Liver and Intestinal Organ Transplantation Committee Update Report
Update report on liver and intestinal organ transplantation committee activities, including developing materials to educate liver regional review board members, strategic planning, addressing operational guidelines affecting the review process, and implementing a National Liver Review Board following a board resolution in 2012.
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Liver and Intestinal Organ Transplantation Committee Update Report David Mulligan, MD, Chair OPTN/UNOS Board of Directors Meeting November 12-13, 2014
Develop Materials to Educate Liver Regional Review Board Members Pilot Program
The Problem Understanding Consistency Efficiency
Committees Response Differentiate specific operational guidelines that may affect the review process Describe the liver peer review process Recognize an appropriate justification narrative Identify approved exceptions outlined in OPTN/UNOS policies
Region 5 Rotation Rotates every six months January 1 Staggered terms to allow for consistency September 1 May 1
National Review Board (NRB) for MELD/PELD Exceptions
Strategic Plan Goal 6: Promote the Efficient Management of the OPTN Simplify policies and procedures for efficient and effective implementation Reduce unnecessary variation that increases programming costs Reduce variation in the Regional Review Board Process
2012 Board Resolution In November 2013, the Board approved the following resolution by a vote of 34 in favor, 1 opposed, and 0 abstentions: RESOLVED, that the Liver and Intestinal Organ Transplantation Committee is directed to develop a plan to include a conceptual basis and a proposed timeline for implementation of a National Liver Review Board to be presented to the Board of Directors in June 2014.
Committee Response The preliminary construct was presented to the Board in June 2014, Board members urged the Committee to move forward in developing a formal proposal. The Committee is currently drafting a proposal for Spring 2015 Public Comment, likely for Board consideration in December 2015.
Thank you for your consideration. Questions? David C. Mulligan, MD Committee Chair David.Mulligan@yale.edu Ashley Archer-Hayes, MAS Committee Liaison Ashley.Archer-Hayes@unos.org
