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Improving Transplant Outcomes Through Shared Imaging

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Improving Transplant Outcomes Through Shared Imaging

Old Dominion University
Health Informatics
CHP 485
Dr. Ann Marie Kopitzke

IMPROVING TRANSPLANT OUTCOMES THROUGH SHARED IMAGING
“Organ donation and transplantation have saved countless lives.”(New York Organ Donor Network, 2012, p. 1) When organ transplant first started, organ allocation started simply with calling local or regional transplant centers to offer an available organ. Today, the organ allocation system is much more complex and utilizes multiple platforms to ensure the best possible placement of a transplantable organ. Currently, the United Network of Organ Sharing (UNOS) is the federally designated entity that maintains the organ waiting list and allocation system. The UNOS system is similar to a clinical data warehouse (CDW), which “is a shared database that collects, integrates and stores clinical data from a variety of sources including electronic health records, radiology and other information systems.” (Hoyt, Yoshihashi, & Bailey, 2007, p. 45) The system not only stores information about organ donors and potential transplant recipients, it also maintains the waiting list and “generates a ranked list of candidates for each available organ in ranked order according to OPTN organ allocation policies.” (UNOS, n.d., p. 1)
The UNOS data warehouse is a great system, but lacks one key piece of technology that would allow transplant centers to more quickly and efficiently evaluate an organ. For example, current standards for heart evaluation require an echocardiogram and possibly a cardiac catheterization. A local (and usually a non-transplant) physician interprets the studies and dictates his or her impression and findings. The results are then uploaded to the UNOS computer program called DonorNet. The transplant physician will base the decision to transplant the heart based on this

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