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Improving the Efficiency of Organ Placement

This proposal aims to address inefficiencies and inconsistencies in the current organ placement system by reducing response time limits, establishing new time limits for final decisions, limiting simultaneous acceptances, and modifying policy guidelines.

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Improving the Efficiency of Organ Placement

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  1. Improving the Efficiency of Organ Placement Organ Procurement Organization Committee

  2. What problem will the proposal solve? Inefficiencies in the current placement system • Current response time limits are too long • No current time limit for making a final decision • Current policy allows multiple centers to accept multiple offers for the same candidate • No OPO requirement to enter organ acceptance in a specific timeframe Inconsistencies and redundancies in Policy 2.11

  3. What are the proposed solutions? • Reduce current time limits for responding to organ offers: • Initial offer to acknowledgement: 30 minutes • Acknowledgement to response: 30 minutes • Establish new time limit for primary transplant hospitals to make a final decision on organ offers (1 hr.) • Limit simultaneous organ acceptances per candidate to 2 • Require OPOs to enter organ acceptance when received • Modify Policy 2.11: Deceased Donor Information

  4. How will members implement this proposal? Transplant Hospitals will need to: • Evaluate processes in consideration of reduced time limits • Primary centers must make a final decision within one hour • Have only two simultaneous organ offer acceptances per candidate for each organ type

  5. How will members implement this proposal? • OPOs will need to: • Enter organ offer acceptances immediately • Review changes to Policy 2.11: Required Deceased Donor Information • No additional data collection will be required

  6. How will the OPTN implement this proposal? • Anticipated Board of Directors Review: Dec. 2017 • Required Programming: • Modify current automated notifications • Create notification limits for organ offer acceptance

  7. Questions? Jennifer Prinz, RN, BSN, MPH, CPTC Committee Chair jprinz@donoralliance.org Robert Hunter Committee Liaison robert.hunter@unos.org

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