Quality Performance Management in the Tuscany Procurement and Transplant System: A Reporting and Monitoring Approach.

Abstract

Objectives: The Tuscany Region has an annual number of donors of about 100 donors per million population, whereas transplant activity is about 80 per million population. We aimed to describe the reporting and monitoring approach for assessment of quality performance implemented since 2022 by the Tuscany Procurement and Transplant Center and the effects of this reporting and monitoring approach on donation and transplant activity in 2024. The goal of this approach was to maintain donation activity and increase transplant activity.

Materials and methods: For the Tuscany reporting approach, the Tuscany Procurement and Transplant Center measures indicators, which are transmitted monthly to hospital management staff, transplant coordinators, and transplant centers. Data sources are donor electronic files.

Results: From January to November 2024, 352 donors were assessed (utilization rate 92%). Donation activity in the Tuscany Region was comparable in 2024 versus in 2023 (101.2 vs 103 per million population). Controlled donations after circulatory death increased (+13). The number of actual donors and utilization rate of organs showed an increase compared with 2023. In 2024, 336 transplants were performed by Tuscany transplant centers, 74 transplants more than in 2023. Transplant activity was therefore 91.3 per million population versus 80 per million population in the Tuscany Region in 2023.

Conclusions: The reporting and monitoring approach led to the maintenance of a high donation activity (about 100 donors per million population) and an increase in transplant activity in Tuscany. This approach was shown to be effective and efficacious for the solid-organ donation and transplant system in Tuscany.