1. Lloyd E. Ratner, MD, MPH Regional Councillor
Region 9 Meeting
Lloyd E. Ratner, MD, MPH
Regional Councillor
Welcome to the fall Region 9 meeting. We know you took time out of your schedule to be here and your attendance is appreciated.

2. Purpose of Regional Meeting
Discuss regional business
Provide updates on OPTN/UNOS committee activities and projects
Discuss and comment on proposed policies and bylaws
The purpose of regional meetings is to:
discuss regional business
receive updates on committee activities and projects
discuss and comment on proposed policies and bylaws.
Regional feedback on committee proposals and updates will be provided to the sponsoring committees.

3. Regional Business Summary of spring 2014 regional meeting
Vote
Updated summary of fall 2013 regional meeting
Includes sponsoring committee’s response to regional comments
Board action on each proposal
Please review the spring regional meeting summary located in the booklet at your seat. I will then take a vote to approve the summary. **take vote** Any opposed?
An updated fall 2013 meeting summary is also located in the booklet. The summary includes the sponsoring committee’s responses to our region’s comments and the Board action taken on each proposal.

4. Regional Business New Policy Development Calendar
Allow for a 6 month period between Board meetings
Shorten public comment to 60 days (currently 90 days)
Spring 2015 public comment period/regional meeting cycle: late January - late March
Fall 2015: mid-August - mid-October
We have not selected a spring meeting date yet, but will send an to the region for feedback on a proposed date in the coming weeks.
The length of the OPTN policy development process has grown significantly over the last 5-7 years. This has resulted in an increase in the amount of time it takes for the Board to respond to needed policy changes. A workgroup was formed to review the policy development process, and this review identified several problems. The workgroup made several recommendations to address the problems, some of which you will hear about in the Executive Committee’s public comment proposal this morning. Another recommendation that was approved by the Executive Committee is to redesign the policy development calendar. The recommendations included allowing for a 6 month period between each Board meeting and shortening the public comment period to 60 days.
The new calendar will shift the public comment period. The regional meetings are held during the public comment period, so the regional meeting dates will also occur during different timeframes then they do now.
It is important to note that the public comment period/regional meeting cycle may vary each year as it depends on the dates of the Board meetings. The spring regional meeting cycle is scheduled for late January through late March. The fall cycle will occur mid-August through mid-October.

5. Regional Business What this means for members:
Timing of regional meeting cycles will change
Spring public comment proposals will be reviewed by the Board in June (versus November)
Fall public comment proposals will be reviewed by the Board in December (versus the following June)
As mentioned on the previous slide, the regional meetings are held during the public comment cycle and therefore the regional meetings will be held during different timeframes then they are now.
This change means that public comment proposals we discuss next spring will be reviewed by the Board in June, versus waiting until the fall Board meeting. The public comment proposals we discuss during the fall regional meeting will be reviewed by the Board in December.
There will no longer be a 6 month lag time.

6. OPTN/UNOS Committee Nominations
Call for nominations – due October 17th
Nomination announcement with link to online bio form is posted to Transplant Pro
Nominations reviewed by regional nominating committee
Regional recommendations considered by OPTN/UNOS President-Elect
Appointments in April for terms beginning July 1
All but five OPTN/UNOS committees have regional representation. A call for nominations was sent to the region recently, and the deadline to submit nominations is October 17th . Each committee nomination must be accompanied by a candidate bio form in order to be considered. This year the bio form is online. Please visit the Transplant Pro website to review the call for nominations which includes a link to the online bio form.
The nominating committee consists of myself and Dr. Lew Teperman, our region’s associate councillor. We will review all nominations received from the region. The selection process is based on an individual’s professional experience, willingness to serve, the needs of the committee for subject specific expertise, and the desire to have representation from all areas of the region.
Regional recommendations are then considered by the OPTN/UNOS President-Elect. Committee appointments will be made in April for terms beginning July 1, 2015.

7. Committee Openings Kidney Committee Pancreas Committee
Transplant Administrators (term begins Nov. 1st, 3 year term)
Transplant Coordinators
The committee openings are listed on this slide. The Region 9 position on the Transplant Administrators Committee is vacant due to the recent representative moving to a center outside of the region. A candidate will be selected soon after the nomination period closes and we hope to have a representative in place by November 1st.

8. Regional Meeting Agenda
Fall meeting agenda
18 public comment proposals
10 committee updates, some requiring regional discussion
Utilize non-discussion agenda format
Divide agenda into two sections, discussion and non- discussion
18 public comment proposals are out for public comment and 10 committee updates will be presented during the meetings for the regions to review and discuss. To fully cover the material, the regional councillors and administrators made the decision to use a non-discussion agenda format that we introduced during the spring regional meeting cycle. We divided the agenda into two sections, discussion and non-discussion.

9. Discussion Agenda
Discussion agenda format is the same as previous meetings
11 public comment proposals
Presentation
Discussion
Regional Vote
The discussion agenda follows the same format as previous regional meetings. The regional representatives will present proposals today and the region will have an opportunity to discuss them. Following discussion, a vote will be taken on each proposal.

10. Non-Discussion Agenda
Includes proposals anticipated to have a lower impact on the community
Region was offered an opportunity to request that a proposal(s) be placed on the discussion agenda
Proposals will be voted on today, but not presented or discussed
Proposals presented and discussed during national webinars
The Regional Councillors and Administrators identified 5 proposals that are anticipated to have a lower impact on the transplant community as a whole. In previous correspondence, you were provided an opportunity to request that a proposal or proposals on the non-discussion agenda be added to the discussion agenda. No requests were submitted. The 5 proposals on the non-discussion agenda will be voted on today, but they will not be presented or discussed.

11. National Webinar
Two webinars to present and discuss 5 proposals on non-discussion agenda
First webinar held in September
Second webinar: October 20, 2014 at 2:00pm ET
Registration Link:
Two webinars will be held to present summaries of the 5 proposals. Members are given an opportunity to ask questions and provide feedback on the webinar. The first webinar was held in September, the second is scheduled for October 20th at 2pm ET. If you have questions about the webinars, please contact Shannon.

12. Non-Discussion Proposals: Vote You have the option to abstain from voting if you haven’t reviewed the proposals
Proposal to Convert KPD Contact Responsibilities and Donor Pre-Select Requirements from the OPTN/UNOS Kidney Paired Donation Pilot Program Operational Guidelines into OPTN Policy (Kidney Committee)
Clarification of Multi-Organ Policies  (Policy Oversight Committee)
Proposal to Automatically Transfer Pediatric Classification for Registered Liver Candidates Turning (Pediatric Committee)
Proposal to Collect Extracorporeal Membrane Oxygenation (ECMO) Data upon Waitlist Removal for Lung Candidates(Thoracic Transplantation Committee)
Proposal to Reduce the Reporting Requirements for the Deceased Donor Registration Form(OPO Committee)
This slide includes a list of the 5 proposals that we need to vote on today. **Read the title of each proposal**
The plan is to take one vote on all 5 proposals unless anyone is opposed to a specific proposal. If you haven’t reviewed one of the proposals on this list and will abstain from voting or will vote to oppose a proposal, please raise your hand and we will vote on each proposal separately.
Note to councillors:
**Please remind the group that they have the option to abstain if they didn’t attend one of the national webinars to hear the proposal presented or haven’t read the proposal online.
If no hands are raised, take one vote on all 5 proposals: yes, no, abstentions
If hands are raised: vote on each proposal separately – yes, no, abstentions

13. VCA Webinars
Two public comment proposals - presented and discussed during national webinars
October 29th at 2:00pm Eastern Time
November 6th at 2:00pm Eastern Time
Stay tuned for registration information
Update on VCA Committee’s activities presented today
Two proposals regarding VCA policy and bylaws are currently out for public comment.  The proposals will be discussed during two VCA webinars on the dates that appear on this slide.
Webinar information will be available soon.  A summary of the committee’s activities will be presented during the meeting today.

14. Public Comment Proposals
Public comment booklets on each table
All attendees may discuss and provide feedback
Each OPTN/UNOS member institution has one voting representative
Sponsoring committee considers regional feedback in development of final proposal
Board receives all public comment
Your feedback is important!
Public comment booklets containing the proposals we will discuss and vote upon today are located at each table.
All of you may participate in the discussion today and provide feedback. After each proposal is presented and discussed, a vote will be taken. Each OPTN/UNOS member institution receives one vote. OPTN/UNOS members include OPOs, transplant centers, histocompatibility laboratories, general public members, and professional organizations. A yellow card is provided to each voting member at the registration desk.
Regional feedback is important as it is considered by the sponsoring committee when developing final proposals, and public comment proposals are often modified and improved based upon regional feedback.
The Board also receives all public comment responses so that the directors have a sense of the transplant community’s sentiment about a given proposal.

15. Public Comment Opportunities
Contact Regional Representatives
Submit public comment online
OPTN website: comment/
If you have individual feedback on any of the public comment proposals, you have a couple ways to provide feedback.
You can contact our region’s representative on the sponsoring committee. A list of our region’s representatives is located in the booklet at your seat and also on the Transplant Pro website.
As always, you can also submit an individual public comment online through the OPTN website. As a reminder, this tool is always available to members to provide individual and center specific feedback to the committee on all the proposals that are submitted for public comment.

16. Regional Meeting Materials – online!
The presentations shared today are located online:
Navigate to: and find the link to your region listed in the 2014 fall meeting schedule
Make sure to review the presentations that weren’t presented today
Additional information available on this website including:
Meeting agenda and summaries
Data
Links to various OPTN resources
All of the committee presentations and meeting materials are posted on the Transplant Pro website approximately one week prior to the meeting. There were several committees that did not present updates at today’s meeting. Please take some time to review these presentations posted on the website.
You should have received an last week with this link. The link also appears on this slide for your reference.

17. Questions?
Thank you for your attention and I am happy to answer questions.