Breakthrough Collaborative term. A strategy in the OTBC Change Package where transplant programs work to optimize organ acceptance and success rates for each organ type. The purposes of the Pull Strategy are to:

• Evolve an effective game plan for accepting all organs
• Understand and guide the capacity to transplant more organs in the DSA
• Maximize the likelihood of patients having a successful transplant rather than dying on the waiting list
• Assure transplant program practice is as aggressive as possible
• Create relationships with OPOs in other DSAs to assure the capacity to receive organs is fully utilized.