Thoracic Organ Transplantation Committee Fall 2012 Public Comment Cycle

Recent Public Comment Proposals  LAS Modification Proposal  24 Hour Downgrade Proposal

Recent Public Comment Proposals (cont’d)  LAS Modification Proposal  Feedback overwhelmingly positive  Much feedback Pulmonary Hypertension community  All 11 OPTN/UNOS Regions supported  NATCO/ASTS/AST all supported  Will be presented to the Board in November, 2012

Recent Public Comment Proposals (cont’d)  24 Hour Downgrade Proposal  Approved by the Board in June 2012  Reporting change in criterion/status effective Sept. 1, 2012  Proposal includes unrelated edits to pediatric heart inotrope dosage language

 Outpatient Total Artificial Heart Policy Expiring  Evaluating Heart Allocation System  Heart-Lung Allocation Ongoing Committee Initiatives

Outpatient Total Artificial Heart Policy Expiring  Policy to expire December 1, 2012  Evaluated data since implementation in November, 2010  Will reevaluate how to treat outpatient TAH candidates Ongoing Committee Initiatives (cont’d)

 Evaluating Heart Allocation System  Heart Subcommittee continuing to monitor the heart allocation system  Heart Subcommittee defining “device complications” Ongoing Committee Initiatives (cont’d)

 Heart-Lung Allocation  Allocating heart-lung blocs  Thoracic Committee submitted multi-organ allocation principles to POC for consideration Ongoing Committee Initiatives (cont’d)

 Ex Vivo Lung Perfusion Policy Development  Lung Subcommittee defining project scope  Created workgroup, and will identify stakeholders New Committee Initiatives

Questions?  Steven Webber, M.D., MBChB, MRCP, Chair Joe Rogers, M.D., Vice Chair  Liz Robbins, Liaison