New CMS guidance: adult elective surgery and procedure guidelines
Transplant surgeries should be considered high priority and should not be postponed during the COVID-19 pandemic, if possible, according to new guidance issued by the Centers for Medicare & Medicaid Services. The guidance recommends limiting all nonessential planned surgeries and procedures until further notice, but identified transplants as Tier 3b procedures that should not be postponed.
Organ donation and transplant town hall
On March 23, transplant organizations from around the world will participate in a town hall webinar to share their experiences and respond to questions about the impact of COVID-19 on organ donation and transplantation. The webinar has reached its limit of 1,000 registrants; if you were unable to register for the event, a recording of the webinar will be available Monday evening here on this UNOS COVID-19 resources page and the AST YouTube channel. The event is being organized by AST, ASTS, AOPO, CST, ESOT, ISHLT, NATCO, TTS and UNOS.
Program inactivation and patient notification
Due to the national crisis, members may be considering whether to opt to inactivate an individual candidate, a program’s waitlist, or a transplant program or living donor component. Different scenarios involve different requirements. Find option-specific information to assist transplant programs in determining the approach that will work best for their program in the Inactivation FAQ and sample letters.
Outcome and performance measurement
Some members have asked about how the COVID-19 pandemic will affect established OPTN review of activity and outcomes reviews for hospitals and OPOs. We realize the current situation strains the resources of all healthcare providers. It also requires making difficult clinical judgements without long experience and thorough research; and that places physicians, professionals, and patients alike in a world of uncertainty.
OPTN data entry guidance
In order to ensure that candidates’ allocation scores are not negatively impacted by challenges with clinic visits and laboratory testing, the OPTN Executive Committee approved an emergency policy to protect candidates’ status on the transplant waitlist. Details can be found in the related policy notice and in the system notice. A data entry guidance document is available in UNet that explains how to operationalize this emergency policy when new data are required to maintain or extend a candidate’s current medical urgency status or score, and your program is unable to obtain updated tests or observations for the candidate due to COVID-19. Find the link at the top of the main page after logging into Secure Enterprise.
Donor testing for COVID-19
Many hospital systems and commercial laboratories are expanding the availability and response time of COVID-19 testing. At this time, however, availability of timely testing remains a challenge in many areas. We are working closely with the community to share the best clinical information and guidance available regarding care of transplant candidates and recipients, and screening of potential organ donors at risk of COVID-19. Please refer to resources available from the American Society of Transplantation, The Transplantation Society and the Association of Organ Procurement Organizations. We will continue to update the UNOS COVID-19 resources page as guidance is developed and enhanced.
We will continue to update the UNOS COVID-19 resources page as guidance is developed and enhanced.