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Transcript of Health and Consumers Health and Consumers Premysl Fryda, KST, Prague, CZ Brussels, 10-11 September...
Health andConsumers
Health andConsumers
Premysl Fryda, KST, Prague, CZBrussels, 10-11 September 2014
55..11..11. National Action Plan –. National Action Plan – CZECH REPUBLICCZECH REPUBLIC
9th Meeting of National Competent Authorities
for Organ donation & transplantation
European Commission
Directorate-General for Health & Consumers
Unit D4 - Substances of Human Origin Team
Health andConsumers
Health andConsumers
Czech Republic: facts and figures
•Population 10.5 million
•7 transplant centers (2 multi-organ)
•Transplant programmes: kidney, heart, lungs, liver, pancreas
•Deceased donors: 20.6 pmp (2014)
•Living donors: 7.7 pmp (2014)
•Kidney waiting list: + 500
•GDP: 25 000 US$ per capita
•Big Mac index: 3,6 US$ (- 22%)
Health andConsumers
Health andConsumers
Statistics: Hearts 2004 - 2013
Health andConsumers
Health andConsumers
Statistics: Kidney 2003 - 2013
Health andConsumers
Health andConsumers
The EC Action Plan
•Communicated Dec. 2008
•3 Main Challenges:
- Increasing organ availability - Efficiency and accessibility - Quality and safety
•10 Priority Actions
•Mid-term review
Health andConsumers
Health andConsumers
The EC Action Plan
•Communicated Dec. 2008
•3 Main Challenges:
- Increasing organ availability - Efficiency and accessibility - Quality and safety
•10 Priority Actions
•Mid-term review
The Czech National Action Plan
•Approved by the Govt. May 2010
•3 Specific Areas:
- National Donor Program - Legislation - International cooperation
•14 Key Elements
•Regular annual evaluation
Health andConsumers
Health andConsumers
Priority action 1:promote the role of transplant donor coordinators
• Cooperation with the Ministry, health insurance, medical associations, patients societies
• Job description of „donor consultants“ prepared (DC)
• Health insurance DC codes approved
• Rules for DC´s remuneration formulated
• During 2011-2012, 208 physicians and hospital officials trained in total
• The Parliament turned down proposal for DC´s in all hospitals
• Part-time DC approx. in 1/3 hospitals
• Potential donors being indicated from „new“ hospitals
Health andConsumers
Health andConsumers
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Priority action 2: Promote Quality Improvement Programmes
• Quality and safety (QaS) standards prepared and maintained
• ISO 9001 or national equivalent in all transplant centers
• KST preparing General Working Procedures for transplant centers
• System for reporting/evaluation SAR/E introduced
• KST + MoH auditing transplant centers
Health andConsumers
Health andConsumers
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Priority Action 3: Exchange of best practices on living donation programmes; Support registers of living donors
• Regular monthly meetings of TC coordinators and KST
• Project MODE – exchange of best practices (Portugal)
• Financial incentives:
• lost income refund for living donors
• income tax statement deduction for living donors
• National Register of Donors
• Automatically linked with the police register (deceased)
• Increase of living donors from 17 (2010) to 83 (2013)
Health andConsumers
Health andConsumers
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Priority Action 4: Improve the knowledge and communication skills of health professionals and patient support groups
• Training courses for health professionals
• KST publishing official statements on hot issues
• KST publishing info newsletter
• TV, radio, newspaper, journal interviews
• KST having organized a concert and a holly mess for organ donors
Health andConsumers
Health andConsumers
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Priority Action 5: Facilitate the identification of organ donors across Europe
• Legislative regulations for non-residents on WL
• Procurement from foreign deceased donors possible
• SOP for identification of donor, relatives
• Analysing cross border organ exchange conditions (COORENOR)
• Preparing the FOEDUS IT portal and mobile application
Health andConsumers
Health andConsumers
Priority Action 6: Enhancing the organisational models in the EU MS
• Utilization of marginal donors (mean donor age in 2013 – 51 years)
• Donors age group 60+ (mean age - 68)
• Healt Insurance covering pulsatile perfusion
• Ex Vivo Lungs Perfusion, Heart Mate
• MODE project – exchanging best practices
Health andConsumers
Health andConsumers
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Priority Action 7: Promote EU-wide agreements on aspects of transplant
medicine
• KST agreements with PL, IT, HU, ETI
• KST observer in SAT
• Active participation in ETN, BSA, DOPKI, EOEO, EUROCET, IRODAT, SOHO, MODE, COORENOR, FOEDUS, ACCORD ...
• WP leader in EU projects
Health andConsumers
Health andConsumers
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Priority Action 8: Facilitate the interchange of organs between national authorities
• Enhanced participation in international projects
• Analysing conditions for international organ exchange (COORENOR)
• Launching 1.0 version of IT Portal
• Upgrading the IT Portal (FOEDUS):• OREXIS – Organ Exchange Information System
• ETMA – European Transplant Mobile Application
• EUROTIP – European Transplant Information Portal
Health andConsumers
Health andConsumers
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Priority Action 9: Evaluation of post-transplant results
• Follow-up in each transplant center :
• Within 2 weeks after release of a recipient
• Regularly – annual
• Reported to the Czech Transplant Society
• All performed transplantations registered in the National Register
• Follow-up recently audited in two biggest transplant centers by an international auditing team (ACCORD) - OK
Health andConsumers
Health andConsumers
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Priority Action 10: Promote a common accreditation system for organ donation/procurement and transplantation programmes
• 6 KST coordinators passed international TPM courses
• 5 KST coordinators on study visits to NTO´s in IT, SP, SLO, PT
• KST audited by international auditors (ACCORD)
• 3 specialists passed training course for international transplant auditors
• KST regularly audited ISO 9001, ISO 27001
• 2 Czech transplant centers passed international audits (ACCORD)
Health andConsumers
Health andConsumers
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SUMMARY
National Action Plan Priority AP - PA
OK
National Donor Program
Education of professional public 1, 2 Donor consultants in all hospitals 1 International certification of coordinators 10 Public awareness and support 4 Improving quality of TX centers 1, 6 Follow-up registries 9 Marginal donors 6
LegislationForeign donors 5, 8 Financial incentives for donors/relatives 3, 6 Management of quality 2, 10 Legislative awareness 1, 4
International cooperationParticipating in international projects 7, 8 Suppressing negative aspects 7 Best practices sharing 2, 3
Health andConsumers
Health andConsumers
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Health andConsumers
Health andConsumers
Thank you!