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UNOS CEO calls for expanded improvements in the organ donation and transplant field
Nonprofit leader acknowledges public concerns and seeks stakeholder collaboration during pivotal moment for the U.S. donation and transplantation community.
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Kidney – Pancreas
Community results of winter 2022 kidney and pancreas prioritization exercises now available
Feedback will inform development of policy for continuous distribution of kidneys and pancreata.
Updated two-year monitoring report available for dual and en bloc kidney allocation
Report covers activity since implementation of the policies.
Lawsuit challenging kidney allocation policy is dismissed
A message from UNOS CEO, Brian Shepard
Liver – Intestine
DonorNet® updates for notification limits for kidney, kidney-pancreas/pancreas and intestine matches are being postponed
Evaluate your program’s current settings now.
Updated Median MELD at Transplant scores take effect Sept. 23
Calculations are updated twice each year.
NLRB HCC extension automatic approval to take effect Sept. 10
On Sept. 10, an NLRB enhancement will allow automatic system approval of an exception extension request for any candidate meeting standardized criteria for hepatocellular carcinoma.
Heart – Lung
Lower respiratory testing of all potential lung donors for SARS-CoV-2 now required
Policy is intended to address patient safety.
National Heart Review Board for Pediatrics launches June 15
The NHRB was created to improve quality and consistency in evaluation of exceptions for pediatric heart candidates.
Lower respiratory testing requirement for all lung donors to be considered
At its April 26 virtual meeting, the OPTN Executive Committee will consider an emergency policy to require lower respiratory COVID-19 testing for all potential lung donors.
VCA
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Improving the system together
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UNet
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.
Pre-implementation notice: CPRA calculation change
This policy change is intended to more accurately reflect patient sensitization.
Now in effect: Updated adult heart status justification and extension forms
These updates clarify requirements of a candidate’s initial and extension status assignment in response to the heart transplant community’s questions.
“… policy is the living, breathing expression of group values.”
Martha Pavlakis, M.D.
Policy changes
Pre-implementation notice: Two new transplant performance metrics to implement July 14
Policy toolkit and professional education available.
OPTN Board of Directors expected to require transplant hospitals to use race-neutral calculations in assessing patients
Changes will reduce disparities and increase equity in access to transplant.
New and changed data collection on TIEDI: annual update to OMB approved forms
Several 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
CARE tool visualizes organ acceptance and refusal
Center Acceptance and Refusal Evaluation (CARE) Report allows transplant centers to see all of the offers they accept as well as all those they refuse.
Collaboration
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Education
Policies to align with PHS guideline: Webinar and additional resources
Effective March 1, OPTN policies will be implemented to align with the 2020 U.S. Public Health Service Guideline for assessing solid organ donors and monitoring for HIV, HBV, and HCV.
Feb. 24 webinar addresses new policies aligning with PHS guideline
Program will address member questions relating to the policies.
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
OPTN death verification process improvements will yield updated numbers beginning in April 2022
Additional deaths to be included in Center STAR files and national STAR files.
Patient status confirmation link available in UNet℠ beginning April 4, 2022
Transplant programs are asked to confirm or update patient status for selected patients.
Two new data elements added to Center STAR files
Users should adjust any automated process used to import these files.
OPO
Phase II of the offer filters project launches on Aug. 27
UNOS will pilot phase II of a project that allows kidney transplant programs to bypass single kidney donor offers they do not want to receive using filters.
Getting to organ offer acceptance faster: A Q&A with Rob McTier
Phase II of the offer filters pilot project will start later this year.
Introducing UNet℠ Image Sharing: A Q&A with Randall Fenderson
UNOS will begin a phased release of UNet Image Sharing in the spring. The first national donor imaging study sharing hub will subsequently be made available to ten OPOs each quarter.
Histocompatibility
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