OPO performance improvement and increasing organ transplantation: Metrics are necessary but not sufficient.

In this issue, Doby et al describe a performance improvement initiative in a single OPO using the CALC method to identify opportunities for improvement and report an increase in organ donors of 44% and organs transplanted of 29% for the 12 month period ending 9/30/2020, as a result of targeted practice changes (1). The CALC analysis for the study OPO identified an opportunity for increasing the number of donors aged 50-64 and 65-75 years.