Executive Order on Advancing American Kidney Health

UNOS’ role in increasing transplantation

About the Executive Order

Signed in July 2019, the Executive Order on Advancing American Kidney Health launched a number of efforts with the collective goal of improving medical care and quality of life for people with end-stage kidney failure. These efforts include a series of federal regulations proposed by the Department of Health and Human Services.

UNOS welcomes the attention and effort being devoted to improving the life and health of people with kidney disease. Of particular interest to the organ donation and transplantation community are efforts to improve performance metrics for organ recovery and to promote innovation in the national information technology system used to match organ donors and recipients.

Supporting continuous improvement

As a community we are committed to improving the services we provide. We believe that improvement is best driven by medical evidence and a thorough understanding of the real-life practice of donation and transplantation. OPOs and transplant centers are inextricably linked and reliant on each other; neither can increase transplants alone. They must work collaboratively and be mutually accountable for increasing transplants.

UNOS, as the national Organ Procurement and Transplantation Network (OPTN), recently convened an ad hoc committee that identified a number of potential metrics and approaches to improve transplant system effectiveness—combining the efforts of OPOs and transplant hospitals. Key themes in the committee’s findings include the need for greater communication, transparency and accountability to foster improved transplant community performance. The committee agreed these themes are integral to success for the transplant system as a whole, and may serve as a foundation for future work by the OPTN, other key stakeholders, regulatory bodies or the private sector.

Driving change

To continue to increase the number of transplants nationwide, UNOS facilitates innovation and continuous improvement projects with the organ donation and transplant community.

For example, the Executive Order highlighted one particular UNOS program, the Kidney Accelerated Placement project, which speeds the placement of extremely hard-to-place kidneys via the UNOS Organ Center. Other projects currently underway to increase organ utilization include:

  • Developing offer filters in the organ matching process to give transplant programs more individual flexibility in listing the specific sorts of organ offers they are or aren’t willing to accept for their candidates
  • Reducing the amount of time transplant programs have to respond to an organ offer, allowing offers to go to a larger number of programs if they’re not accepted within the first few attempts
  • Upgrading the organ matching system to include sharing of diagnostic images of donor organs
  • Facilitating peer-to-peer sharing of transplant center practices that have proven to be effective in accepting and using hard-to-place donor kidneys
  • Creating and sharing new data analytic tools with donation and transplantation professionals to identify opportunities for improvement in donor selection and organ offer acceptance

Read more

Our mission is to unite and strengthen the donation and transplant community to save lives.

About UNOS 

UNOS is a non-profit, charitable organization that serves as the nation’s Organ Procurement and Transplantation Network (OPTN) under contract with the federal government. The OPTN helps create and define organ allocation and distribution policies that make the best use of donated organs. This process involves continuously evaluating new advances and discoveries so policies can be adapted to best serve patients waiting for transplants. All transplant programs and organ procurement organizations throughout the country are OPTN members and are obligated to follow the policies the OPTN creates for allocating organs. 

For more information

Additional information about the OPTN Kidney Accelerated Placement Project is available here.

Perspective on how UNOS translates OPTN policy into technology solutions is available here.

Read about 10 things UNOS is doing to increase organ utilization in collaboration with the organ donation and transplant community.

Learn more about the OPTN Systems Performance Committee’s findings here.

Read the full text of the Executive Order on Advancing American Kidney Care here.

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