Guidance on Effective Practices in Broader Distribution Operations

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The proposal aims to address concerns about cost and transportation in broader distribution operations through the development of a guidance document. It seeks to provide recommendations for optimizing organ distribution and improving overall allocation processes. The effort involves input from various committees and working groups to identify key topics such as building relationships, transportation resources, and organ allocation procedures.


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  1. Guidance on Effective Practices in Broader Distribution Operations and Safety Committee 1

  2. What problem will the proposal solve? Recommendation from the Ad Hoc Geography Committee Broader distribution discussions: Concerns about cost and transportation Lack of information about best practices to address logistical challenges Limited data on cost and transportation 2

  3. What are the proposed solutions? Develop a guidance document to help OPOs and transplant hospitals transition to broader organ distribution Provide recommendations to the overall allocation process 3

  4. Guidance Document Development Transportation Report Questionnaire 54 of 58 OPOs responded, 10 transplant centers Report provided to the Liver Committee and Board of Directors Effective Practices Guidance Document Identified topics Working groups drafted the content 4

  5. Topics addressed Building relationships to optimize operations Transportation resources Streamlining communications and information distribution Histocompatibility considerations with broader geographic organ distribution Organ allocation procedures Recognizing seasonal and geographic endemic infection in organ donors Establishing the time of organ recovery 5

  6. Topics addressed Organ procurement surgeon models Procurement team staffing models Organ procurement-related billing Establishing fair market value for organ procurement activity Organ procurement malpractice coverage considerations Data metrics 6

  7. How will members implement this proposal? No member action required Guidance will be available on the OPTN website if approved by the Board of Directors 7

  8. Specific Question for Feedback Does the transplant community support additional data collection necessary for OPTN Committees to evaluate the logistical impact of broader distribution? 8

  9. Questions? 9

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