*Purpose: To provide a pathway to increase living donor liver transplantation (LDLT) opportunities through creation of a simple workflow algorithm embedded within the EPIC electronic medical record (EMR) to track patients and identify barriers and strategies for improvement.

*Methods: A formalized workflow, incorporating specialized EPIC EMR reporting and documentation tools, was developed for identification of candidates eligible for LDLT and monitoring their flow through an education and engagement program that included use of DONOR¹ app. This was ultimately linked to donor inquiry data tracking (Figure 1). Reports were analyzed to observe participation and impact of the programs.

*Results: In November 2021, 71 (62.3%) of 114 liver waitlist registrants were eligible to receive a LDLT. Of these 71 candidates, only 27 (38%) attended an intensive evening education program. A total of 32 (45.1%) were interested in taking action to find a living donor and consented to the donor app, however only 15 of these 32 went on to create and publish a post. Only 10% of eligible candidates ultimately had a potential donor come forward.

*Conclusions: Transplant centers performing LDLT can utilize an EMR embedded workflow to identify center activities surrounding opportunities for candidates to obtain a living donor. Despite offering a very comprehensive education program and a software application to aid in identification of potential donors there are barriers to candidates both receiving the education and taking action. This process of workflow analysis permits transplant programs to review clinical variables, social determinants of health, and patient preference for utilization of offered resources, thereby enabling the creation of more targeted education and support efforts to maximize LDLT opportunities across the entirety of their liver waitlist.

¹https://www.thedonorapp.com/en/

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