Canadian Blood Services works with the Organ and Tissue Donation and Transplantation (OTDT) community to improve national system performance. We do this through the development of leading practices, professional education, public awareness and data analysis and reporting. We also manage clinical programs that support interprovincial sharing of organs. The Kidney Paired Donation (KPD) program is a living donation program that looks for compatible transplants created through chains of paired donation from otherwise incompatible pairs. The Highly Sensitized Patient (HSP) program is a program that improves chances of a kidney transplant for hard to match patients. The National Organ Waitlist (NOW), is a real-time data source for non-renal patients throughout Canada. The Canadian Transplant Registry, a national web-based computer program that facilitates the interprovincial sharing of organs and provides real-time access for both transactional data and data for analytics and reporting, supports all programs.