Improving the Efficiency of Organ Placement Organ Procurement

Improving the Efficiency of Organ Placement Organ Procurement Organization Committee 1

What problem will the proposal solve? Inefficiencies in the current placement system § Current § No response time limits are too long current time limit for making a final decision § Current policy allows multiple centers to accept multiple offers for the same candidate § No OPO requirement to enter organ acceptance in a specific timeframe Inconsistencies and redundancies in Policy 2. 11 2

What are the proposed solutions? § Reduce § § current time limits for responding to organ offers: Initial offer to acknowledgement: 30 minutes Acknowledgement to response: 30 minutes § Establish new time limit for primary transplant hospitals to make a final decision on organ offers (1 hr. ) § Limit simultaneous organ acceptances per candidate to 2 § Require § Modify OPOs to enter organ acceptance when received Policy 2. 11: Deceased Donor Information 3

How will members implement this proposal? Transplant Hospitals will need to: § Evaluate § Primary processes in consideration of reduced time limits centers must make a final decision within one hour § Have only two simultaneous organ offer acceptances per candidate for each organ type 4

How will members implement this proposal? § OPOs § § will need to: Enter organ offer acceptances immediately Review changes to Policy 2. 11: Required Deceased Donor Information § No additional data collection will be required 5

How will the OPTN implement this proposal? § Anticipated § Required § § Board of Directors Review: Dec. 2017 Programming: Modify current automated notifications Create notification limits for organ offer acceptance 6

Questions? Jennifer Prinz, RN, BSN, MPH, CPTC Committee Chair jprinz@donoralliance. org Robert Hunter Committee Liaison robert. hunter@unos. org 7