How we make policy
We strive for consensus in developing policies for organ allocation and distribution. This collaborative process promotes equity among patients.
We want to hear from patients, professionals, donor families, transplant professionals, and anyone else interested in shaping transplant policy.
Find the OPTN Evaluation Plan, performance management and other tools here to ensure you are following policy correctly.
Organ Procurement and Transplantation Network (OPTN) policies are rules that govern operation of all UNOS member transplant hospitals, organ procurement organizations (OPOs) and histocompatibility labs in the U.S. Policies are made through a collaborative process involving committees, the OPTN Board of Directors and the public. View these policies now or view policy brochures.
Learn about the continuous distribution model approved by the OPTN as a framework for future policy development as it addresses geographic distribution of donated organs. Continuous distribution would, in the future, replace fixed geographic boundaries with a statistical model incorporating distance along with key clinical factors.
Learn about changes to donation and transplant policy.
Effective immediately, new policy language is in effect regarding data submission requirements for transplant candidates in cases where data collection is affected by the COVID-19 outbreak.
Clarification addresses how candidates with prior liver disease may be listed for an urgent repeat transplant.
The variance will improve timely access to donors for liver candidates listed as Status 1A, Status 1B, or with a MELD or PELD score of 37 or higher in Hawaii and Puerto Rico.
New national liver and intestinal organ transplant system based on acuity circles implemented Feb. 4, 2020
Public comment is a critical forum for national discussion on organ transplant policy. Add your voice and help us spread the word.
System notices explain changes to UNet℠.
New code will allow for better assessment of the impacts of the COVID-19 pandemic on transplant candidates and recipients.
The ROO is available to every transplant program and includes data on 180 days of organ offers to candidates at each transplant program.
Due to the COVID-19 pandemic, some transplant programs may want to refuse certain organ offers for reasons related to the candidate, the donor, or OPO or transplant hospital operational issues.
OPO and transplant hospital members who are using DonorNet will now be able to access OPTN policies easily from a link added under the “Related Links” header within DonorNet.
With the new API functionality, information systems within the transplant community can adapt to flexible user workflows that save time and reduce user burden.