1. Vascularized Composite Allograft (VCA) Transplantation Committee
Spring 2018

2. Upcoming Policy Implementations
Proposal
Board Approval
Implementation Date
Membership Requirements for VCA Transplant Programs
Established minimum training and experience requirements for key personnel
June 2015
Q2 2019
List Covered Body Parts Pertaining to VCA
Added 8 covered body parts (OPTN Policy 1.2)
Made training and experience requirements for primary transplant surgeons of head, neck and upper limb transplant programs consistent
Non-substantive changes to Bylaws, Appendix J for style, consistency, and clarity
June 2016
The detailed training and experience requirements for key personnel at VCA transplant programs were approved by the Board in June A subsequent proposal clarifying what body parts were considered VCAs was approved by the Board in June Both of these proposals are targeted for implementation in in the second quarter of 2019.

3. Future Project Ideas Proposal Status
Guidance to OPOs on Optimizing VCA Authorization & Recovery
Developing guidance document and educational resource
Public Comment
Aligning VCA Membership Requirements with Requirements for Other Transplant Programs
Need greater alignment of membership requirements in OPTN Bylaws Appendix J of VCA and solid organ transplant programs
Understanding VCA Functional Outcomes
Modify VCA recipient data collection to have better understanding of functional outcomes
Early discussions
In Q1 2016, the VCA Committee surveyed OPOs in the U.S. to identify barriers to VCA authorization and recovery. This survey helped identify areas for future guidance to increase VCA donation. The Committee has developed a guidance document and educational resource for OPOs to increase the number of VCA donors. This proposal is out for public comment from January 22, 2018 to March 23, The anticipated date for the Board to consider this guidance is June 2018.
The Committee has developed a proposal to bring greater alignment of the VCA membership requirements with those for solid organ transplant programs. Chief among these amendments is the addition of a continuing medical education pathway for key personnel who are non-board certified. Such pathways exists for key personnel at heart, lung, liver, kidney, and pancreas transplant programs. This proposal is out for public comment from January 22, 2018 to March 23, The anticipated date for consideration by the Board is June 2018.
The VCA Data Subcommittee has begun early discussions on a proposal to collect wider amounts of information on VCA transplant recipients. The goal of this project is to have a better understanding of VCA functional outcomes to guide future policy-making decisions.

4. Approved VCA Transplant Programs* as of 12/29/2017
A list of all the approved programs are on the OPTN site.
* Representing 27 unique transplant centers
Based on most recent available information provided by members to the OPTN as of December 29, 2017.
Data subject to change based on future data submission or correction.

5. VCA Waiting List and Transplant Numbers by Type as of 12/29/17
VCA Type
Candidates Added to Waiting List, 7/3/ /29/17
Transplants, 7/3/ /29/17
Candidates Waiting as of 12/29/17
Abdominal Wall 4 1
Head & Neck: Craniofacial 8 5 2
Head & Neck: Scalp
Upper Limb, Bilateral 10 6
Upper Limb, Unilateral
Other: GU - Penile 3
Other: GU - Uterus 13
Total 51 28 15
Based on most recent available information provided by members to the OPTN as of July 7, 2017.
Data subject to change based on future data submission or correction.

6. Questions L. Scott Levin, M.D., FACS
Chair, VCA Transplantation Committee
Christopher L. Wholley, M.S.A.
Policy Analyst