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Tales from the OR and how Congress can help

Tales from the OR and how Congress can help

Collage of illustrative images of data from the UNOS Predictive Analytics tool alongside a doctor talking with woman, and a hand resting on a blanket while getting dialysis

Issues & Advocacy

Tales from the OR and how Congress can help

UNOS chief medical officer on how Congress can strengthen the donation and transplant system

UNOS Chief Medical Officer Dr. Andrew Klein wrote an opinion piece sharing his first-hand experiences as a liver transplant surgeon and his thoughts about how Congress could help address some of the challenges he encountered. Dr. Klein served as the founding director of the Johns Hopkins Comprehensive Transplant Center and the Cedars-Sinai Comprehensive Transplant Center.

Below is the beginning of Dr. Klein’s opinion article. The full article is published in Nephrology News and Issues. Learn more about his recommendations to strengthen the system.

Andrew Klein, M.D., MBA,
Chief Medical Officer

“After 37 years as a liver transplant surgeon, and after performing more than 1,000 surgeries, I’ve come to appreciate the successes and challenges of the U.S. organ donation and transplant system.

I transplanted a liver in a young pregnant woman dying of acute liver failure who recovered and gave birth to a healthy child, and then to another child. Three years after performing my first transplant, I went scuba diving and was 100 feet below the ocean surface with that same person, who was my instructor. When we first met, his life was in my hands but suddenly mine was in his. The circle of life was never more apparent to me.

But I’ve also watched transplant centers reject organs because they came from someone who was not in optimal health – people who are obese, diabetic or had long-term cigarette and alcohol abuse – only to learn too late that their organs appeared healthy and transplantable. And I’ve waited hours for an organ to arrive before finding out it was mistakenly sent to the wrong hospital – putting my patient’s life on the line as precious time was spent getting it to the right place and then safely transplanting it just in time.”

Andrew Klein, M.D., Chief Medical Officer at United Network for Organ Sharing

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Waitlist deaths decrease under UNOS’ operation of nation’s organ system

Waitlist deaths decrease under UNOS’ operation of nation’s organ system

Collage of illustrative images of data from the UNOS Predictive Analytics tool alongside a doctor talking with woman, and a hand resting on a blanket while getting dialysis

Issues & Advocacy

Waitlist deaths decrease under UNOS’ operation of nation’s organ system

Number drops from an average of 16 to 13 deaths per day

Last year, a record number of organ transplants were performed in the United States – more than 48,000, which represents an increase of 23 percent since 2020.

What has changed?

The U.S. has seen an increase in deceased organ donors every year for the past 15 years. As a result, fewer patients are dying each day while waiting for an organ – 13 each day in 2023, compared with 16 per day in 2021. There are still more than 100,000 people waiting for a life-saving organ transplant, and UNOS has proposed a number of reforms aimed at increasing the number of organs available for transplant and improving patient outcomes.

The nation’s organ donation and transplant system is moving in the right direction, but there is still more work to be done to ensure that no patient dies while awaiting a transplant.

Learn about UNOS’ proposed reforms and learn how you can help.


* The latest data available for waiting list deaths from the 2023 OPTN/SRTR annual data report.

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TMF 2025 speaker Ankit Mathur on AI in Transplant and OPO Operations

TMF 2025 speaker Ankit Mathur on AI in Transplant and OPO Operations

“By gaining a better understanding of data analytics, predictive data models and AI technologies in organ transplantation, we can foster more thoughtful and informed conversations about the possibilities they offer moving forward.”

Ankit Mathur, MBA, MSIS, Chief Technology Officer at UNOS

What are you presenting on at TMF?

My session will explore the intersection of artificial intelligence (AI) and organ donation and transplantation. As AI technology evolves, I believe it has the potential to significantly improve how we approach organ allocation. By harnessing its ability to analyze large amounts of data, AI and predictive data models can not only predict outcomes but also run complex algorithms more efficiently and effectively, ultimately improving the entire allocation process and saving more patient lives.

Why do you think this is an important topic for the community?

AI is becoming an integral part of our everyday lives and work. When properly used, these technologies can save lives. As these technologies continue to evolve, it’s crucial to understand them, especially when they are being implemented in life-saving systems. Trust is at the core of this process—it’s not just about having confidence in the technology itself, but also ensuring transparency in how AI systems are developed and how decisions are made.

What are you hoping attendees gain from your session?

I want to challenge attendees to think beyond the current possibilities and envision what’s next for organ allocation and transplantation. While AI is still in its early stages of adoption, it’s already proving to be a powerful tool, and understanding its capabilities is essential. By gaining a deeper understanding of these technologies, particularly in the field of organ transplantation, we can foster more thoughtful and informed conversations about its future potential. If we get it right, we can optimize organ placement, foresee organ failure risks and ultimately allocate more life-saving organs to patients.

This session is sponsored by Statline.

Attend this session and more at TMF 2025

Learn more from Mathur at the 2025 Transplant Management Forum in San Antonio, TX.  Registration is now open.

TMF 2025 speaker Laura Butler on Collaborative Leadership in Transplantation

TMF 2025 speaker Laura Butler on Collaborative Leadership in Transplantation

“Collaboration between clinical, business and regulatory roles is essential to building transplant programs that prioritize patient care and outcomes. Having lived on both sides of transplant care, I’m passionate about sharing the lessons I’ve learned.”

Laura Butler, MMHC, M.S.N., AVP Transplant Services, Montefiore Medical Center

What is the topic of your session at TMF?

My session will highlight the importance of collaboration between the clinical, business, and regulatory roles and how bringing these viewpoints together creates successful transplant programs that prioritize patient care and outcomes.

Why do you think this topic is important for leaders in the community?

Regardless of whether you are a veteran provider or a quality coordinator just starting out,  the day-to-day operations of a transplant program require collaboration. It’s essential to bring together diverse viewpoints and expertise to ensure the success of the program, and this is where collaborative leadership plays a pivotal role. It’s about recognizing that working together, rather than in silos, is key to better outcomes and sustainable programs.

What are you most excited about at TMF?

One of the aspects I love most about transplantation is the continuous opportunity for learning—it doesn’t matter how long you’ve been in the field; there’s always something new to discover.

I’m excited to present alongside two colleagues with extensive business, quality and operational knowledge of transplant and make a positive impact where I can. I’ve had many roles in transplant over the years, but I’ve also had the first-hand experience of being a living donor to a family member.  I’ve on lived both sides, and I’m grateful for the opportunity to share what I’ve learned.

Attend this session and more at TMF 2025

Learn more from Butler at the 2025 Transplant Management Forum in San Antonio, TX.  Registration is now open.

TMF 2025 presenters Geatrakas and Socci on Creating a Healthy Relationship between transplant staff and the C-Suite

TMF 2025 presenters Geatrakas and Socci on Creating a Healthy Relationship between transplant staff and the C-Suite

“Building strong relationships with the C-suite isn’t a one-time ask; it’s an ongoing partnership that drives success and ultimately benefits the patients we serve.”

Sara Geatrakas, MSN, RN, Business & Operations Manager and Clare Socci, BSN, RN, Director, Organ Transplant & Surgery, Hackensack University Medical Center

What will you two be presenting on at TMF?

The topic of our session is the relationship between transplant program staff and the C-Suite. For the past several years, we’ve seen how important this relationship is for getting the resources we need to be successful.

In six years, Hackensack University Medical Center went from just 90 transplants a year to 346 transplants in 2024. As programs grow, so do their needs, and that kind of growth takes more than a traditional mindset—it’s about viewing the C-suite as a true partner, not just a resource. The C-suite and us are both focused on the endgame, which is the patient.

We both come from backgrounds in critical care nursing, and we’ve been able to learn best practices to help ourselves and are excited to share with other programs.

What are you hoping TMF attendees will learn if they attend your session?

Our leadership, specifically our north region president, knows our program almost as well as we do. This has allowed us to do patient recruiting outside our main patient focus area. This partnership should go beyond human resources and focus on the growth and strategy of your program, which is ongoing and forever. That’s the shift we hope to demonstrate to other transplant programs – that establishing those relationships in the long run is good for the hospital, the transplant program and ultimately, the patients.

Last year was our first time attending TMF and we are eager to return and share our own experiences.

Attend this session and more at TMF 2025

Learn more from Geatrakas and Socci at the 2025 Transplant Management Forum in San Antonio, TX.  Registration is now open.

TMF 2025 speaker Cathi Murphey on Kidney Paired Donation

TMF 2025 speaker Cathi Murphey on Kidney Paired Donation

“Whether you’re new to KPD or just interested in expanding access to transplant, my session will challenge programs to explore expanding living donation through kidney paired donation.”

Cathi Murphey, BS. Ph.D.; Cellular and Molecular Biology, Director – Immunogenetics Lab, Southwest Immunodiagnostics, Inc.

What will you be presenting at TMF?

I will be giving an overview of kidney paired donation (KPD) and sharing how programs can set up successful KPD programs. We did our first paired exchange back in 2008 and now we are the largest single center KPD program in the country. I will be talking about everything from what are favorable pairs, to deciding what database to use.

What led you to take an interest in this topic specifically?

I’ve been in transplant for over 40 years and KPD is one of the most rewarding programs I’ve had the privilege to be a part of. When we first started our program, our motto was “We don’t say no, we say yes.” It’s incredibly fulfilling to help people who struggle to find matches or face long waits for transplants.

Seeing patients regain their health and return to being productive members of society—whether they’re no longer on dialysis or can finally walk across the room after battling congestive heart failure—is truly inspiring.

Why do you think it’s important to learn about this topic as a community?

It’s important for the community to know that there are underutilized resources available to start your own or join KPD programs. With enough pairs, you could exchange within your region, and I would love to see regional KPD programs in the future.

Attend this session and more at TMF 2025

Learn more from Murphey at the 2025 Transplant Management Forum in San Antonio, TX.  Registration is now open.