Living Donor Committee Update Mary Amanda Dew, PhD November 12-13, 2014.

Slides:

Advertisements

Similar presentations

OPTN OPO Committee Spring 2012 Regional Meeting Update.

Advertisements

Kidney Transplantation Committee Update John J. Friedewald, MD Committee Chair Meetings.

Modify ABO Subtyping References for Consistency Operations and Safety Committee November 12-13, 2014.

Membership and Personnel Requirements for VCA Programs (Resolution 27) Vascularized Composite Allograft (VCA)Transplantation Committee Sue V. McDiarmid,

Proposal to Modify Existing or Establish New Requirements for the Informed Consent of Living Donors (Resolution 18) Living Donor Committee Mary Amanda.

Proposal to Modify Existing or Establish New Requirements for the Psychosocial and Medical of Living Donors (Resolution 17) Living Donor Committee Mary.

OPTN Living Donor Committee Non Action Items Connie Davis, MD June 26, 2012.

Living Donor Committee Update Christie Thomas, MB, FRCP, FASN, FAHA Medical Director, Kidney Transplant Program University of Iowa Hospitals Chair, OPTN/UNOS.

Region 9 Meeting Lloyd Ratner, MD, MPH Regional Councillor.

Region 6 Meeting Viken Douzdjian, MD Regional Councillor.

November 12, 2014 St. Louis, Missouri OPTN Strategic Planning Feedback Board of Directors.

UW Hospital and Clinics Organ Procurement Organization (OPO) Tony D’Alessandro, MD Medical Director, UWHC OPO November 4, 2009.

HIV Organ Policy Equity (HOPE) Act Research Criteria: follow-up discussion Advisory Committee on Organ Transplantation April 13, 2015.

Organ Transplantation Program Update August 28, 2012 Christopher J. McLaughlin Chief, Organ Transplantation Branch Division of Transplantation Department.

Proposal to Change the OPTN/UNOS Bylaws to Better Define Notification Requirements for Periods of Functional Inactivity Membership and Professional Standards.

Pancreas Transplantation Committee Update: Definition of Pancreas Graft Failure Jonathan Fridell, MD, Chair.

Proposed Revisions to and Reorganization of Policy 6.0 (Transplantation of Non-Resident Aliens) Sponsors: Ad Hoc International Relations Committee and.

Proposal to Delay the HCC Exception Score Assignment (Resolution 9) Liver and Intestine Committee David Mulligan, Chair November 12 and 13, 2014.

Committee on Refinery Equipment November 2010 Update to the Refining Subcommittee Michael Lubcyik, Chevron Energy & Technology Company, Chair, CRE.

Proposal To Modify Existing or Establish New Requirements for the Psychosocial and Medical Evaluation of all Living Donors Living Donor Committee Spring.

Policy Oversight Committee Update Board of Directors Meeting June 25-26, 2012 Stuart C. Sweet, MD, PhD.

Addressing the Requirements Outlined in the HIV Organ Policy Equity Act Organ Procurement Organization Committee Spring 2015.

OPTN Strategic Plan Maureen McBride United Network for Organ Sharing August 28, 2012.

1 Region 10 Meeting Tim Taber, MD Regional Councillor.

Protocol Lifecycles.  At their meeting in May, the GSA Board approved a new policy that establishes a well-defined three-year lifecycle for GSA protocols.

European Donation & Transplant Coordination Organisation The Donation & Procurement Section of ESOT and

Proposal to Improve UNet sm Reporting of Aborted Procedures and Non-Transplanted Organs Living Donor Committee Spring 2015.

Region 4 Meeting Kenneth Washburn, MD Regional Councillor.

Ad Hoc Disease Transmission Advisory Committee Fall 2014.

1 Proposal to Update the HLA Equivalency Tables Histocompatibility Committee Fall 2015.

1 Region 7 Meeting Julie Heimbach, MD Regional Councillor.

Introduction Organ Transplantation Program Update Advisory Committee on Organ Transplantation November 17, 2015 Melissa Greenwald, MD Acting Director Division.

OPTN Proposal to Require Extra Vessels Disposition Reporting to the OPTN in Five Days of Transplant or Disposal Sponsored by the Operations and Safety.

1 Proposal to Establish and Clarify Policy Requirements for Therapeutic Organ Donation Living Donor Committee Fall 2015.

Ad Hoc Disease Transmission Advisory Committee Fall 2014.

Operations and Safety Committee Update Report to Board of Directors June , 2012 Phil Camp, Jr., MD - Chair.

Work Related to Senate Bill 2202 (effective January 1, 2001)

Liver and Intestinal Organ Transplantation Committee Update David Mulligan, MD, Chair OPTN/UNOS Board of Directors Meeting November 12-13, 2014.

1 Standardize an Organ Coding System for Tracking of Organs: Requirements for OPO TransNet SM Use Operations and Safety Committee Spring 2016.

Managed by the International Fuel Tax Association, Inc. IFTA FULL TRACK PRELIMINARY BALLOT PROPOSAL # ANNUAL IFTA BUSINESS MEETING JULY 18,

Minority Affairs Committee

Improving Allocation of En Bloc Kidneys Public Comment Proposal

Vascularized Composite Allograft (VCA) Transplantation Committee

OPTN/UNOS Kidney Transplantation Committee

Thoracic Organ Transplantation Committee Spring 2015

Proposal to Require the Reporting of Aborted Living Donor Organ Recovery Procedures (Resolution 19) Living Donor Committee Mary Amanda Dew, PhD.

OPTN/UNOS Thoracic Organ Transplantation Committee

Pancreas Program Functional Inactivity

Cultivating Relationships with Hospitals to Increase

Clarifications on Reporting Maintenance Dialysis

Living Donor Committee

Strategic Planning Timeline Overview

OPTN/UNOS Ethics Committee

Operations and Safety Committee

Living Donor Committee Spring 2014

Membership & Professional Standards Committee (MPSC)

Guidance on Effective Practices in Broader Distribution

Thoracic Organ Transplantation Committee

Operations and Safety Committee

Living Organ Donation by Persons with Certain Fatal Diseases who Meet the Criteria to be Living Organ Donors Ethics Committee.

Membership & Professional Standards Committee

Living Donor Committee Spring 2014

OPTN/UNOS Living Donor Committee

Vascularized Composite Allograft Transplantation Committee Fall 2014

Living Donor Committee

Living Donor Committee

Living Donor Committee

Membership & Professional Standards Committee (MPSC)

White Paper: Split Versus Whole Liver Transplantation

Presentation transcript:

Living Donor Committee Update Mary Amanda Dew, PhD November 12-13, 2014

Three proposals considered by the Board today:  Proposal to Require Reporting Aborted Living Donor Organ Recovery Procedures  Proposal to Modify Existing or Establish New Requirements for the Informed Consent of Living Donors  Proposal to Modify Existing or Establish New Requirements for the Psychosocial and Medical Evaluation of Living Donors Current Projects

1. Clarify the Status of Domino Donor  Current practice is inconsistent regarding whether domino donors are considered as living donors or recipients for policy requirements and compliance.  Working with the Thoracic, Operations and Safety and Liver Committees to draft proposed policy language  Planning for August 2015 public comment Current Projects – All promote Strategic Goal # 5 – Promote Living Donor Safety

2. Improve UNet sm Reporting of Aborted Procedures and Non Transplanted Organs  Small policy clarification project to ensure living donor recovery programs report aborted living donor recovery procedures  Current policy does not specifically require reporting aborted living donor recovery procedures on the Living Donor Feedback/Add Donor form Current Projects

3. New Requirements for the Transport of Living Donor Organ  Joint project with the Operations & Safety Committee  Longstanding project which has not progressed due to lack of supporting evidence  Planning to use the Healthcare Failure Mode Effects Analysis (HFMEA) process to advance project Current Projects

Minimum Requirements for Living Kidney Donor Follow-up  Policy 18.5 Reporting Requirements after Donation  Effective February 1, 2013  First preliminary results reported at the World Transplant Congress in July 2014 Recent Projects

How many kidney programs are meeting the thresholds required in the new policy?

Percent of LKD Programs Meeting the Initial Policy Thresholds for LKD Follow-up, 6-months post- donation

Is there variation in LKD follow-up reporting among programs?

Percent of Each Program’s LKDs with 6-Month LDF with Lab Data within 60 Days of Donation Anniversary (Feb-Oct 2013)

75.1% of programs met 50% threshold for lab data

Percent of Each Program’s LKDs with 6-Month LDF with Lab Data within 60 Days of Donation Anniversary (Feb-Oct 2013) 24.9% of programs did not meet 50% threshold

 In each of the past several years, the Committee has coordinated sending a letter to each living donor recovery program reporting the status of their follow-up.  The Committee is preparing to send a letter reporting the status of each living donor recovery center’s follow-up compared to the new policy requirements. Letter to Living Donor Recovery Programs