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Region 8 Meeting

Region 8 Meeting. Christie Thomas, MD Regional Councillor. Meeting agenda. Update from OPTN/UNOS leadership Regional discussion session – New! Living Donation – Joanne Oxman Systems Optimization – Jennifer Prinz, Diane Brockmeier, and Lori Markham Drug Overdose – Christie Thomas

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Region 8 Meeting

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  1. Region 8 Meeting Christie Thomas, MD Regional Councillor

  2. Meeting agenda • Update from OPTN/UNOS leadership • Regional discussion session – New! • Living Donation – Joanne Oxman • Systems Optimization – Jennifer Prinz, Diane Brockmeier, and Lori Markham • Drug Overdose – Christie Thomas • Review and discuss 3 public comment proposals • Your feedback will be shared with the Kidney and Liver Committees • Updates on committee activities: Kidney, Liver

  3. Regional Business • Summary of fall 2016 regional meeting • Information about proposals discussed and where they stand • Why should you review it? • Committee responses to our region’s comments • Board action on each proposal • For policies that pass - information on implementation date

  4. Fall 2017 regional meeting date • Fall public comment: July 31 – October 2, 2017 • Proposals will go to the Board for review in December • Fall 2017 Region 8 meeting: September 27, 2017 • Mark your calendar!

  5. Region 8 Meeting Attendance

  6. Regional Business • Councillor responsibilities • Moderate regional meetings, oversee regional business • Serve as the region 8 representative to the OPTN/UNOS Board of Directors • Present the region’s feedback on public comment proposals and other OPTN/UNOS matters • Welcome other members of the Board of Directors

  7. OPTN/UNOS Committee Nominations • Regional nominating committee has selected primary and secondary representatives for each vacancy • Committee leadership is reviewing committee rosters, and finalizing roster for OPTN President-Elect review • Purpose: ensure staffing needs of the committees are met, and expertise needed for project work is represented • President-Elect reviews the membership of all committees • Purpose: goal is for the committee system to represent the community we serve - balance of professions, opinions, race, gender • New committee members will receive notice by early April

  8. Region 8 Vacancies on Committees, terms begin July 1, 2017 • Liver & Intestinal Organ Transplantation • Living Donor • Minority Affairs • Pediatric Transplantation • Thoracic Organ Transplantation Associate Councillor/MPSC representative: Suzanne Conrad Term - Associate Councillor: 2017 - 2019, Councillor 2019-2021

  9. Committee Representation 2016-2017 vs. 2017-2018: Demographics

  10. Our region’s nominations from fall 2016

  11. Our region’s nominations from fall 2016

  12. Some of the challenges with the current Committee structure • 11 of 18 individuals on most Committees are selected by the regions sometimes without considering the needs of the committee and OPTN leadership. • Lack of diversity (perspectives, demographics, professions) due to disjointed appointment process • Need a process to review all committee rosters to identify specialties and demographics that are underrepresented

  13. Regional Meeting Agenda: Discussion • Discussion agenda format is the same as previous meetings • 3 public comment proposals • Presentation • Discussion • Regional Vote

  14. Regional Meeting Agenda: Non-Discussion • Includes proposals anticipated to be: • non-controversial, • minimal impact on the transplant community, and/or • represent a clerical change to clarify policy or remain current with clinical practice • Region was offered an opportunity to request that a proposal(s) be placed on the discussion agenda • Non-discussion proposals will be voted on today, but not presented or discussed

  15. National Webinars • Two webinars to present and discuss the proposals on non-discussion agenda and two webinars on the discussion agenda proposals • Recordings available on Transplant Pro: https://www.transplantpro.org/community/regions/

  16. Non-Discussion Proposals: VoteYou have the option to abstain from voting if you haven’t reviewed the proposals • Rewrite of Bylaws Article II: Board of Directors (Executive Committee) • Histocompatibility Laboratory Bylaws and Policies Guidance Document(Histocompatibility Committee)

  17. Public Comment Proposals • Public comment booklets on each table • All attendees may discuss and provide feedback • Each OPTN/UNOS member institution has one voting representative • Sponsoring committee considers regional feedback in development of final proposal • Board receives all public comment • Your feedback is important!

  18. Public Comment Opportunities • Contact Regional Representatives • List is located on Transplant Pro: select the community tab, and then “regions” • Submit public comment online • OPTN website: http://optn.transplant.hrsa.gov/governance/public-comment/ • blog-style format, • individual, regional, and committee comments are published

  19. Upcoming: Special Public Comment Period • Tentative: March 27-April 25 • Proposal: Guidance on Explaining Risk Related to Use of Increased Risk Donor Organs When Considering Organ Offers • Sponsoring Committee: Ad-hoc Disease Transmission Advisory Committee • Summary: Guidance to inform and facilitate conversations between transplant teams and their patients about increased risk organs • Webinar: April 4: 12:00 pm – 1:00 pm ET • Look for communication from UNOS Regional Administration in late March

  20. Regional Meeting Materials – online! • The presentations presented today are posted on Transplant Pro • Make sure to review the committee presentations that weren’t presented today • Histo, OPO, Pancreas, Patient Affairs, Pediatric, Transplant Administrators, Thoracic, VCA • Additional information available on this website including: • Meeting agenda and summaries • Data • Links to various OPTN resources

  21. Regional and National Data

  22. Deceased Donation 2015-2016U.S.

  23. Deceased Donors by Type and Region2016

  24. Deceased Donation 2015-2016Region 8

  25. Deceased Donors by Type2007-2016Region 8 11%

  26. Deceased and Living Donors2007-2016Region 8

  27. Deceased Donor Transplants 2014-2016 U.S.

  28. Deceased Donor Transplants 2014-2016 Region 8

  29. Reminders • We want feedback from as many attendees as possible • Please actively participate in the regional discussion session! • During the discussion of each proposal, please try to limit your comments to new comments - points that haven’t been raised • Please hold your comments and questions until the end of each presentation (and remember to come to the microphone!) • If the region opposes a proposal, specific feedback is valuable regarding the reason for opposition and any modifications the committee could make

  30. Questions?

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