 Donations per 100 Eligible Deaths Heart Kidney Liver Lung Pancreas under contract with the Health Resources and Services Administration (HRSA). Page: 8

9 B. US Population Density, Deaths, Death Rates, and Donations Table B2. Measures of donation rates by hospital, 01/01/ /31/2017 Hospital Name City, State Phoebe Putney Memorial Hospital - Main Campus Albany, GA Piedmont Athens Regional Medical Center Athens, GA St. Mary's Hospital Athens, GA Children's Healthcare Of Atlanta At Eglesn Atlanta, GA Children's Healthcare Of Atlanta At Scottish Rite Atlanta, GA Emory Saint Joseph's Hospital Atlanta, GA Emory University Hospital Atlanta, GA Emory University Hospital Midwn Atlanta, GA Grady Health System Atlanta, GA Northside Hospital (atlanta) Atlanta, GA Piedmont Atlanta Hospital Atlanta, GA Shepherd Center Atlanta, GA Wellstar Atlanta Medical Center Atlanta, GA Augusta University Medical Center Augusta, GA Docrs Hospital - Augusta Augusta, GA University Hospital - Augusta Augusta, GA Wellstar Cobb Hospital Austell, GA Southeast Georgia Health System - Brunswick Campus Brunswick, GA Gordon Hospital Calhoun, GA Northside Hospital - Cherokee Cann, GA Donors Meeting Eligible Death Eligible Def. Deaths Observed Donation Rate Expected Donation Rate Additional Donors under contract with the Health Resources and Services Administration (HRSA). Page: 9

10 B. US Population Density, Deaths, Death Rates, and Donations Table B2. Measures of donation rates by hospital, 01/01/ /31/2017 (continued) Hospital Name City, State Cartersville Medical Center Cartersville, GA Midwn Medical Center - Columbus Columbus, GA St. Francis Hospital Columbus, GA Rockdale Medical Center Conyers, GA Crisp Regional Hospital Cordele, GA Piedmont Newn Medical Center Covingn, GA Northside Hospital - Forsyth Cumming, GA Hamiln Medical Center Daln, GA Dekalb Medical Center - North Decatur Decatur, GA Wellstar Douglas Hospital Douglasville, GA Fairview Park Hospital Dublin, GA Wellstar Atlanta Medical Center, South Campus East Point, GA Piedmont Fayette Hospital Fayetteville, GA Dwight D. Eisenhower Army Medical Center Fort Gorden, GA Northeast Georgia Medical Center Gainesville, GA Wellstar Spalding Regional Hospital Griffin, GA Gwinnett Medical Center - Lawrenceville Lawerenceville, GA Dekalb Medical Center - Hillandale Lithonia, GA Coliseum Medical Center Macon, GA Medical Center, Navicent Health (formerly Mccg) Macon, GA Donors Meeting Eligible Death Eligible Def. Deaths Observed Donation Rate Expected Donation Rate Additional Donors under contract with the Health Resources and Services Administration (HRSA). Page: 10

11 B. US Population Density, Deaths, Death Rates, and Donations Table B2. Measures of donation rates by hospital, 01/01/ /31/2017 (continued) Hospital Name City, State Wellstar Kennesne Hospital Marietta, GA Southern Regional Medical Center Riverdale, GA Floyd Medical Center Rome, GA Redmond Regional Medical Center Rome, GA Wellstar North Fuln Hospital Roswell, GA Memorial Health Savannah, GA St. Joseph's Hospital / Candler - Mercy Blvd Savannah, GA St. Joseph's Hospital / Candler - Reynolds St Savannah, GA Eastside Medical Center Snellville, GA Piedmont Henry Hospital Sckbridge, GA Archbold Memorial Hospital Thomasville, GA South Georgia Medical Center Valdosta, GA Housn Medical Center Warner Robins, GA Mayo Clinic Health System Waycross, GA Donors Meeting Eligible Death Eligible Def. Deaths Observed Donation Rate Expected Donation Rate Additional Donors Total under contract with the Health Resources and Services Administration (HRSA). Page: 11

12 C. Organ Utilization Figure C1. Total donors and organs transplanted Donors KI LI HR IN LU PA 0 0 Jan-13 Dec-13 Jan-14 Dec-14 Jan-15 Dec-15 Jan-16 Dec-16 Jan-17 Dec-17 Jan-13 Dec-13 Jan-14 Dec-14 Jan-15 Dec-15 Jan-16 Dec-16 Jan-17 Dec-17 Figure C2. DBD donors and organs transplanted Donors KI LI HR IN LU PA 0 0 Jan-13 Dec-13 Jan-14 Dec-14 Jan-15 Dec-15 Jan-16 Dec-16 Jan-17 Dec-17 Jan-13 Dec-13 Jan-14 Dec-14 Jan-15 Dec-15 Jan-16 Dec-16 Jan-17 Dec-17 Figure C3. DCD donors and organs transplanted Donors KI LI HR IN LU PA 0 0 Jan-13 Dec-13 Jan-14 Dec-14 Jan-15 Dec-15 Jan-16 Dec-16 Jan-17 Dec-17 Jan-13 Dec-13 Jan-14 Dec-14 Jan-15 Dec-15 Jan-16 Dec-16 Jan-17 Dec-17 under contract with the Health Resources and Services Administration (HRSA). Page: 12

13 C. Organ Utilization Table C1. Organ utilization, 01/01/ /31/2017 Organ Organs Authorized Not Recovered* Recovered Not for Transplant* Recovered for Transplant, Not Transplanted* Recovered for Transplant, Transplanted* Heart Intestine Kidney Liver Lung Pancreas *Each liver or pancreas segment is counted separately. Pancreas islet cells are not included. Table C2. Organ specific donation rates per 100 eligible deaths*, 01/01/ /31/2017 Figure C4. Standardized donation rate ratio, 01/01/ /31/2017 Organ Observed Expected P Value Heart Kidney Liver Lung Pancreas <0.01 *Organ-specific rates are calculated as the number of deceased donors meeting eligibility criteria donating at least one organ of that type per 100 eligible deaths. Standardized donation rate ratio HR KI LI LU PA Figure C5. Organs recovered per donor, 01/01/ /31/2017 (unadjusted for donor characteristics) ALL HR IN KI LI LU PA GALL OPO Average under contract with the Health Resources and Services Administration (HRSA). Page: 13

14 C. Organ Utilization Figure C6. Organs transplanted per donor, 01/01/ /31/2017 (unadjusted for donor characteristics) ALL HR IN KI LI LU PA GALL OPO Average Figure C7. Trends in organs transplanted per donor ALL HR IN KI Jan-2013 Dec-2013 Jan-2014 Dec Jan-2015 Dec LI LU PA Jan-2016 Dec-2016 Jan-2017 Dec-2017 under contract with the Health Resources and Services Administration (HRSA). Page: 14

15 C. Organ Utilization Table C3. Observed and expected organ yield, 01/01/ /31/2017 Number of Donors: 592 Aggregate Organ Heart Intestine Kidney Liver Lung* Pancreas Observed Number of Transplanted Organs Expected Number of Transplanted Organs Observed Number of Transplanted Organs per 100 Donors Expected Number of Transplanted Organs per 100 Donors Observed per Expected per 100 Observed Expected (O/E) Ratio P Value < <0.01 <0.01 <0.01 <0.01 *Lung yield is calculated as the number of donors that had at least one lung transplanted. Figure C8. Observed/expected yield by organ, 01/01/ /31/2017 (adjusted) Obs/Exp Ratio Heart Obs/Exp Ratio Intestine Obs/Exp Ratio Kidney Number of Donors Number of Donors Number of Donors Liver Lung Pancreas Obs/Exp Ratio Obs/Exp Ratio Obs/Exp Ratio Number of Donors Number of Donors GALL Other OPOs Number of Donors under contract with the Health Resources and Services Administration (HRSA). Page: 15

16 C. Organ Utilization Figure C9. Trends in tal organs transplanted per DBD/DCD donor 4 Jan-2013 Dec-2013 Jan-2014 Dec-2014 Jan-2015 Dec-2015 Jan-2016 Dec-2016 Jan-2017 Dec DBD(GALL) DBD(US) DCD(GALL) DCD(US) 1.9 Figure C10. Total organs transplanted per DBD donor, 01/01/ /31/2017 (unadjusted for donor characteristics) ALL HR IN KI LI LU PA GALL OPO Average Figure C11. Total organs transplanted per DCD donor, 01/01/ /31/2017 (unadjusted for donor characteristics) Insufficient Data Insufficient Data ALL HR IN 0.8 KI 0.0 LI 0.0 LU 0.00 PA GALL OPO Average under contract with the Health Resources and Services Administration (HRSA). Page: 16

17 D. Description of Donors Recovered by GALL Table D1. Characteristics of all deceased donors recovered, 01/01/ /31/2017 This OPO United States Number of Donors ,971 10,287 Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female Blood Type (%) O A B AB Cause of Death (%) Anoxia Stroke CNS Tumor Head Trauma Other Unknown Donors After Cardiac Death (%) under contract with the Health Resources and Services Administration (HRSA). Page: 17

18 E. Programs Transplanting Organs Procured by GALL Figure E1. Programs transplanting hearts procured by GALL, 01/01/ /31/2017* Location of OPO headquarters * Transplants within the local area of the OPO are not always visible on the map due scale. See Table E1 for full details. Table E1. Programs transplanting hearts procured by GALL, 01/01/ /31/2017 Hospital Name (Code) Geography* Transplants Children's Healthcare of Atlanta at Eglesn (GAEH) Local 2 Emory University Hospital (GAEM) Local 31 Piedmont Hospital (GAPH) Local 9 Baptist Medical Center (ARBH) Regional 2 Florida Hospital Medical Center (FLFH) Regional 2 Jackson Memorial Hospital University of Miami School of Medicine (FLJM) Regional 2 Johns Hopkins All Children's Hospital (FLAC) Regional 3 Tampa General Hospital (FLTG) Regional 3 UF Health Shands Hospital (FLUF) Regional 4 University of Mississippi Medical Center (MSUM) Regional 2 Baptist Memorial Hospital (TNBM) National 2 Children's Hospital Medical Center (OHCM) National 1 Children's Hospital of Michigan (MICH) National 1 Children's Hospital of Pittsburgh of UPMC (PACH) National 1 Children's National Medical Center (DCCH) National 1 Duke University Hospital (NCDU) National 4 Inova Fairfax Hospital (VAFH) National 2 Massachusetts General Hospital (MAMG) National 1 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 18

19 E. Programs Transplanting Organs Procured by GALL Table E1. Programs transplanting hearts procured by GALL, 01/01/ /31/2017 (continued) Hospital Name (Code) Geography* Transplants Medical College of Virginia Hospitals (VAMC) National 3 Montefiore Medical Center (NYMA) National 1 MUSC Children's Hospital (SCCH) National 1 Nationwide Children's Hospital (OHCH) National 1 NY Presbyterian Hospital/Columbia Univ. Medical Center (NYCP) National 1 Saint Thomas Hospital (TNST) National 2 Sentara Norfolk General Hospital (VANG) National 5 St Vincent Hospital and Health Care Center (INSV) National 1 St. Louis Children's Hospital at Washingn University Medical Center (MOCH) National 2 The Cleveland Clinic Foundation (OHCC) National 2 University of Kentucky Medical Center (KYUK) National 5 University of Pittsburgh Medical Center (PAPT) National 2 University of Virginia Health Sciences Center (VAUV) National 1 Vanderbilt University Medical Center and Nashville VA Medical Center (TNVU) National 5 Washingn Hospital Center (DCWH) National 1 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 19

20 E. Programs Transplanting Organs Procured by GALL Figure E2. Programs transplanting intestines procured by GALL, 01/01/ /31/2017* Location of OPO headquarters * Transplants within the local area of the OPO are not always visible on the map due scale. See Table E2 for full details. Table E2. Programs transplanting intestines procured by GALL, 01/01/ /31/2017 Hospital Name (Code) Geography* Transplants University of Alabama Hospital (ALUA) Regional 1 Mount Sinai Medical Center (NYMS) National 2 The Cleveland Clinic Foundation (OHCC) National 1 The Nebraska Medical Center (NEUN) National 1 University of Pittsburgh Medical Center (PAPT) National 1 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 20

21 E. Programs Transplanting Organs Procured by GALL Figure E3. Programs transplanting kidneys procured by GALL, 01/01/ /31/2017* Location of OPO headquarters * Transplants within the local area of the OPO are not always visible on the map due scale. See Table E3 for full details. Table E3. Programs transplanting kidneys procured by GALL, 01/01/ /31/2017 Hospital Name (Code) Geography* Transplants AU Medical Center, Inc. (GAMC) Local 44 Children's Healthcare of Atlanta at Eglesn (GAEH) Local 14 Emory University Hospital (GAEM) Local 100 Piedmont Hospital (GAPH) Local 74 Arkansas Children's Hospital (ARCH) Regional 1 Cleveland Clinic Florida Wesn (FLCC) Regional 16 Gulf Coast Medical Center (FLFR) Regional 1 Jackson Memorial Hospital University of Miami School of Medicine (FLJM) Regional 26 Largo Medical Center (FLLM) Regional 4 Mayo Clinic Florida (FLSL) Regional 5 Ochsner Foundation Hospital (LAOF) Regional 2 Tampa General Hospital (FLTG) Regional 3 Tulane Medical Center (LATU) Regional 1 UAMS Medical Center (ARUA) Regional 2 UF Health Shands Hospital (FLUF) Regional 1 University of Alabama Hospital (ALUA) Regional 3 University of Mississippi Medical Center (MSUM) Regional 3 Willis-Knighn Medical Center (LAWK) Regional 2 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 21

22 E. Programs Transplanting Organs Procured by GALL Table E3. Programs transplanting kidneys procured by GALL, 01/01/ /31/2017 (continued) Hospital Name (Code) Geography* Transplants Banner University Medical Center-Tucson (AZUA) National 2 Brigham and Women's Hospital (MAPB) National 1 Cedars-Sinai Medical Center (CACS) National 1 Children's National Medical Center (DCCH) National 1 Christus Santa Rosa Hospital Medical Center (TXRM) National 1 Erie County Medical Center (NYEC) National 5 Froedtert Memorial Lutheran Hospital (WISE) National 1 Georgewn University Medical Center (DCGU) National 1 Hackensack University Medical Center (NJHK) National 1 Harper University Hospital Detroit Medical Center (MIHH) National 1 Henry Ford Hospital (MIHF) National 1 Integris Baptist Medical Center (OKBC) National 1 Jewish Hospital (KYJH) National 1 Keck Hospital of USC (CAUH) National 1 Lehigh Valley Hospital (PALV) National 1 Loma Linda University Medical Center (CALL) National 1 Lucile Salter Packard Children's Hospital at Stanford (CAPC) National 1 Maine Medical Center (MEMC) National 1 Medical City Dallas Hospital (TXHD) National 3 Medical College of Virginia Hospitals (VAMC) National 2 Medical University of South Carolina (SCMU) National 1 Mercy Health Saint Mary s (MISM) National 1 Methodist Specialty and Transplant Hospital (TXHS) National 1 Montefiore Medical Center (NYMA) National 3 New York-Presbyterian Hospital/Weill Cornell Medical Center (NYNY) National 1 New York University Medical Center (NYUC) National 3 NY Presbyterian Hospital/Columbia Univ. Medical Center (NYCP) National 2 Ohio State University Medical Center (OHOU) National 2 Saint Barnabas Medical Center (NJSB) National 3 Sentara Norfolk General Hospital (VANG) National 1 St John Hospital and Medical Center (MISJ) National 1 Stanford Health Care (CASU) National 1 The Nebraska Medical Center (NEUN) National 1 University Hospital of State University of New York at Sny Brook (NYSB) National 3 University Medical Center of Southern Nevada (NVUM) National 2 University of California at Los Angeles Medical Center (CAUC) National 1 University of California Davis Medical Center (CASM) National 5 University of California Irvine Medical Center (CAIM) National 1 University of California San Francisco Medical Center (CASF) National 4 University of Cincinnati Medical Center (OHUC) National 1 University of Colorado Hospital/Health Science Center (COUC) National 1 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 22

23 E. Programs Transplanting Organs Procured by GALL Table E3. Programs transplanting kidneys procured by GALL, 01/01/ /31/2017 (continued) Hospital Name (Code) Geography* Transplants University of Maryland Medical System (MDUM) National 1 University of Pittsburgh Medical Center (PAPT) National 3 University of Virginia Health Sciences Center (VAUV) National 2 Vanderbilt University Medical Center and Nashville VA Medical Center (TNVU) National 3 Wake Forest Baptist Medical Center (NCBG) National 4 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 23

24 E. Programs Transplanting Organs Procured by GALL Figure E4. Programs transplanting livers procured by GALL, 01/01/ /31/2017* Location of OPO headquarters * Transplants within the local area of the OPO are not always visible on the map due scale. See Table E4 for full details. Table E4. Programs transplanting livers procured by GALL, 01/01/ /31/2017 Hospital Name (Code) Geography* Transplants Children's Healthcare of Atlanta at Eglesn (GAEH) Local 11 Emory University Hospital (GAEM) Local 85 Piedmont Hospital (GAPH) Local 78 Cleveland Clinic Florida Wesn (FLCC) Regional 3 Florida Hospital Medical Center (FLFH) Regional 4 Jackson Memorial Hospital University of Miami School of Medicine (FLJM) Regional 7 Mayo Clinic Florida (FLSL) Regional 16 Ochsner Foundation Hospital (LAOF) Regional 12 Tampa General Hospital (FLTG) Regional 2 Tulane Medical Center (LATU) Regional 1 UAMS Medical Center (ARUA) Regional 1 UF Health Shands Hospital (FLUF) Regional 2 University of Alabama Hospital (ALUA) Regional 6 Willis-Knighn Medical Center (LAWK) Regional 1 Ann & Robert H. Lurie Children's Hospital of Chicago (ILCM) National 1 Children's Hospital Colorado (COCH) National 1 Lahey Clinic Medical Center (MALC) National 1 Memorial Hermann Hospital, University of Texas at Housn (TXHH) National 1 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 24

25 E. Programs Transplanting Organs Procured by GALL Table E4. Programs transplanting livers procured by GALL, 01/01/ /31/2017 (continued) Hospital Name (Code) Geography* Transplants Methodist University Hospital (TNMH) National 1 NY Presbyterian Hospital/Columbia Univ. Medical Center (NYCP) National 1 Rochester Methodist Hospital (Mayo Clinic) (MNMC) National 1 Texas Children's Hospital (TXTC) National 1 The Nebraska Medical Center (NEUN) National 1 UMass Memorial Medical Center (MAUM) National 3 University of Michigan Medical Center (MIUM) National 2 University of Minnesota Medical Center, Fairview (MNUM) National 1 University of North Carolina Hospitals (NCMH) National 1 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 25

26 E. Programs Transplanting Organs Procured by GALL Figure E5. Programs transplanting lungs procured by GALL, 01/01/ /31/2017* Location of OPO headquarters * Transplants within the local area of the OPO are not always visible on the map due scale. See Table E5 for full details. Table E5. Programs transplanting lungs procured by GALL, 01/01/ /31/2017 Hospital Name (Code) Geography* Transplants Emory University Hospital (GAEM) Local 31 Mayo Clinic Florida (FLSL) Regional 6 Tampa General Hospital (FLTG) Regional 9 UF Health Shands Hospital (FLUF) Regional 9 Barnes-Jewish Hospital (MOBH) National 2 Duke University Hospital (NCDU) National 7 Indiana University Health (INIM) National 5 Inova Fairfax Hospital (VAFH) National 2 Jewish Hospital (KYJH) National 2 Johns Hopkins Hospital (MDJH) National 4 Loyola University Medical Center (ILLU) National 2 Northwestern Memorial Hospital (ILNM) National 4 NY Presbyterian Hospital/Columbia Univ. Medical Center (NYCP) National 2 Ohio State University Medical Center (OHOU) National 1 Temple University Hospital (PATU) National 1 Texas Children's Hospital (TXTC) National 2 The Cleveland Clinic Foundation (OHCC) National 8 University of Kentucky Medical Center (KYUK) National 2 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 26

27 E. Programs Transplanting Organs Procured by GALL Table E5. Programs transplanting lungs procured by GALL, 01/01/ /31/2017 (continued) Hospital Name (Code) Geography* Transplants University of Maryland Medical System (MDUM) National 2 University of North Carolina Hospitals (NCMH) National 2 University of Pittsburgh Medical Center (PAPT) National 9 University of Virginia Health Sciences Center (VAUV) National 2 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 27

28 E. Programs Transplanting Organs Procured by GALL Figure E6. Programs transplanting pancreata procured by GALL, 01/01/ /31/2017* Location of OPO headquarters * Transplants within the local area of the OPO are not always visible on the map due scale. See Table E6 for full details. Table E6. Programs transplanting pancreata procured by GALL, 01/01/ /31/2017 Hospital Name (Code) Geography* Transplants AU Medical Center, Inc. (GAMC) Local 2 Emory University Hospital (GAEM) Local 12 Piedmont Hospital (GAPH) Local 4 Jackson Memorial Hospital University of Miami School of Medicine (FLJM) Regional 1 Willis-Knighn Medical Center (LAWK) Regional 1 The Nebraska Medical Center (NEUN) National 1 * Local = within same DSA; Regional = within same OPTN region, but not same DSA; National = not within same DSA or OPTN region under contract with the Health Resources and Services Administration (HRSA). Page: 28

29 F. Transplants Facilitated by GALL Table F1. Characteristics of deceased donor heart-lung recipients This OPO United States Total Number of Transplants Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female Blood Type (%) O A B AB Primary Cause of Disease (%) Congenital Disease Primary Pulmonary Hypertension Cystic Fibrosis Idiopathic Pulmonary Fibrosis Alpha-1-Antitrypsin Deficiency Emphysema/COPD Retransplant/Graft Failure Other Missing under contract with the Health Resources and Services Administration (HRSA). Page: 29

30 F. Transplants Facilitated by GALL Table F2. Characteristics of deceased donor heart recipients This OPO United States Total Number of Transplants ,185 3,237 Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female Blood Type (%) O A B AB Medical Urgency Status (%) 1A B Other Primary Cause of Disease (%) Cardiomyopathy Coronary Artery Disease Valvular Heart Disease Congenital Heart Disease Retransplant/Graft Failure Other Missing under contract with the Health Resources and Services Administration (HRSA). Page: 30

31 F. Transplants Facilitated by GALL Table F3. Characteristics of deceased donor intestine recipients This OPO United States Total Number of Transplants Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female Blood Type (%) O A B AB Primary Cause of Disease (%) Short Gut Syndrom Functional Bowel Problem Other Missing under contract with the Health Resources and Services Administration (HRSA). Page: 31

32 F. Transplants Facilitated by GALL Table F4. Characteristics of deceased donor kidney recipients (demographic) This OPO United States Total Number of Transplants ,430 14,037 Race (%) White African-American Hispanic/Latino Asian Other Unknown Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female under contract with the Health Resources and Services Administration (HRSA). Page: 32

33 F. Transplants Facilitated by GALL Table F5. Characteristics of deceased donor kidney recipients (clinical) This OPO United States Total Number of Transplants ,430 14,037 Blood Type (%) O A B AB Calculated Panel Reactive Antibody (CPRA%) Primary Cause of Disease (%) Glomerular Diseases Tubular and Interstitial Disease Polycystic Kidneys Congenital, Familial, Metabolic Diabetes Renovascular & Vascular Diseases Neoplasms Hypertensive Nephrosclerosis Other Kidney Missing under contract with the Health Resources and Services Administration (HRSA). Page: 33

34 F. Transplants Facilitated by GALL Table F6. Characteristics of deceased kidney-pancreas recipients This OPO United States Total Number of Transplants Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female Blood Type (%) O A B AB Calculated Panel Reactive Antibody (CPRA%) under contract with the Health Resources and Services Administration (HRSA). Page: 34

35 F. Transplants Facilitated by GALL Table F7. Characteristics of deceased donor liver recipients (demographic) This OPO United States Total Number of Transplants ,495 7,715 Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female under contract with the Health Resources and Services Administration (HRSA). Page: 35

36 F. Transplants Facilitated by GALL Table F8. Characteristics of deceased donor liver recipients (clinical) This OPO United States Total Number of Transplants ,495 7,715 Blood Type (%) O A B AB Medical Urgency Status (%) Status 1A Status 1B MELD MELD MELD MELD MELD PELD <= PELD PELD PELD PELD >= Primary Cause of Disease (%) Acute Hepatic Necrosis Non-Cholestatic Cirrhosis Cholestatic Liver Disease/Cirrhosis Biliary Atresia Metabolic Diseases Malignant Neoplasms Other Missing under contract with the Health Resources and Services Administration (HRSA). Page: 36

37 F. Transplants Facilitated by GALL Table F9. Characteristics of deceased donor lung recipients This OPO United States Total Number of Transplants ,325 2,449 Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female Blood Type (%) O A B AB Primary Cause of Disease (%) Congenital Disease Primary Pulmonary Hypertension Cystic Fibrosis Idiopathic Pulmonary Fibrosis Emphysema/COPD Retransplant/Graft Failure Other Missing under contract with the Health Resources and Services Administration (HRSA). Page: 37

38 F. Transplants Facilitated by GALL Table F10. Characteristics of deceased donor pancreas recipients This OPO United States Total Number of Transplants Race (%) White African-American Hispanic/Latino Asian Other Age (%) 0-1 Years Years Years Years Years Years Years Gender (%) Male Female Blood Type (%) O A B AB Calculated Panel Reactive Antibody (CPRA%) under contract with the Health Resources and Services Administration (HRSA). Page: 38

39 G. Counties Served by GALL Table G1. Counties served by GALL State Name County Name County FIPS Shared with Georgia Appling County Georgia Atkinson County Georgia Bacon County Georgia Baker County Georgia Baldwin County Georgia Banks County Georgia Barrow County Georgia Barw County Georgia Ben Hill County Georgia Berrien County Georgia Bibb County Georgia Bleckley County Georgia Brantley County Georgia Brooks County Georgia Bryan County Georgia Bulloch County Georgia Burke County Georgia Butts County Georgia Calhoun County Georgia Camden County Georgia Candler County Georgia Carroll County Georgia Caosa County Georgia Charln County Georgia Chatham County Georgia Chatoga County Georgia Cherokee County Georgia Clarke County Georgia Clay County Georgia Clayn County Georgia Clinch County Georgia Cobb County Georgia Coffee County Georgia Colquitt County Georgia Columbia County Georgia Cook County Georgia Coweta County Georgia Crawford County Georgia Crisp County Georgia Dawson County Georgia Decatur County Georgia DeKalb County under contract with the Health Resources and Services Administration (HRSA). Page: 39

40 G. Counties Served by GALL Table G1. Counties served by GALL (continued) State Name County Name County FIPS Shared with Georgia Dodge County Georgia Dooly County Georgia Dougherty County Georgia Douglas County Georgia Early County Georgia Echols County Georgia Effingham County Georgia Elbert County Georgia Emanuel County Georgia Evans County Georgia Fannin County Georgia Fayette County Georgia Floyd County Georgia Forsyth County Georgia Franklin County Georgia Fuln County Georgia Gilmer County Georgia Glascock County Georgia Glynn County Georgia Gordon County Georgia Grady County Georgia Greene County Georgia Gwinnett County Georgia Habersham County Georgia Hall County Georgia Hancock County Georgia Haralson County Georgia Harris County Georgia Hart County Georgia Heard County Georgia Henry County Georgia Housn County Georgia Irwin County Georgia Jackson County Georgia Jasper County Georgia Jeff Davis County Georgia Jefferson County Georgia Jenkins County Georgia Johnson County Georgia Jones County Georgia Lamar County Georgia Lanier County under contract with the Health Resources and Services Administration (HRSA). Page: 40