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Virginia General Assembly commends UNOS
A commending resolution honors UNOS’ 40th anniversary and the contributions it’s made to the organ donation and transplant system
UNOS adds leading U.S. technology expert to executive leadership team
UNOS named Ankit Mathur its new chief technology officer.
UNOS and HRSA agree on new short-term OPTN contract
Contract goes into effect March 30, 2024, the day after the current contract concludes
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Kidney – Pancreas
Safety net policies for kidney-after-heart and kidney-after-lung allocation in effect June 29
Candidates who meet criteria will get additional kidney allocation priority.
Annual kidney allocation calculator updates
Reference populations have been updated for the KDPI and EPTS calculators.
Predicting the future to help patients today
New tool offers never-before-seen insights on the impact that accepting or declining an organ offer could have on a patient.
Liver – Intestine
Updated National Liver Review Board HCC guidance in effect April 28, 2023
Clarifications made to diagnostic criteria.
Updated median MELD at transplant scores in effect March 30; MPaT score lowered to 33
Report describes MMaT value for each donor hospital.
Community feedback needed on continuous distribution of liver and intestinal organs
The committee welcomes community input on liver prioritization exercises through March 15, 2023.
Heart – Lung
UNet is online: VCA and data collection projects released
Allocation of 10 Vascularized Composite Allograft (VCA) organs has been added to UNet, along with extensive changes to existing data collection forms across organs.
New elements added for reporting primary graft dysfunction in heart
New data elements have been added to the Transplant Recipient Registration (TRR) form in TIEDI® for all adult and pediatric heart and heart-lung patients
Research in focus: examining organ offers
Three recent studies from UNOS researchers examine offer acceptance practices and impact of Offer Filters tool.
VCA
OPTN Board approves VCA transplant programs, liver allocation refinements, and strategic plan
New VCA specialties included in member directory.
VCA transplant programs to begin reapplication period Oct. 8 ahead of new Bylaws
All current OPTN-approved VCA programs must show they meet new requirements on new application forms.
VCA programs to reapply to OPTN ahead of upcoming changes to bylaws and policy
Programs to have 120 days to submit applications, application release date being finalized.
Improving the system together
Improving DonorNet Mobile together
The new mobile-friendly website was developed in partnership with transplant coordinators, administrators and surgeons from across the country.
Innovating to strengthen the organ transplant system
UNOS Labs tries out new ideas in behavioral research, data science and technology. Our researchers develop innovative solutions to improve the national organ network and increase organ utilization.
Sharing images to save more lives
UNOS begins phased release of UNet Image Sharing to organ procurement organizations across the country. See how UNet Image Sharing saves lives!
UNet
Now in effect: Simultaneous heart-kidney and lung-kidney allocation changes
New policies require candidates to meet medical eligibility criteria to be eligible for a required kidney share on the heart or lung match.
Now in effect: Changes to liver-kidney nautical mile threshold
The required share threshold for simultaneous liver-kidney (SLK) allocation has expanded from 250 nautical miles to 500 nautical miles for eligible adult candidates (e.g., Status 1A or MELD of 29 or greater).
Implementation notice: Lung policy modification for blood type
Effective Sept. 27, 2023, the points assigned for blood type in lung allocation have been updated
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
New pre-transplant performance metric now in effect, offer acceptance rate ratio
Phase 2 of new system implements to more holistically evaluate transplant program performance.
UNet is online: VCA and data collection projects released
Allocation of 10 Vascularized Composite Allograft (VCA) organs has been added to UNet, along with extensive changes to existing data collection forms across organs.
Now in effect: Changes to security personnel requirements and reporting
These changes were approved by the OPTN Board of Directors at their June 26, 2023 meeting.
Policy monitoring
Six-month monitoring report now available for expedited liver policy
Report covers policy outcomes through Sept. 25, 2021.
Updated monitoring report of liver data shows increase in transplants, new policies having anticipated impact
Report addresses first 18 months of data following implementation of acuity circles.
Updated monitoring report of kidney data shows increase in transplants, new policies having anticipated impact
Report addresses first three and a half months of data following implementation of 250 nautical mile circles.
Learn: Collaborative improvement and educational resources
IN FOCUS
7,000 organs tracked with UNOS Organ Tracking Service
30% of all OPOs use the UNOS Organ Tracking Service to monitor organs in transit.
Collaboration
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Education
Webinar to address kidney-after-thoracic safety net, combined kidney-thoracic allocation
The webinar will be recorded and made available for later viewing.
TMF 2023 Heckenkemper Award winner: Marian O’Rourke, RN, CCTC honored
The donation and transplant community recognizes Marian O’Rourke for her decades of contributions to patients and professionals.
Effective practices
Learn about collaborative improvement projects
Learn about issues impacting patients, donors, donor families, and the national system. Issues and advocacy
Patient safety
Implementation notice: Pre-transplant HIV, HBV and HCV testing requirement updated for candidates younger than age 12
Effective July 1, testing no longer required for HIV, HBV and HCV at the time of hospital admission for transplant candidates younger than age 12.
Potential supply issues affecting organ preservation solution
Contact your individual supplier for more information.
Voluntary recall addresses Alprostadil
If your institution has stock from the affected lot, please contact your supplier.
Transplant hospital
UNet is online: VCA and data collection projects released
Allocation of 10 Vascularized Composite Allograft (VCA) organs has been added to UNet, along with extensive changes to existing data collection forms across organs.
Member actions required: data collection and VCA implementation
Patient care will not be impacted during this time.
Coming soon: changes to liver-kidney nautical mile threshold
The simultaneous liver-kidney (SLK) allocation required share will change from 250 nautical miles to 500 nautical miles for eligible adult candidates.
OPO
Changes to security personnel requirements and reporting
Changes to security personnel requirements and reporting to be implemented following policy changes approved by the OPTN Board of Directors.
UNet user audit now open
Site security administrators have four weeks to conduct a required audit of their UNet users.
UNet user audit begins June 12
Starting June 12, site security administrators will have four weeks to conduct a required audit of their UNet users. It must be completed by July 10.
Histocompatibility
A message from Matt Cooper, M.D.: 2022 UNOS Member Survey
Member survey closes June 17
Now open: 2022 UNOS member survey
UNOS is offering members an opportunity to give valuable feedback to help shape the future of organ donation and transplant.
HLA equivalency table updates and addition of DPB1 epitopes now in effect
The changes to the equivalency tables are intended to reflect changes in HLA typing practice and improve organ allocation.