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Region 7 Meeting

Region 7 Meeting. Julie Heimbach, MD Regional Councillor. Purpose of Regional Meeting. Discuss regional business Provide updates on OPTN/UNOS committee activities and projects Discuss and comment on proposed policies and bylaws. Regional Business.

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Region 7 Meeting

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  1. Region 7 Meeting Julie Heimbach, MD Regional Councillor

  2. Purpose of Regional Meeting • Discuss regional business • Provide updates on OPTN/UNOS committee activities and projects • Discuss and comment on proposed policies and bylaws

  3. Regional Business • Summary of Spring and Fall 2015 regional meeting • Includes sponsoring committee’s response to regional comments • Board action on each proposal

  4. June Board – Regional Comments Improving the OPTN Policy Development Process • No change post public comment - Approved Proposal to Establish a Quality Assurance and Performance Improvement Requirement for Transplant Hospitals and Organ Procurement Organizations • Modified proposal to require a QA plan but all details removed – Approved Definition of a Transplant Hospital • Not submitted to the Board Proposal to Implement Pre-transplant Performance Review by the Membership and Professional Standards Committee • Not submitted to the Board

  5. Proposal for the Definition of Pancreas Graft Failure • Modified post public comment to address concerns– Approved Proposed Changes to the OPTN Bylaws Governing Histocompatibility Laboratories • No modifications post public comment - Approved Policy Rewrite Parking Lot “Quick Fixes” • Final proposal did not include HCC modifications – Approved Proposal to Establish Pediatric Training and Experience Requirements in the Bylaws • Proposal submitted for reconsideration Fall 2015 Proposal to Require Re-Execution of the Match Run when a Deceased Donor’s Infectious Disease Results Impact Potential Recipients based upon Screening Preferences • Modified post public comment to address concerns - Approved

  6. Regional Business • Spring meeting date: February 18th in Chicago • Spring public comment: January 25-March 25 • Check Transplant Pro website for regional meeting date • Spring proposals will be reviewed by the OPTN/UNOS Board in June

  7. Regional Meeting Attendance Nationaly

  8. OPTN/UNOS Committee Nominations • Deadline for regional representative nominations: October 15 • Nomination announcement with link to online bio form is posted on the Transplant Pro website • Nominations reviewed by regional nominating committee • Regional recommendations considered by OPTN/UNOS President-Elect • Appointments in April for terms beginning July 1

  9. OPTN/UNOS Committee Nominations • Minority Affairs • OPO • Pancreas • Thoracic • Transplant Administrators

  10. Institutional Participation in Committee Process

  11. Associate Councillor • Regional representative to the MPSC for a 2-year term (2016-2018) • Councillor position for additional 2 years • Moderate regional meetings • Represent the region on the Board of Directors • Election process • Call for nominations will be sent on 10/15– deadline October 30 • Regional Guidelines – Nominee should be from Illinois • If needed the regional nominating committee develops the slate • Ballot sent to regional voting representatives

  12. Histocompatibility Committee Representative • Serves a *2-year term on the Histocompatibility Committee • Call for nominations will be sent on October 15 to labs, deadline is October 30 • Election: slate will include the 2 nominees who receive the most nominations, ballot sent to independent lab voting representatives

  13. Regional Data

  14. Waiting List National Trends • Overall waiting list additions increased for third year in a row • Slight decrease in both Kidney and Liver additions. • Heart additions saw most significant increase. • Total and active registrations at year end peaked again in 2014

  15. Waiting List Registrations 2005-2014Region 7

  16. Waiting List Registrations 2005-2014Region 7

  17. Waiting List Registrations 2005-2014Region 7

  18. Waiting List Registrations 2005-2014Region 7

  19. Donor and Transplant Data

  20. National Trends • Deceased donors increased by 4.0% (8,596 from 8,268), and increased donor transplants decreased by 2.4% from 2013 • increases in DCD, SCD donors • DCD donors now comprise 15% of deceased donors overall (ranges from 7%-32% by region) • 2.8% decrease in living donation from 2013-2014.

  21. Deceased Donation 2013-2014U.S.

  22. Deceased Donation 2013-2014Region 7

  23. Deceased and Living Donors2005-2014U.S.

  24. Deceased and Living Donors2005-2014Region 7

  25. Deceased Donors by Type2005-2014U.S. 7%

  26. Deceased Donors by Type2005-2014Region 7 3%

  27. Percent Change in Deceased Donors and Organs Recovered/Transplanted 2013 – 2014 - Region 7

  28. Region 7 Deceased Donors Recovered Deceased Donor Organs Recovered Deceased Donor Organs Transplanted Deceased Donor OTPD

  29. What should we be looking at??

  30. UNOS Update Brian Shepard UNOS Executive Director Region 7

  31. OPTN and UNOS Strategic Planning

  32. 2012 v. 2015 Goals

  33. Feedback from Regional Surveys

  34. Re-Balancing Resource Allocation 2015-2016 allocation of effort: Increase transplants 40% Provide equity 30% Improve outcomes 15% Promote safety 10% Promote efficiency 5%

  35. Committee Project Portfolio

  36. Metrics and quality improvement

  37. MPSC Outcomes workgroup

  38. OPO evaluations

  39. Member Quality Pilot

  40. Real Life Lessons

  41. OPTN/UNOS Finance Update

  42. OPTN Revenue: Registrations

  43. OPTN Funding • The OPTN contract is funded with OPTN registration fees and federal appropriations • 2016 OPTN budget is $49,497,000. $44,876,000 in OPTN fees for operations $ 3,500,000 in federal appropriations for operations $ 1,121,000 to OPTN fees for reserves • 2015 OPTN budget was $48,313,000. $43,623,000 in OPTN fees for operations $ 3,000,000 in federal appropriations for operations $ 1,690,000 in OPTN fees for reserves

  44. Fees • Combined OPTN and UNOS fees remain at $957. • OPTN fee increased $19, while UNOS fee declined $19. • $20 of each registration fee is dedicated to OPTN reserves. • $20 of each registration fee is dedicated to UNOS reserves.

  45. Projected Costs and Fees

  46. UNOS IT update

  47. Membership Screening for Kidney and Pancreas Revise the Lung Allocation Score (LAS) Pediatric Lung Other Specify Diagnosis Require HLA C and DQB (First Increment) Tiedi OMB Form Changes Living Liver Donor Follow-up Potential Derived Disease Transmission Reporting Pediatric Liver – Remove ICU Requirements Pediatric Liver – Revise Hepatoblastoma Requirements Update HLA Equivalency Tables 2015 IT Releases • Update HLA Equivalency Tables • Transnet Android National Deployment • Transnet Web OPO Functionality • Match Run Changes • HOPE ACT membership application (internal) • Comprehensive Histo Rewrite • Deceased Donor Updates • Transnet iPad (Beta release) • Infectious Disease • Transnet TxC Match/Receipt

  48. 2015 Board Project Plan

  49. iPad • User Acceptance Testing (UAT) – July 2015 • Production release – Q4 • Mobile Phones (iPhone6 & 6-Plus, corresponding Android phones) • Start Development – August 2015 • UAT – Late 2015/early 2016 • Production release – Q2 2016 • Transplant Center Functionality • Completed requirement gathering • Start development – June 2015 • Beta test (3 centers) – August 2015

  50. Board Project Service Level Objective • Approved projects start prior to next Board meeting • No projects are ever older than 12 months 100% of Projects Complete 90% of Projects Complete 95% of Projects Started 50% of Projects Started Board Approval Time T=0 T= 3 months T= 6 months T= 9 months T= 12 months

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