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This update focuses on improving IT governance, performance, and finance within UNOS to streamline operations and enhance overall efficiency. Suggestions include refining governance thresholds, enhancing software development processes, and securing adequate funding for key projects.
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UNOS Regional Update Chair John Roberts, MD Region 7 April 28, 2013
IT improvements • Governance • Performance • Finance
IT Governance • Establish thresholds for acceptable programming backlog, and for acceptable timeframe between BOD approval and implementation • Provide committees with ongoing input from IT staff to better understand the cost of options under consideration • Require committee projects to be presented with more complete programming requirements, which will allow for more accurate financial estimates • Create a step during the Board meeting where BOD explicitly discusses the cumulative financial impact of potential new projects
IT performance Approach new software development as a distinct skill set • Hire a director with commercial software development experience • Create a separate department within UNOS IT for new software delivery • End the practice of using new software developers and maintenance developers interchangeably
IT Finance Identify resources for developing and maintaining both applications and infrastructure • Board should approve sufficient funding to implement a five-year plan to eliminate the project backlog, complete Tiedi and DonorNet overhauls, support new Board projects, and support maintenance • Projected fee increase above 2012 baseline (includes OPTN and UNOS fees):
Measurement improvements • Combined dashboard • Improved PSRs • Better tools for programs
Measurement improvements • Site survey frequency • Targeted approach • CMS collaboration
Improving policy • Systems engineering • Geographic distribution • Process committee • Currency review
Improving education • Webcasts • Document library • Sample forms
New OPTN contract • Patient Safety • KPD • VCA • LD registry
Questions? John P. Roberts, M.D.OPTN/UNOS PresidentJohn.Roberts@ucsfmedctr.org