1. Liver and Intestinal Organ Transplantation Committee Update David Mulligan, MD, Chair OPTN/UNOS Board of Directors Meeting November 12-13, 2014

2. Proposed Membership and Personnel Requirements for Intestine Transplant Programs

3. Goal 4: Promote Transplant Patient Safety Maintain high level of medical expertise Ensure surgeons and physicians at OPTN transplant centers have current and relative knowledge and experience Reassess currency requirements for surgeons and physicians Strategic Plan

4. The proposed bylaw will define a designated intestine transplant program and establish minimum qualifications for primary intestine transplant surgeons and physicians. The intent is to set minimum standards where none currently exist without compromising quality or restricting new program formation. Goal of the Proposal

5. This policy will set minimum levels of experience for intestine surgeons and physicians to serve as primary staff, which should serve to better protect patients. How this proposal will Achieve its Goal

6. Patient Safety Patient Access Qualified Physicians & Surgeons

7. Released for public comment 03/2014 20 responses received. 13 (65.00%) supported the proposal 1 (5.00%) opposed the proposal 6 (30.00%) had no opinion Of the 14 who responded with an opinion 13 (92.86%) supported the proposal 1 (7.14%) opposed the proposal. Review of Public Comment Overall, supportive but opportunity for improvement

8. David C. Mulligan, MD Committee Chair David.Mulligan@yale.edu Ashley Archer-Hayes, MAS Committee Liaison Ashley.Archer-Hayes@unos.org Thank you for your consideration. Questions?