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UNOS Regional Update: Enhancing IT Governance, Performance, and Finance Strategies

This update from Chair John R. Lake, MD, Region 9 on May 8, 2013 focuses on IT improvements, governance enhancements, performance strategies, and financial considerations within UNOS. Key recommendations include setting programming backlog thresholds, ensuring comprehensive programming requirements, and emphasizing financial estimates for committee projects. The update also suggests approaching software development as a distinct skill set, allocating resources for applications and infrastructure, and approving adequate funding for future initiatives. It highlights the projected fee increase and emphasizes measuring improvements, enhancing policies, advancing education platforms, and implementing new OPTN initiatives. Additionally, collaborative efforts with CMS and process committee refinements are encouraged for better program outcomes.

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UNOS Regional Update: Enhancing IT Governance, Performance, and Finance Strategies

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  1. UNOS Regional Update Chair John R. Lake, MD Region 9 May 8, 2013

  2. IT improvements • Governance • Performance • Finance

  3. 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

  4. 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

  5. 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):

  6. Measurement improvements • Combined dashboard • Improved PSRs • Better tools for programs

  7. Measurement improvements • Site survey frequency • Targeted approach • CMS collaboration

  8. Improving policy • Systems engineering • Geographic distribution • Process committee • Currency review

  9. Improving education • Webcasts • Document library • Sample forms

  10. New OPTN contract • Patient Safety • KPD • VCA • LD registry

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