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Innovations and policy updates drive equity and a record number of lifesaving organ transplants in 2023
Another record year for organ transplants, with 46,632 transplants performed in 2023 thanks to the selfless and generous gifts from donors.
UNOS hires new Vice President of External Affairs
The external affairs team advocates for impactful policies and legislation on behalf of transplant patients with the mission of saving as many lives as possible.
UNOS statement on testing environment situation
UNOS is currently investigating a configuration error that may have permitted access by authorized users to some patients’ personal and health information.
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Kidney – Pancreas
Offer Filters Explorer tool updated
With the newly updated data, transplant programs can better understand how their Offer Filters would have affected the number of offers received recently.
Predictive analytics project to launch education in December 2022, is intended to increase organ utilization
All adult kidney programs will be able to evaluate organ offers using predictive data.
Implementation notice: Minimum kidney donor criteria established for biopsies
OPOs are now required to make a reasonable effort to perform renal procurement biopsies for deceased kidney donors meeting certain criteria.
Liver – Intestine
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.
Changes made to liver Status 1A and 1B justification forms
Updates follow a quality assurance review
Heart – Lung
Lung Composite Allocation Score (CAS) calculator coming February 2023
The lung Composite Allocation Score (CAS) calculator will be available on the OPTN website beginning Feb. 2, 2023.
Two-year monitoring report available for the elimination of the use of DSAs in heart allocation
A new data report contains key measures of adult heart allocation based on policy changes implemented in January 2020.
Exception pathway for heart device recalls approved by OPTN Board of Directors
The OPTN Board of Directors approved the modification to OPTN Policy 6.4: Adult and Pediatric Status Exceptions to be a permanent part of OPTN policy at their Dec. 5 board meeting.
VCA
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Improving the system together
Achieving a shorter, more active kidney waitlist
Reviewing and reclassifying the kidney waitlist at University of Chicago Medical Center results in a 17 percent increase in transplants.
Study finds effective outcomes for A2 to B transplants
Vanderbilt University Medical Center reports effective outcomes for A2 to B transplants in UNOS kidney allocation system
UNet
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.
New image study viewer available in DonorNet
New image study viewer provides improved image quality, especially on mobile devices, along with enhancements to the viewer tools.
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
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.
Implementation notice: Minimum kidney donor criteria established for biopsies
OPOs are now required to make a reasonable effort to perform renal procurement biopsies for deceased kidney donors meeting certain criteria.
New and changed data collection on TIEDI in effect
These policy changes impacting TIEDI forms were approved by the Office of Management and Budget (OMB) in March 2022.
Policy monitoring
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Learn: Collaborative improvement and educational resources
IN FOCUS
9th year of record-setting liver transplants
45 organ procurement organizations set all-time transplant records.
Collaboration
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Education
June 14 webinar addresses median MELD at transplant based on donor hospital
Upcoming policy change will align median MELD at transplant (MMaT) scores around the donor hospital and update sorting within liver allocation.
TMF 2022 presenter Olivia Kates, M.D., on the theory and practice of vaccine mandates
Transplant infectious disease doctor examines the factual and ethical issues involved in vaccine mandates.
Effective practices
Learn about collaborative improvement projects
Learn about issues impacting patients, donors, donor families, and the national system. Issues and advocacy
Patient safety
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Transplant hospital
Coming soon: Predictive analytics for adult kidney offers
The goal is to help decision makers make evidence-based decisions to benefit candidates when determining whether to accept or refuse an offer.
7 years of HOPE
Implemented in 2015 , the HIV Organ Policy Equity (HOPE) Act has given more than 350 living with HIV an opportunity to receive a lifesaving transplant from an HIV-positive donor.
Now in effect: New lung data collection fields to support lung continuous distribution
Two new fields are now in effect for lung data collection in preparation for lung continuous distribution, which is to be released in the first quarter of 2023.
OPO
Capital Pride: WRTC on being meaningful community advocates all year round
D.C. OPO’s LGBTQIA+ advocacy work increases organ donation.
OPTN Board approves improvements to medical urgency scoring of liver transplant candidates
The actions will increase the equity of access to liver transplant, and were among a number of additional measures adopted by the board.
A lasting legacy: Lisa Schaffner honored posthumously with newly renamed award
The late UNOS director of public communications helped establish an award recognizing advocates in 2010. Now, the same award has been renamed to honor its very first champion.
Histocompatibility
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