1. OPTN/UNOS Thoracic Organ Transplantation Committee Dr. Joe Rogers
Clarification to Policy 10.1.G: Reporting Additional Data for Candidates with an LAS of 50 or Higher (Resolution 26)
OPTN/UNOS Thoracic Organ Transplantation Committee
Dr. Joe Rogers

2. Background
Policy 10.1.G: Reporting Additional Data for Candidates with an LAS of 50 or Higher effective February 1, 2012
Every 14 days, for candidates with LAS of 50 or higher, transplant programs must report:
Assisted Ventilation
Supplemental Oxygen
PCO2 *

3. Policy 10.1.G cannot be monitored as written
The Problem
Policy 10.1.G cannot be monitored as written

4. #6: Promote the Efficient Management of the OPTN
Strategic Plan
#6: Promote the Efficient Management of the OPTN
Clearly communicate with members

5. Work with DEQ to: Clarify LAS variables that must be reported
Goal of the Proposal
Work with DEQ to:
Clarify LAS variables that must be reported
Clarify timing of reporting requirements

6. How the Proposal Will Achieve Its Goal
Changes to policy language
Current policy: “any observed changes”
Proposed policy: removes reference to “any observed changes”
Monitoring: Candidate’s data must be assessed and reported every 14 days even if no changes
Current policy: “three key variables”
Proposed policy: removes reference to “three”
Monitoring: DEQ will review all fields related to supplemental oxygen (frequency and amount), and PCO2 (venous, capillary, or arterial)

7. Overall Project Impact
Product
Policy Modification
Target Population Impact:
Lung transplant candidates with an LAS of 50 or higher
Total IT Implementation Hours
0/10,680
Total Overall Implementation Hours
20/17,885

8. Resolution 26 (page 111)
RESOLVED, the modifications to Policy 10.1.G (Reporting Additional Data for Candidates with an LAS of 50 or Higher), as set forth in Exhibit C, are hereby approved, effective February 1,

9. Proposed Policy
Within 14 days of the date a candidate’s LAS becomes 50 or higher, A the candidate’s transplant program must assess and report data for three key variables to the OPTN Contractor the following variables no more than 14 days after a candidate’s LAS becomes 50 or higher:
Assisted ventilation
Supplemental oxygen
Current PCO2
The transplant program is only required to report an updated PCO2 value if the test was performed within those 14 days. While the candidate’s LAS score remains 50 or higher, the transplant program must continue to assess and report any observed changes in the three clinical key variables assisted ventilation and supplemental oxygen every 14 days. The transplant program is only required to report updated PCO2 data if the assessment was performed during the previous 14 day interval.
The transplant program must maintain documentation of each assessment in the candidate’s medical chart.