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Region 10 MeetingTim Taber, MD

Regional Councillor

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Purpose of Regional Meeting

Discuss regional business

Provide updates on OPTN/UNOS committee activities and projects

Discuss and comment on proposed policies and bylaws

Summary of Spring and Fall 2015 regional meeting Includes sponsoring committee’s response to regional comments Board action on each proposal

Regional Business

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1. MPSC Quality Assurance Proposal – modified and approved

2. Definition of Pancreas Graft Failure – modified and approved

3. POC Quick Fixes – modified and approved

4. MPSC Definition of a Transplant Hospital – not submitted

5. MPSC CPM - not submitted

6. Pediatric Requirements – re-submitted for consideration Fall 2015

June Board – Regional Comments

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Tentative spring meeting date: Feb 5th

Spring public comment: January 25-March 25

Check Transplant Pro website for regional meeting date

Spring proposals will be reviewed by the OPTN/UNOS Board in June

Regional Business

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Deadline for regional representative nominations: October 15 Nomination announcement with link to online bio form is posted

on the Transplant Pro website Nominations reviewed by regional nominating committee Regional recommendations considered by OPTN/UNOS

President-Elect Appointments in April for terms beginning July 1

OPTN/UNOS Committee Nominations

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Liver and Intestinal Organ Transplantation

Operations and Safety

Pediatric Transplantation

OPTN/UNOS Committee Nominations

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Proposed to extend committee terms to three years

Excludes MPSC

Effective date of Feb 1, 2016

Spring 2015 POC Proposal

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Institutional Participation in Committee Process

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Regional Meeting Attendance Nationaly

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Data

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Overall waiting list additions increased for third year in a row Slight decrease in both Kidney and Liver additions. Heart additions saw most significant increase.

Total and active registrations at year end peaked again in 2014

Waiting List National Trends

Waiting List Registrations 2005-2014Region 10

Waiting List Registrations 2005-2014Region 10

Waiting List Registrations 2005-2014Region 10

Waiting List Registrations 2005-2014Region 10

Donor and Transplant Data

Deceased donors increased by 4.0% (8,596 from

8,268), and increased donor transplants

decreased by 2.4% from 2013 increases in DCD, SCD donors

DCD donors now comprise 15% of deceased

donors overall (ranges from 7%-32% by region)

2.8% decrease in living donation from 2013-2014.

National Trends

Deceased Donation2013-2014

U.S.

 

Donors Recovered

Organs Recovered

Organs Transplanted OTPD

2013 8,268 29,403 25,437 3.077

2014 8,596 30,160 26,046 3.03

% Change 4.00% 2.60% 2.40% -1.50%

Deceased and Living Donors2005-2014Region 10

 

Donors Recovered

Organs Recovered

Organs Transplanted OTPD

2013 710 2,671 2,323 3.272

2014 734 2,737 2,374 3.234

% Change 3.40% 2.50% 2.20% -1.10%

Deceased Donation2013-2014Region 10

Deceased Donors by Type2005-2014Region 10

-37%

Percent Change in Deceased Donors and Organs Recovered/Transplanted

2013 – 2014 - Region 10

Deceased Donor Transplants 2012-2014

U.S.

Deceased Donor Transplants 2012-2014 Region 10

Deceased Donors Recovered,Deceased Donor Organs Recovered,

Deceased Donor Organs Transplanted, andDeceased Donor OTPD

For Deceased Donors Recovered in the US fromJuly 1, 2013 to June 30, For Deceased Donors Recovered in the US from

July 1, June 30, 2014 and July 1, 2014 to June 30, 2015 by OPO

Based on OPTN data as of August 28, 2015.Data subject to change based on future data submission or correction.

2014 and July 1, 2014 to June 30, 2015by OPO

Based on OPTN data as of August 28, 2015.Data subject to change based on future data submission or correction.

Region 10Deceased Donors Recovered Deceased Donor Organs Recovered

Deceased Donor Organs Transplanted Deceased Donor OTPD

What should we be looking at??

Discussion agenda format is the same as previous meetings

8 public comment proposals Presentation Discussion Regional Vote

Regional Meeting Agenda: Discussion

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Includes proposals anticipated to have a lower impact on the transplant community

Region was offered an opportunity to request that a proposal(s) be placed on the discussion agenda None received

Proposals will be voted on today, but not presented or discussed

Proposals presented and discussed during national webinars

Regional Meeting Agenda: Non-Discussion

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Two webinars to present and discuss 4 proposals on non-discussion agenda

First webinar held on August 26

Second webinar: September 15 at 2:00pm ET To access registration link and presentation:

https://www.transplantpro.org/community/regions

National Webinars

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Proposed Changes to Transplant Program Key Personnel Procurement Requirements (Membership and Professional Standards Committee)

Revising Kidney Paired Donation Pilot Program Priority Points (Kidney Transplantation Committee)

Proposal to Update the Human Leukocyte Antigen (HLA) Equivalency Tables (Histocompatibility Committee)

Proposal to Reduce the Documentation Shipped with Organs (Organ Procurement Organization Committee)

Non-Discussion Proposals: VoteYou have the option to abstain from voting if you haven’t reviewed the

proposals

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Public comment booklets on each table

All attendees may discuss and provide feedback

Each OPTN/UNOS member institution has one voting representative

Sponsoring committee considers regional feedback in development of final proposal

Board receives all public comment

Your feedback is important!

Public Comment Proposals

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Contact Regional Representatives http://transplantpro.org/community/regions/

Submit public comment online OPTN website:

http://optn.transplant.hrsa.gov/governance/public-comment/ blog-style format, individual, regional, and committee comments are pubished

Public Comment Opportunities

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The presentations shared today are posted online: http://transplantpro.org/community/regions/ Make sure to review the presentations that weren’t presented today

Additional information available on this website including: Meeting agenda and summaries Data Links to various OPTN resources

Regional Meeting Materials – online!

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Questions?

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