1 / 16

Liver and Intestinal Organ Transplantation Committee Spring 2014

Proposed Membership and Personnel Requirements for OPTN Designation & Approval of Intestine Transplant Programs. Liver and Intestinal Organ Transplantation Committee Spring 2014. Problem Statement.

debrahoward
Download Presentation

Liver and Intestinal Organ Transplantation Committee Spring 2014

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Proposed Membership and Personnel Requirements for OPTN Designation & Approval of Intestine Transplant Programs Liver and Intestinal Organ Transplantation Committee Spring 2014

  2. Problem Statement • No OPTN/UNOS requirements exist regarding who may perform intestine transplants and care for intestine transplant recipients • Currently, any transplant program that is approved to perform liver transplants can perform intestinal transplants upon submitting a written request to UNOS membership department

  3. Goals of the Proposal • Define a designated intestine transplant program • Establish minimum qualifications for primary intestine transplant surgeons and physicians • Done without compromising quality or restricting new program formation

  4. Additional Background • Prior Proposal: August 2006 • Not well-supported, withdrawn • Concerns from 2006: • Many well-qualified programs would not meet requirements • Did not contain a transition plan for existing programs

  5. Additional Background • Current Proposal • Lower thresholds • Full approval and conditional approval pathways

  6. Supporting Evidence • Low-volume procedure with most programs performing fewer than 5 IN or LI-IN transplants in 2012 • Thresholds not derived from statistical analyses • Represent level of experience to set minimal standards without restricting access or new program development • Similar to initial thresholds for other organs

  7. Summary ofProposed Bylaws

  8. Designated Intestine Transplant Program • For OPTN approval, the Transplant Hospital must have current approval as a Liver Transplant Program • Identify a designated physician or surgeon to act as the Transplant Program Director • Identify a qualified primary transplant surgeon and physician

  9. Primary Surgeon Requirements A Designated Intestine Transplant Program must have a primary surgeon who meets all of the following requirements: • M.D., D.O., (or equivalent from another country), current medical license in hospital’s state or jurisdiction • Accepted on the hospital medical staff, on site at that hospital, in good standing • Documentation from the hospital credentialing committee verifying state licensure, board certification, training, and transplant CME

  10. Primary Surgeon Requirements (Cont’d) • Current certification by the American Board of Surgery, the American Board of Osteopathic Surgery, or the International Board of Medicine and Surgery (IBMS) • Must have completed at least one of the training or experience pathways

  11. Primary Surgeon Experience Pathways

  12. Primary Physician Experience Pathways

  13. Provision for Combined Adult/Ped Programs • Adult & pediatric components in same Program: • Primary pediatric IN transplant physician can function as primary IN transplant physician for the adult component, if an adult gastroenterologist is also involved in the care • Programs serving predominantly pediatric patients: • Should have a board certified pediatrician who meets the criteria for primary IN transplant physician • If no qualified pediatrician on staff: • Physician meeting primary IN transplant physician criteria for adults can function as primary IN transplant physician for the pediatric program • Pediatric gastroenterologist must involved in the care

  14. What Members will Need to Do • On a given date ALL current intestine transplant program designations will terminate • At least 120 days before the termination date an intestinal transplant program application will be available • Members must submit an application and receive approval by the termination date in order to perform intestine transplants

  15. Centers Performing at Least One Intestine Transplant 2009-2013 (n = 26 “active” out of 41 registered IN programs)

  16. Questions? • David C. Mulligan, MD Committee Chair david.mulligan@yale.edu • Name Region # Representative Email • Ann Harper Committee Liaison ann.harper@unos.org

More Related