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Howard K. Koh, MD, MPH, Marsha D. Jacobson, MBA, Anne Marie Lyddy, MHA, Kevin J. O’Connor, MS, Sean M. Fitzpatrick, MPA, Milly Krakow, PhD, Christine M. Judge, MS, Hillel R. Alpert, ScM and Richard S. Luskin, MPA

Howard K. Koh, Christine M. Judge, and Hillel R. Alpert are with the Division of Public Health Practice, Harvard School of Public Health, Boston, Mass. At the time of the study, Marsha D. Jacobson and Anne Marie Lyddy were with the New England Organ Bank, Newton, Mass. Kevin J. O’Connor, Sean M. Fitzpatrick, and Richard S. Luskin are with the New England Organ Bank, Newton. At the time of the study, Milly Krakow was an independent consultant for the Massachusetts Department of Public Health, Boston.

Correspondence: Requests for reprints should be sent to Howard K. Koh, MD, MPH, Division of Public Health Practice, Harvard School of Public Health, 677 Huntington Ave, Landmark Center, 3rd Fl East, Boston, MA 02115 (e-mail: hkoh{at}hsph.harvard.edu).

Despite the growing disparity between organ supply and demand in the United States, few initiatives have attempted to close the gap through systematic population-based public health endeavors.

We examined the evolution, implementation, and outcomes of the Massachusetts Organ Donation Initiative, a statewide effort that included a unique partnership among organ procurement organizations, major teaching hospitals, and the state’s department of public health. Lessons from this initiative have contributed to growing national efforts for increasing organ supply and have provided insights for addressing this continuing public health challenge.

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