1 region 7 meeting julie heimbach, md regional councillor
TRANSCRIPT
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Region 7 MeetingJulie Heimbach, MDRegional Councillor
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Purpose of Regional Meeting
Discuss regional business
Provide updates on OPTN/UNOS committee activities and projects
Discuss and comment on proposed policies and bylaws
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Summary of Spring and Fall 2015 regional meeting Includes sponsoring committee’s response to regional comments Board action on each proposal
Regional Business
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Improving the OPTN Policy Development Process No change post public comment - Approved
Proposal to Establish a Quality Assurance and Performance Improvement Requirement for Transplant Hospitals and Organ Procurement Organizations
Modified proposal to require a QA plan but all details removed – Approved
Definition of a Transplant Hospital Not submitted to the Board
Proposal to Implement Pre-transplant Performance Review by the Membership and Professional Standards Committee
Not submitted to the Board
June Board – Regional Comments
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Proposal for the Definition of Pancreas Graft Failure Modified post public comment to address concerns– Approved
Proposed Changes to the OPTN Bylaws Governing Histocompatibility Laboratories No modifications post public comment - Approved
Policy Rewrite Parking Lot “Quick Fixes” Final proposal did not include HCC modifications – Approved
Proposal to Establish Pediatric Training and Experience Requirements in the Bylaws
Proposal submitted for reconsideration Fall 2015
Proposal to Require Re-Execution of the Match Run when a Deceased Donor’s Infectious Disease Results Impact Potential Recipients based upon Screening Preferences
Modified post public comment to address concerns - Approved
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Spring meeting date: February 18th in Chicago
Spring public comment: January 25-March 25
Check Transplant Pro website for regional meeting date
Spring proposals will be reviewed by the OPTN/UNOS Board in June
Regional Business
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Regional Meeting Attendance Nationaly
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Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9 Region 10 Region 11
Fall 2013 100% 77% 62% 65% 87% 100% 85% 88% 89% 85% 69%
Spring 2014 94% 74% 47% 85% 85% 100% 92% 83% 82% 85% 69%
Fall 2014 100% 76% 74% 85% 92% 100% 73% 87% 94% 81% 79%
Spring 2015 88% 74% 57% 83% 90% 100% 85% 87% 94% 88% 69%
Target 75% 75% 75% 75% 75% 75% 75% 75% 75% 75% 75%
40%
50%
60%
70%
80%
90%
100%
Fall 2013 Spring 2014 Fall 2014 Spring 2015 Target
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Deadline for regional representative nominations: October 15 Nomination announcement with link to online bio form is posted
on the Transplant Pro website Nominations reviewed by regional nominating committee Regional recommendations considered by OPTN/UNOS
President-Elect Appointments in April for terms beginning July 1
OPTN/UNOS Committee Nominations
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Minority Affairs
OPO
Pancreas
Thoracic
Transplant Administrators
OPTN/UNOS Committee Nominations
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Institutional Participation in Committee Process
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Regional representative to the MPSC for a 2-year term (2016-2018) Councillor position for additional 2 years
Moderate regional meetings Represent the region on the Board of Directors
Election process Call for nominations will be sent on 10/15– deadline October 30 Regional Guidelines – Nominee should be from Illinois If needed the regional nominating committee develops the slate Ballot sent to regional voting representatives
Associate Councillor
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Serves a *2-year term on the Histocompatibility Committee
Call for nominations will be sent on October 15 to labs, deadline is October 30
Election: slate will include the 2 nominees who receive the most nominations, ballot sent to independent lab voting representatives
Histocompatibility Committee Representative
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Regional Data
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Overall waiting list additions increased for third year in a row Slight decrease in both Kidney and Liver additions. Heart additions saw most significant increase.
Total and active registrations at year end peaked again in 2014
Waiting List National Trends
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Waiting List Registrations 2005-2014Region 7
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Waiting List Registrations 2005-2014Region 7
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Waiting List Registrations 2005-2014Region 7
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Waiting List Registrations 2005-2014Region 7
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Donor and Transplant Data
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Deceased donors increased by 4.0% (8,596 from
8,268), and increased donor transplants
decreased by 2.4% from 2013 increases in DCD, SCD donors
DCD donors now comprise 15% of deceased
donors overall (ranges from 7%-32% by region)
2.8% decrease in living donation from 2013-2014.
National Trends
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Deceased Donation2013-2014
U.S.
Donors Recovered
Organs Recovered
Organs Transplanted OTPD
2013 8,268 29,403 25,437 3.077
2014 8,596 30,160 26,046 3.03
% Change 4.00% 2.60% 2.40% -1.50%
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Donors Recovered
Organs Recovered
Organs Transplanted OTPD
2013 655 2,294 2,005 3.061
2014 684 2,464 2,115 3.092
% Change 4.40% 7.40% 5.50% 1.00%
Deceased Donation2013-2014Region 7
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Deceased and Living Donors2005-2014
U.S.
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Deceased and Living Donors2005-2014Region 7
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Deceased Donors by Type2005-2014
U.S.
7%
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Deceased Donors by Type2005-2014Region 7
3%
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Percent Change in Deceased Donors and Organs Recovered/Transplanted
2013 – 2014 - Region 7
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Region 7Deceased Donors Recovered Deceased Donor Organs Recovered
Deceased Donor Organs Transplanted Deceased Donor OTPD
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What should we be looking at??
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UNOS Update
Brian Shepard
UNOS Executive Director
Region 7
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OPTN and UNOS Strategic Planning
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2012 v. 2015 Goals
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Feedback from Regional Surveys
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Re-Balancing Resource Allocation
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2015-2016 allocation of effort:Increase transplants 40%Provide equity 30%Improve outcomes 15%Promote safety 10%Promote efficiency 5%
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Committee Project Portfolio
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Metrics and quality improvement
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MPSC Outcomes workgroup
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OPO evaluations
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Member Quality Pilot
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Real Life Lessons
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OPTN/UNOS Finance Update
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OPTN Revenue: Registrations
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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
$ 3,000,000 in federal appropriations for operations
$ 1,690,000 in OPTN fees for reserves
OPTN Funding
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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.
Fees
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Projected Costs and Fees
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FY 2015 FY 2016 FY 2017 FY 2018
Expenditures $46,622,786 $48,376,211 $49,370,410 $50,826,810
Funding
HRSA Federal Appropriations $3,000,000 $3,500,000 $4,000,000 $4,500,000
Reg Funding Carryover from FY 14 (IT fees) 2,100,000 500,000 0 0
Projected Registrations 54,500 56,066 56,727 57,197
Calculated OPTN Base Fee $762 $792 $800 $810
OPTN Base Fee $762 $792 $800 $810
OPTN Reserve Fee $31 $20 $20 $20
Total OPTN Fee $793 $812 $820 $830
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UNOS IT update
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2015 IT Releases
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1. Membership Screening for Kidney and Pancreas
2. Revise the Lung Allocation Score (LAS)3. Pediatric Lung Other Specify Diagnosis4. Require HLA C and DQB (First Increment)5. Tiedi OMB Form Changes6. Living Liver Donor Follow-up7. Potential Derived Disease Transmission
Reporting8. Pediatric Liver – Remove ICU
Requirements9. Pediatric Liver – Revise Hepatoblastoma
Requirements10. Update HLA Equivalency Tables
11. Update HLA Equivalency Tables
12. Transnet Android National Deployment
13. Transnet Web OPO Functionality
14. Match Run Changes 15. HOPE ACT membership
application (internal)16. Comprehensive Histo Rewrite17. Deceased Donor Updates18. Transnet iPad (Beta release)19. Infectious Disease20. Transnet TxC Match/Receipt
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2015 Board Project Plan
Box Color
Completed
Underway
non-BOD work
Scheduled
Text Color
Projects Approved 2013 or prior
Projects Approved 2014
Scheduled
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iPad User Acceptance Testing (UAT) – July 2015 Production release – Q4
Mobile Phones (iPhone6 & 6-Plus, corresponding Android phones) Start Development – August 2015 UAT – Late 2015/early 2016 Production release – Q2 2016
Transplant Center Functionality Completed requirement gathering Start development – June 2015 Beta test (3 centers) – August 2015
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Approved projects start prior to next Board meeting
No projects are ever older than 12 months
Board Project Service Level Objective
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Board Approval 50% ofProjects Started
95% ofProjects Started
90% ofProjects Complete
100% ofProjects Complete
Time T=0 T= 3 months T= 6 months T= 9 months T= 12 months
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IT Board Backlog by the End of…
2013 20162015201435 Projects7 Delivered5 in progress23 in queue
16 older than 12 months
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Regional Business Meeting
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Discussion agenda format is the same as previous meetings
8 public comment proposals Presentation Discussion Regional Vote
Regional Meeting Agenda: Discussion
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Includes 4 proposals anticipated to have a lower impact on the transplant community
Region was offered an opportunity to request that a proposal(s) be placed on the discussion agenda None received
Proposals will be voted on today, but not presented or discussed
Proposals presented and discussed during national webinars
Regional Meeting Agenda: Non-Discussion
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Proposed Changes to Transplant Program Key Personnel Procurement Requirements (Membership and Professional Standards Committee)
Revising Kidney Paired Donation Pilot Program Priority Points (Kidney Transplantation Committee)
Proposal to Update the Human Leukocyte Antigen (HLA) Equivalency Tables (Histocompatibility Committee)
Proposal to Reduce the Documentation Shipped with Organs (Organ Procurement Organization Committee)
Non-Discussion Proposals: VoteYou have the option to abstain from voting if you haven’t reviewed the
proposals
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Public comment booklets on each table
All attendees may discuss and provide feedback
Each OPTN/UNOS member institution has one voting representative
Sponsoring committee considers regional feedback in development of final proposal
Board receives all public comment
Your feedback is important!
Public Comment Proposals
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Contact Regional Representatives http://transplantpro.org/community/regions/
Submit public comment online OPTN website:
http://optn.transplant.hrsa.gov/governance/public-comment/ blog-style format, individual, regional, and committee comments are pubished
Public Comment Opportunities
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The presentations shared today are posted online: http://transplantpro.org/community/regions/ Make sure to review the presentations that weren’t presented today
Additional information available on this website including: Meeting agenda and summaries Data Links to various OPTN resources
Regional Meeting Materials – online!
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Questions?
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