1. Membership & Professional Standards Committee
Fall 2018

2. Recent Board Actions Changes to OPTN Bylaws Appendix L
Spring Public Comment
June Approved by OPTN Board of Directors with no post-public comment changes
June 12, Implemented
In spring 2018, a proposal to make significant changes to Appendix L of the OPTN bylaws went out for public comment.
Appendix L details the actions that the OPTN may take when OPTN members fail to meet membership requirements
Also outlines members' rights when the MPSC or Board of Directors is considering taking certain actions
No revisions were made to the proposal post public comment
The Board approved the proposal in June 2018
The new Appendix L provisions were implemented on June 12, 2018.

3. Upcoming Bylaw Implementation
Membership Requirements Awaiting Implementation
Transplant Hospital Definition
Pediatric Bylaws
Notice
Applications
Staff & MPSC Review
Board
Approval
Two revisions to the Membership Requirements Bylaws are pending and expected to begin the process of implementation soon
Implementation of new Membership Requirement Bylaws is a process
The actual implementation date of the bylaws is at the end of the process of review so all members are in compliance on the effective date of the bylaws
The process includes:
Notice will be given 30 days before applications are sent out
Each member that we know will probably be affected by the change will receive an application and have generally 60 – 90 days to complete and submit their completed application
MPSC reviews the completed applications
Board approval – the transplant hospital definition and pediatric bylaws membership requirements will become effective upon Board approval of applications

4. Upcoming Bylaw Implementation: Geographic Requirements for Transplant Hospitals (OPTN Bylaws Appendix D, D.2)
Board Approved 12/2016
Notice
9/2018
Applications
10/2018 through 11/2018
Staff & MPSC Review
12/2018 – 10/2019
Board Approval
12/2019
Transplant hospitals will receive short member form in early Oct
Single donation service area
Under common executive leadership and governance oversight
All ORs within geographically contiguous campus or within 1 mile walking distance – map and addresses required
If do not meet one of geographical requirements in #3, can request an exception
This is the timeline for the implementation of the geographic requirements for transplant hospitals otherwise known as the transplant hospital definition bylaws.
All transplant hospitals will receive an application in October that requests information on the four bulleted items above.
Please review the policy notice from December 2016 for more specific details of the requirements. The policy notice can be found on the OPTN website in the list of policy and bylaw revisions pending implementation.

5. All transplant hospital members will need to complete either:
Upcoming Bylaw Implementation: Geographic Requirements for Transplant Hospitals
All transplant hospital members will need to complete either:
Geographical Requirements for Transplant Hospitals form
New transplant hospital member application if requesting a merger with another member or splitting into two members
Please notify UNOS Membership staff as soon as possible if your hospital will be:
Your hospital will be merging with another hospital under one membership
Your hospital will need to split into two transplant hospital memberships
Your hospital will be requesting an exception
An FAQ for questions related to merging members or splitting members will be available
Every transplant hospital member will need to complete either the shorter Geographical Requirements for Transplant Hospitals form or a new transplant hospital member application if two or more current transplant hospital members are merging or if a current transplant hospital member is splitting into two separate members.
We ask that any transplant hospital members that will be merging into one membership, will need to split into two transplant hospital members or will be requesting an exception notify the UNOS Membership analyst for your region as soon as possible. Notifying UNOS as early as possible in the process will provide the maximum amount of time
to make necessary changes in UNet
to make arrangements for transfer of wait listed patients and
for MPSC review
An FAQ addressing questions on the affect of merging or splitting memberships will be available to members. The FAQ will answer questions about the process for transfer of candidates on the waiting list and the effect of a merger or split on the hospitals data and follow-up for recipients and living donors.

6. Upcoming Bylaw Implementation: Pediatric Transplant Components - Board Approved 12/2015
Notice
Spring 2019
Applications
90 days
Staff & MPSC Review
months
Board Approval
6/2020 – 12/2020
Tentative implementation plan:
Spring 2019 – 30 day notice
Late Spring to Summer 2019 – 90 day application period
Summer 2019 to Summer 2020 or Fall 2020 – Staff & MPSC Review of applications
Board approval June 2020 or December 2020 – Board Approval
Dependencies:
OMB approval of revised applications
Delays in implementation of Geographical Requirements for Transplant Hospitals
We are providing information on the tentative plan to implement the pediatric transplant component membership requirements in order to give transplant programs an opportunity to prepare and make sure that the proposed primary pediatric transplant surgeons and physicians can meet the new membership requirements.
The applications for pediatric transplant components will be sent out to members no sooner than spring 2019.
All programs that have had a pediatric candidate on their waiting list in the last 5 years will receive an application.
Programs will have 90 days to submit the applications
The pediatric transplant component membership bylaws will be implemented upon Board approval in mid to late 2020.
This timeline is subject to OMB approval of the revised applications and could be affected by delays in implementation of the geographical requirements for transplant hospitals – particularly a large number of mergers, splits of transplant hospital members and exception requests.

7. Pediatric Transplant Components: What members need to know to prepare
Kidney, liver and heart:
Primary pediatric transplant surgeon must
Meet all requirements for primary transplant surgeon
Demonstrate current working knowledge and experience in pediatric transplant
Primary pediatric transplant physician must
Meet all requirements for primary transplant physician
Meet requirements of one of the pediatric training or experience pathways
Lung and pancreas:
Primary pediatric transplant surgeon for pediatric component must meet all requirements of primary transplant surgeon for the program
Primary pediatric transplant physician for pediatric component must meet all requirements of primary transplant physician for the program
In order to prepare for the implementation of the Pediatric Transplant Components, please remember that for kidney, liver and heart programs
the primary pediatric transplant surgeon must
Meet all of the requirements for the primary transplant surgeon for that program and
Demonstrate current working knowledge and experience in pediatric transplant.
The primary pediatric transplant physician must
meet all of the requirements for the primary transplant physician and
meet all requirements of one of the pediatric training or experience pathways in the primary transplant physician bylaw requirements for that program.
For lung and pancreas, the primary pediatric transplant surgeon and primary pediatric transplant physician must meet all requirements to serve as the primary transplant surgeon or physician for that program.

8. Want additional information?
Please contact the UNOS membership analyst for your region either by phone at or by Regions 1, 5, 8 Tierra Yuille Regions 2, 10 Christi Manner Regions 3, 4, 6 Jasmine Smith Regions 7, 9, 11 Nadine Drumn

9. Questions?