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UNOS Update

Stuart Sweet, MDVice-President, OPTN/UNOS Board of Directors

Region 10September 10 , 2015

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%

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

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

2015 Board Project Plan

Box Color

Completed

Underway

non-BOD work

Scheduled

Text Color

Projects Approved 2013 or prior

Projects Approved 2014

Scheduled

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

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

IT Board Backlog by the End of…

2013 20162015201435 Projects7 Delivered5 in progress23 in queue

16 older than 12 months

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UNOS Update

Stuart Sweet, MDVice-President, OPTN/UNOS Board of Directors

Region 10September 10 , 2015