UNOS Update Stuart Sweet MD VicePresident OPTNUNOS Board
UNOS Update Stuart Sweet, MD Vice-President, OPTN/UNOS Board of Directors Region 10 September 10 , 2015 1
OPTN and UNOS Strategic Planning 2
2012 v. 2015 Goals 3
Feedback from Regional Surveys 4
Re-Balancing Resource Allocation 2015 -2016 allocation of effort: Increase transplants 40% Provide equity 30% Improve outcomes 15% Promote safety 10% Promote efficiency 5% 5
Committee Project Portfolio 6
Metrics and quality improvement 7
MPSC Outcomes workgroup 8
OPO evaluations 9
Member Quality Pilot 10
Real Life Lessons 11
OPTN/UNOS Finance Update 12
OPTN Revenue: Registrations 13
OPTN Funding § The OPTN contract is funded with OPTN registration fees and federal appropriations § 2016 OPTN budget is $49, 497, 000. $44, 876, 000 in OPTN fees for operations $ 3, 500, 000 in federal appropriations for operations $ 1, 121, 000 to OPTN fees for reserves § 2015 OPTN budget was $48, 313, 000. $43, 623, 000 in OPTN fees for operations $ 3, 000 in federal appropriations for operations $ 1, 690, 000 in OPTN fees for reserves 14
Fees § Combined OPTN and UNOS fees remain at $957. § § § OPTN fee increased $19, while UNOS fee declined $19. $20 of each registration fee is dedicated to OPTN reserves. $20 of each registration fee is dedicated to UNOS reserves. 15
Projected Costs and Fees FY 2015 Expenditures FY 2016 FY 2017 FY 2018 $46, 622, 786 $48, 376, 211 $49, 370, 410 $50, 826, 810 $3, 000 $3, 500, 000 $4, 500, 000 2, 100, 000 500, 000 0 0 54, 500 56, 066 56, 727 57, 197 Calculated OPTN Base Fee $762 $792 $800 $810 OPTN Reserve Fee $31 $20 $20 Total OPTN Fee $793 $812 $820 $830 Funding HRSA Federal Appropriations Reg Funding Carryover from FY 14 (IT fees) Projected Registrations 16
UNOS IT update 17
2015 IT Releases Membership Screening for Kidney and Pancreas 2. Revise the Lung Allocation Score (LAS) 3. Pediatric Lung Other Specify Diagnosis 4. Require HLA C and DQB (First Increment) 5. Tiedi OMB Form Changes 6. Living Liver Donor Follow-up 7. Potential Derived Disease Transmission Reporting 8. Pediatric Liver – Remove ICU Requirements 9. Pediatric Liver – Revise Hepatoblastoma Requirements 10. Update HLA Equivalency Tables 1. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Update HLA Equivalency Tables Transnet Android National Deployment Transnet Web OPO Functionality Match Run Changes HOPE ACT membership application (internal) Comprehensive Histo Rewrite Deceased Donor Updates Transnet i. Pad (Beta release) Infectious Disease Transnet Tx. C Match/Receipt 18
2015 Board Project Plan Box Color Completed Underway non-BOD work Scheduled Text Color Projects Approved 2013 or prior Projects Approved 2014 Scheduled
§ i. Pad § § § – July 2015 – Q 4 Mobile Phones (i. Phone 6 & 6 -Plus, corresponding Android phones) § § User Acceptance Testing (UAT) Production release Start Development UAT Production release – August 2015 – Late 2015/early 2016 – Q 2 2016 Transplant Center Functionality § § § Completed requirement gathering Start development Beta test (3 centers) – June 2015 – August 2015
Board Project Service Level Objective Board Approval Time T=0 § Approved projects start prior to next Board meeting § No projects are ever older than 12 months 50% of Projects Started T= 3 months 95% of Projects Started T= 6 months 90% of Projects Complete T= 9 months 100% of Projects Complete T= 12 months 21
IT Board Backlog by the End of… 2013 23 Projects 2 Delivered 3 in progress 18 in queue 18 older than 12 months 2014 2015 2016 35 Projects 7 Delivered 5 in progress 23 in queue 44+ Projects 29 delivered 2 in progress 13+ in queue ? Projects 15+ delivered ? in progress ? in queue 16 older than 12 months 3 older than 12 months 0 older than 12 months
UNOS Update Stuart Sweet, MD Vice-President, OPTN/UNOS Board of Directors Region 10 September 10 , 2015 23
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