Number of transplants

Transcription

1 UNOS Update 1

2 Number of transplants 2

3 Re-Balancing Resource Allocation allocation of effort: Increase transplants 40% Provide equity 30% Improve outcomes 15% Promote safety 10% Promote efficiency 5% 3

4 2014 Committee Projects more txs access survival pt safety efficiency

5 Strategic alignment of current committee projects Approved prior to Dec 16 Added in Dec 16 5

6 Total Implementation Hours Strategic alignment of projects approved at December Board meeting 7,000 6,550 6,000 5,000 4,000 3,530 3,000 2,000 1, , Goal 1 Goal 2 Goal 3 Goal 4 Goal 5 More txs Equity Outcomes Safety Efficiency 6

7 Current metrics efforts MPSC Workgroup Alternate review paradigm under current flagging criteria for kidneys Board Workgroup Consider array of possible changes for all organs, including flagging criteria COIIN Project- (Task 18) Develop and assess nonoutcomes indicators OPO study- (Task 17) Assess feasibility of better baseline for OPO metric 7

8 IT Releases June to November 2015 POLICY 1. Membership Screening for Kidney and Pancreas 2. Revise the Lung Allocation Score (LAS) 3. Pediatric Lung Other Specify Diagnosis 4. Require HLA C and DQB (First Increment) 5. Tiedi OMB Form Changes 6. Living Liver Donor Follow-up 7. Potential Derived Disease Transmission Reporting 8. Pediatric Liver Remove ICU Requirements 9. Pediatric Liver Revise Hepatoblastoma Reqs. 10. Update HLA Equivalency Tables 11. Match Run Changes 12. Comprehensive Histo Rewrite 13. Deceased Donor Updates 15. Infectious Disease POLICY Continued 16. Ped Class Liver (interim) 17. HOPE Act Waitlist 18. Patient Safety, Living Donor 19. HCC Cap and Delay 20. Vessels OPTN Web Redesign 1. Public Comment Tool 2. MELD, PELD, EPTS, KPDI Calculators* TransNet 1. Transnet Android National Deployment 2. Transnet Web OPO Functionality 3. Transnet ipad (Beta release) 4. Transnet TxC Match/Receipt 5. NAT Results 6. Organ Check-in/Match; UI; Responsive UI 7. New Organ Match report * API based calculators

9 BOD OPTN Roadmap (Rolling 12 Month)

10 Organ Offer Reports-Centers and OPOs Review of Recent Offers Enhancement to current ROOT and DSA Reports Updated weekly Includes offers from past 120 days All Organs Included Both organs accepted and those refused by all programs Offers below acceptor including provisional acceptances Visualization Visual display of data with raw data files Filter data to monitor acceptance rates by various donor and organ characteristics, identify opportunities to increase organs transplanted 10

11 Data Services Portal Secure Access Secure location accessed through UNET Data reports and visualization in one location Use of Big Data infrastructure to enable frequent updates Data Downloads Single location for multiple types of data files On Demand access to center STAR files and standard reports without data request or SECURE Visualization Tableau to visually explore data in secure environment Quality improvement tool to increase organs transplanted and improve patient outcomes 11

12 Customer Input Channels Customer Council Meetings Regional Meetings Industry Conventions (AOPO, NATCO, etc.) OPO Visits Transplant Center Conversations Interactions with Board Members 12

13 2015 Progress Report Programming Completed Currently in Process Reviewed by IT Customer Council Addition of match Id to match run file that is downloaded Increased match run view from 25 to 100 potential recipients Availability of buttons on the top and bottom of the match run page DonorNet browser compatibility/ compatibility with tablet devices Report of Organ Offers WaitList browser compatibility Make the Disposition Reason Code field in Feedback a drop-down list rather than a data entry field Have transplant center contact info placed on the candidate info screen in DonorNet Sharing of Post transplant results in DonorNet Add a new widget option to DonorNet main page that will display all incomplete DNRs to user Info provided in Donor Summary Medical and Social History does not match info that is provided on Donor Snapshot Increasing donor weight limit

14 Other placement efforts 14

15 OPTN Finance Update 15

16 58000 Waitlist Registrations } $ million Projection Actual 16

17 Projected Costs and Fees FY 2015 FY 2016 FY 2017 FY 2018 Expenditures $46,622,786 $50,174,882 $49,370,410 $50,826,810 Funding HRSA Federal Appropriations $3,000,000 $5,298,671 $4,000,000 $4,500,000 Reg Funding Carryover from FY 14 (IT fees) 2,100, , Projected Registrations 54,500 56,066 54,000 54,000 Calculated OPTN Base Fee $762 $792 $840 $858 OPTN Reserve Fee $31 $20 $20 $20 Total OPTN Fee $793 $812 $860 $878 17

18 Board of Directors President Stuart C. Sweet, M.D., Ph.D. Vice President Yolanda T. Becker, M.D. VP/Patient & Donor Affairs Kenyon W. Murphy, J.D. Immediate Past President Betsy J. Walsh, J.D., M.P.H. 18