1 Membership and Professional Standards Committee Fall 2015

2 Policy Implementation Dates  Quality Assessment and Performance Improvement Requirement (QAPI)  OPTN Bylaws Appendices B (Membership Requirements for Organ Procurement Organizations) and D (Membership Requirements for Transplant Hospitals and Transplant Programs)  Requires all OPOs and transplant hospitals to develop and implement a QAPI program  Effective September 1, 2015

 Transplant Hospital Definition  Original proposal distributed fall 2014 public comment  Feedback prompted Committee to readdress proposal  Discussed at June 2015 OPTN/UNOS Board of Directors meeting  MPSC Working Group meeting regularly  Aiming for spring 2016 public comment MPSC Committee Projects 3

 Outcome Measures Work Group  Charge- evaluate ways to decrease the perceived disincentives to transplant  Possible Solution-  Identify donor kidneys at high risk for discard that could be excluded from post-transplant outcomes review  Propose as a variance  Aiming for spring 2016 public comment MPSC Committee Projects 4

 Post-transplant performance review of multi-organ transplants  Focusing on SLK transplants  most frequent multi-organ transplant  Suggest initially reviewing SLK outcomes separately from single organ transplants  Considering SLK outcome pilot review prior to proposing formal changes  Working with SRTR to develop models for SLK transplants MPSC Committee Projects 5

 MPSC projects placed on hold  Composite pre-transplant metrics  Primary surgeon qualification - primary or first assistant on transplant cases (JSWG)  Primary Physician sub-specialty board certifications (JSWG)  Define working knowledge for primary physician qualification pathways (JSWG)  Reassess currency requirements for primary surgeons and primary physicians (JSWG)  Consider requirement for primary physician observation of procurements (JSWG)  Approved transplant fellowship training programs (JSWG)  Update primary kidney transplant physician Bylaws (JSWG)  MPSC projects/JSWG topics out for fall 2015 public comment  Key personnel procurement requirement modifications  On non-discussion agenda, please submit feedback through OPTN website  Deleting “Foreign Equivalent” from OPTN/UNOS Bylaws MPSC Committee Projects 6

Jonathan Chen, MD Committee Chair Regional representative name (RA will complete) Region X Representative address Sally Aungier Committee Liaison Questions? 7