OPTNUNOS Thoracic Organ Transplantation Committee Fall 2018 1

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OPTN/UNOS Thoracic Organ Transplantation Committee Fall 2018 1

OPTN/UNOS Thoracic Organ Transplantation Committee Fall 2018 1

Recent Board Actions Modifying distribution of deceased donor lungs • Implementation: • Lung zone

Recent Board Actions Modifying distribution of deceased donor lungs • Implementation: • Lung zone definitions, sensitization policy and lung allocation classifications and rankings - 6/12/2018 • Heart-lung allocation - 10/18/2018 Modifying the lung transplant recipient follow-up form • Implementation: Dependent on OMB approval HCM/RCM Review Board Guidance • Implementation: 10/18/2018 2

Recent Board Actions Revising Heart Review Board Guidelines Additional Clarifications to the new Adult

Recent Board Actions Revising Heart Review Board Guidelines Additional Clarifications to the new Adult Heart Policy Language Guidance Regarding Adult Heart Device-Related Complications will be rescinded 3

Updates on the New Adult Heart Allocation System Thoracic Organ Transplantation Committee 4

Updates on the New Adult Heart Allocation System Thoracic Organ Transplantation Committee 4

Timeline for Implementation § 2 -phase roll-out § Phase 1 – September 18 §

Timeline for Implementation § 2 -phase roll-out § Phase 1 – September 18 § Complete new status justification forms and enter risk stratification data for all active adult heart candidates § Phase 2 – October 18 § UNet will allocate hearts using new statuses 5

Adult Heart Allocation § Available Now: § § § § HRT 102 - Adult

Adult Heart Allocation § Available Now: § § § § HRT 102 - Adult Heart Allocation Policy Revisions HRT 103 - Preparing for Heart Allocation Changes OPO Training (PDF document) Adult Heart Allocation Toolkit (available on OPTN) Patient Brochure (available on UNOS. org) Patient Power. Point presentation (available on Transplant Pro) Coming in August 2018: § § 29 th System Training – Regional Review Board Training – TBD All instructional offerings are available in: unosconnect. unos. org

Committee Projects § Goal: Eliminate DSA in heart allocation by developing alternative geographic distribution

Committee Projects § Goal: Eliminate DSA in heart allocation by developing alternative geographic distribution • • Fixed distance framework Aligns with Geographic Principles Organ Distribution and the OPTN Final Rule § Committee meeting throughout fall 2018 to develop solution for Spring 2019 public comment 7

Eliminate the Use of DSAs in Thoracic Distribution July: • Project prioritization August: •

Eliminate the Use of DSAs in Thoracic Distribution July: • Project prioritization August: • Project approval September: • Modeling requests due to SRTR October: • Policy development November: • Policy development December: • Policy language and proposals finalized January – March: June: • Board of Directors • Public Comment 8

Questions? 9

Questions? 9

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