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UNOS statement on member vote for board independence
Statement about member vote to ratify the UNOS Board of Directors’ vote for board independence
UNOS statement regarding Medicare billing guidance for organ transplant monitoring tests
UNOS statement regarding the Medicare billing guidance on molecular testing for solid organ allograft rejection
UNOS statement on draft OPTN request for proposals
UNOS CEO statement on the draft OPTN request for proposals issued on February 6, 2024
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Kidney – Pancreas
National webinar for kidney transplant professionals provides education on OPTN policy action on eGFR waiting time modifications
All programs must comply with the action by Jan. 3, 2024.
Implementation notice: KPD policy updates
The changes impact all KPD programs, including the OPTN Kidney Paired Donation Pilot Program (KPDPP).
Implementation notice: CPRA calculation change
CPRA >98% signatures must be entered in Waitlist for the candidate to receive additional allocation priority.
Liver – Intestine
Updated National Liver Review Board guidance in effect Jan. 5, 2023
New pathway set for pediatric candidates with cystic fibrosis; guidance amended for candidates with hepatic adenoma and Budd-Chiari syndrome.
Updated median MELD at transplant scores in effect; revisions made to MMaT and MPaT scores
Basing MMaT scores around the donor hospital intended to promote greater patient access.
Updated MMaT scores in effect Sept. 28
Effective Sept. 28, 2022, the median MELD at transplant (MMaT) values for liver transplant candidates with exception scores will be updated.
Heart – Lung
Webinar to address kidney-after-thoracic safety net, combined kidney-thoracic allocation
The webinar will be recorded and made available for later viewing.
Four-year monitoring report for adult heart allocation now available
Latest report shows key measures of adult heart allocation following policy changes implemented in October 2018.
Six-month monitoring report for heart policy following a device recall now available
Policy allows exception status for heart candidates with a recalled assist device.
VCA
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Improving the system together
Stronger together: A collaborative study between U.S. and U.K. researchers
A collaborative study between U.S. and U.K. researchers reveals shared learning opportunities that could spur increased kidney utilization rates.
Using behavioral research to test and improve transplant decision making
UNOS researchers used simulated organ offers to test the effect of biopsies on kidney offers and published the results in the inaugural issue of Kidney360.
Then and now: Living donor liver transplantation
See how living donor liver transplantation has changed over time and what helps clinicians improve
UNet
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
VCA allocation is now in UNet
Allocation of all Vascularized Composite Allograft (VCA) organs has been moved to UNetSM. Any patients on the “VCA Candidate List” have been added to WaitlistSM by UNOS staff.
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
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.
Improvements to MELD, PELD, Status 1A and Status 1B to take effect July 13
Educational and resource materials are available to support implementation.
Pre-implementation notice: New transplant performance metric to go into effect July 27
A new risk-adjusted pre-transplant performance monitoring metric – the offer acceptance rate ratio – will take effect July 27, 2023.
Policy monitoring
Updated 12-month monitoring report available for National Liver Review Board
Report analyzes trends in the number and resolution of liver exception requests.
Updated 12-month monitoring report available for liver, intestine policy
The report details key metrics of the acuity circles policy.
Learn: Collaborative improvement and educational resources
IN FOCUS
Over 5,000 organs tracked with UNOS Organ Tracking Service
26% of all OPOs are now utilizing the UNOS Organ Tracking Service to monitor organs in transit.
Collaboration
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Education
Dissecting the grief cycle: TMF 2023 presenter Nona Dawson-Land on coping with trauma in the workplace
TMF session to focus on understanding loss and grieving cycles in the transplant space.
White paper addresses ethical issues in information to support transplant program selection
Paper addresses likely patient questions and approaches for plain language communication.
Effective practices
Learn about collaborative improvement projects
Learn about issues impacting patients, donors, donor families, and the national system. Issues and advocacy
Patient safety
AJT article reports on 10 years of potential donor-derived transmission events
It is very rare for patients receiving transplants to have a donor-derived disease transmission, according to a recently published study.
Public Health Service guidance updated regarding donor screening for bloodborne disease transmission
OPTN to review and revise policies for consistency with updated guidelines.
Special pathogens update
If an organ donor tests positive for carbapenem-resistant enterobacteriaceae, coronavirus or influenza, they must be reported in the UNet Improving Patient Safety portal as a potential donor-derived disease transmission event.
Transplant hospital
New candidate inactivation code available for multi-organ transplant candidates
The new code (“Candidate requires multi-organ TX only, isolated offers not accepted”) will exclude the candidate from receiving offers of the specified individual organ type(s).
An important message from the MPSC on reducing risk and ensuring patient safety
The Membership and Professional Standards Committee shares opportunities for improvement with OPTN members.
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.
OPO
Coming soon: New OPTN transport label store
The OPTN transport label distributor will be changing April 27. Users will need to create a new account when logging onto the new label store for the first time.
Nominations open for the Lisa Schaffner Community Advocate Award
The award recognizes volunteers, such as living donors, donor family members or transplant recipients, who are promoting organ donation and transplantation with little public recognition.
New lung allocation policy in effect
First organ type to use continuous distribution framework.
Histocompatibility
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