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OPTN Leadership Update Fall 2019 Regional Meetings

OPTN Leadership Update Fall 2019 Regional Meetings. Geography. Geography next steps. Organizational commitment to ensure all future changes to geographic allocation are in alignment with the final rule

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OPTN Leadership Update Fall 2019 Regional Meetings

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  1. OPTN Leadership UpdateFall 2019 Regional Meetings

  2. Geography

  3. Geography next steps • Organizational commitment to ensure all future changes to geographic allocation are in alignment with the final rule • Board resolution designating continuous distribution as the preferred model for distribution • Lung – DSA removed, continuous distribution concept document released • Heart – Board approved new policy, awaiting programming • VCA – Board approved new policy, awaiting programming • Liver – acuity circles policy awaiting implementation • Kidney and Pancreas – public comment proposal out now

  4. Three Things the OPTN is doing to Increase Organ Offer Efficiency

  5. Multifactorial Offer Filters “Organ Quality + Distance” Filter kidney offers if … KDPI > 50% AND Distance > 250 AND Donor Age > 60 Filter kidney offers if … offer is after cross-clamp “Post Recovery” AND Distance > 500 miles

  6. Model-Derived Filters

  7. Offer Filters Explorer

  8. Phase One Starting Now!

  9. Offer Filters Pilot Phases

  10. Organ Center Kidney Accelerated Placement Concept (KAP)

  11. Organ Center Kidney Offers • Organ Center receives ~2,100 potential kidney donors annually for non-mandatory national shares • Median donor KDPI of 80 • An average of 41 centers (>2300 patients) notified per match • Placement time range - 0.5 hrs to 21.5 hrs • Overall placement rate of these kidneys ~28% in 2017 • Less than 15% placement rate of kidneys with KDPI 80+

  12. Kidney Accelerated Placement Concept • Focus on increasing placement of extremely hard-to-place kidneys through the Organ Center • Using data: • to identify donor “triggers” for accelerated placement • to identify transplant centers that utilize hard-to-place kidneys • Accelerate offers of hard-to-place kidneys to programs more likely to accept them, while continuing to offer to all programs

  13. Donor Trigger Concepts: What Matches Will Be Included? Donor KDPI ≥ 80 Donor KDPI < 80

  14. Transplant Program Qualification Concepts • Accelerating placement by offering first to transplant programs that have accepted a like organ • Identified donor characteristics that differentiate acceptance of marginal kidneys • Based on all kidney transplants performed in the prior two years, updated monthly • Transplant programs qualify if they have transplanted a kidney from a donor with the same or worse characteristics as the current donor • Determined for each specific match in real-time based

  15. Donor Match Characteristics and Thresholds

  16. Project Impact

  17. COIIN Update

  18. COIIN

  19. COIIN

  20. MPSC Update

  21. Change in MPSC approach

  22. Don’t just take our word for it . . .

  23. Member Quality improvement • Allow members to self-request peer advice prior to policy violation or outcomes flag • Could allow MPSC to offer peer advice • Member, peers, staff would jointly develop a formal change package • Successful outcomes could lead to sharing change package more broadly in the community

  24. Systems Performance Committee Themes: • More efficient matching • Transparency and communication • Offer activity • Late test results • Images • Dashboards and metrics • Predictive analytics • Collaborative improvement The full report of the Systems Performance committee is available on the OPTN website: https://optn.transplant.hrsa.gov/media/3015/201906_spc_boardreport.pdf

  25. SPC update Already underway: • Offer filters pilot • DonorNet mobile upgrades • DonorNet table of candidate offers • Radiology imaging • DCD collaborative improvement planning • Predictive analytics behavioral study planning • Dashboards and data tools

  26. Notice: Proposed Changes to Increased Risk Designation Guidelines in Federal Register • The Department of Health and Human Services (HHS) seeks public comment regarding proposed revisions to the 2013 PHS Guideline for Reducing Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), and Hepatitis C Virus (HCV) Through Organ Transplantation. • Public comment closes 9/26/2019: https://www.federalregister.gov/d/2019-17759

  27. 2020-2021 Board & Committee Openings

  28. Annual Board & Committee Nominations timeline Deadline to apply: Sept. 30

  29. 2020-2021 Board of Directors Vacancies • Transplant Coordinator Representative • Medical & Scientific Organizations Representatives • General Public/Patient & Donor Affairs Representatives • At-Large MD Representatives • Vice President • Vice President, Patient & Donor Affairs • Secretary • At-Large Non-MD Representative • Histocompatibility Representative • OPO Representative 21 individuals rolling off the Board in 2020

  30. Needs for the 2020-2021 cycle: BOARD Board/Board Governance Experience Increase in Gender & Ethnic Diversity

  31. 2020-2021 Committee Vacancies 179 vacancies • 78 Regional vacancies • 80 At-Large vacancies

  32. Needs for the 2020-2021 cycle: COMMITTEES Increase in Gender & Ethnic Diversity

  33. Calling all volunteers! • Visit our NEW prospective volunteer site at for complete information on vacancies and roles/responsibilities • Refer colleagues and transplant patient/donor families • Deadline to apply: Sept. 30 • Questions? volunteer@unos.org NEW! Apply online at OPTN.transplant.hrsa.gov> Members> Get Involved

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