1. Vascularized Composite Allograft (VCA) Transplantation Committee
Fall 2017

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
Forms under review by U.S. Office of Management and Budget, Date TBD
List Covered Body Parts Pertaining to VCA
Added the 8 covered body parts (OPTN Policy 1.2)
Make 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

3. Future Project Ideas Proposal Status
Guidance to OPOs on Optimizing VCA Authorization & Recovery
Developing guidance document and educational resource
In progress
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.
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 is developing a guidance document and educational resource for OPOs to increase the number of VCA donors. The anticipated date for the Board of Directors to consider this guidance is June 2018.
The Committee is in early discussions to bring greater alignment of the VCA membership requirements in OPTN Bylaws, Appendix J with those for solid organ transplant programs. Chief among these amendments is the addition of a continuing education pathway for key personnel who are ineligible for U.S. board certification. Such pathways exists for key personnel at heart, lung, liver, kidney, and pancreas transplant programs. The anticipated date for consideration by the Board of Directors is June 2018.

4. Approved VCA Transplant Programs* as of 7/7/2017
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 July 7, 2017.
Data subject to change based on future data submission or correction.

5. VCA Waiting List and Transplant Numbers by Type as of 7/7/17
VCA Type
Candidates Added to Waiting List, 7/3/2014-7/7/17
Transplants, 7/3/2014-7/7/17
Candidates Waiting as of 7/7/17
Abdominal Wall 4 1
Head & Neck: Craniofacial 7 5
Head & Neck: Scalp 2
Upper Limb, Bilateral 10 3
Upper Limb, Unilateral 9
Other: GU - Penile
Other: GU - Uterus
Total 45 24 14
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