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

2 What problems will the proposal solve? ● Labeling and packaging errors represent over one-fifth of all errors voluntarily reported to the OPTN ● Wrong organ delivered or wrong organ/wrong recipient ● Switched kidney laterality ● Limited in-transit and package information

 Use technology to reduce and solve these problems  TransNet uses barcode scanning technology for labeling, packaging, and tracking functions  Application works with Android or iOS tablet (recently released) and portable bar code printer  Interacts with DonorNet  Supplements current labeling system  Use in OR to print on-demand labels and scan information on all organ and materials for transport What is the goal of the proposal? 3

 TransNet voluntary OPO usage started March 2015  This proposal would make OPO usage mandatory  Would go into effect in June 2017 How does the proposal address the problem statement? 4

 Barcoding, printing on-demand, and point of care processing are well established technologies/practices used to prevent errors in health care and other industries  TransNet uses these technologies/practices Supporting Evidence 6

 Healthcare Failure Modes and Effects Analysis  Discovery and Immersion  Simulation  Lean methodology  Training evaluation Supporting Evidence 7

 TransNet is widely accepted and currently used by over half of OPOs  35 OPOs have attended training and 8 new OPOs are signed up for 2016 training  6,947 organs from 2,029 donors have been packaged using TransNet  Cases were created for 72.4% of all deceased donors among current users  OPO use must be mandated for transplant hospitals and entire system to reap benefits Supporting Evidence 8

Preparing for TransNet  OPOs purchase needed equipment.  Each tablet/printer set costs ~$1,000  Attend and pass proficiency test at UNOS training  Train staff at home OPO  Revise internal protocols, identify and test back-up system How will members implement this proposal? 9

Using TransNet  Use TransNet for printing and scanning donor ID band  Use TransNet to print all labels for organs, specimens, vessels, and paperwork  Use TransNet to scan all package contents  Transmit data to OPTN TransNet website to enable tracking How will members implement this proposal? 10

 Strategic Goal – Promote living donor and transplant recipient safety  Promotes transplant recipient safety by using technology to reduce common errors such as illegible labels and transcription errors that can lead to incorrect transplantation How does this proposal support the OPTN Strategic Plan? 11

Theresa Daly Committee Chair Susan Tlusty Committee Liaison Questions? 12