Effective Management in the Tissue Banking and Organ Procurement Industry: An Analysis

Article excerpt

This paper is the product of a comprehensive review of four computerized data bases - CINAHL, MEDLINE, PROQUEST and EBSCO. It emphasizes the critical importance of collaboration between hospitals and the tissue and organ industry and how this can be achieved in an ethical manner. Building upon research related to total quality management and Mintzberg's behavioral approach, specific actions managers can do to be effective in the industry that will be emphasized include defining and prioritizing long term objectives, developing strategies for implementation, establishing standards of performance, determining the means to be used in measuring performance, evaluating performance and providing feedback.

Introduction

Medical advancements related to stem cells, the human genome, and mechanical devices show great promise for saving and prolonging lives in the future. However, the best science we have for replacing failing organs is the transplantation of organs and tissues. There are approximately 90,000 patients with end-stage organ failure that remain on the US Organ Procurement and Transplantation Network waiting list for organ transplantation (United Network for Organ Sharing, 2005). Although about 68 people receive an organ transplant every day in the United States an average of 17 people die each day waiting for a transplant which is approximately 6,000 people each year. The organ procurement organization (OPO) is one of the important members of a successful transplant program.

The OPO is an organization that performs and coordinates the procurement, preservation and transportation of organs and maintains a system for locating prospective recipients for available organs. Although all OPOs have a great deal in common, no two OPOs are exactly alike. Some OPOs recover only organs and some recover organs and tissue. Some OPOs recover tissue and send it out for processing and distribution, while other OPOs recover, process and may even distribute the tissue. For this paper, the model used is the effective management of both tissue banking and organ procurement.

Tissue Banking and Organ Procurement

The tissue banking and organ procurement organization is dedicated to achieving the donation of life-saving and life-enhancing organs and tissues for those in need of transplants. They provide a sense of purpose and comfort to those families that are served in the community. The tissue banking and organ procurement management team identifies potential donor families and helps them, despite their grief, to understand and consent to life-giving organ and tissue donations. They also lead the grieving families sensitively through the donation process. The management team will also educate the general public about the critical need for organ and tissue donation.

The tissue banking and organ procurement industry has an administration and governing board that is made up of several key members. They consist of Hospital Administrators, ICU or Emergency Room Personnel, Tissue Bank Personnel, Physicians with knowledge of Histocompatability, Neurosurgeon or physician with knowledge of neuroscience, a transplant surgeon from each transplant center, a perioperative specialists and an organ donor family member (One legacy, 2006).

A tissue banking and organ procurement organization is like any other business it usually has a Chief Executive Officer (CEO), Chief Financial Officer (CFO), Chief Operating Officer (COO), Director of Human Resources, Director of Marketing, Director of Public Relations, Director of Communications and Manager of Information Services. In addition the tissue banking and organ procurement industry will have a Hospital Services Director, Director of Family Services, Manager of Organ and Tissue Placement, Procurement Transplant Coordinators and Assistant Procurement Transplant Coordinators (Organ Procurement and Transplantation Network, 2006).

Regulatory Requirements

The Tissue Banking and Organ Procurement Organizations are regulated with standards that are set forth by the Federal Government such as the U. …