Expedited Organ Placement Concept Paper - Addressing Critical Transplant System Issues

This concept paper outlines a proposal to address key challenges in the current organ transplant system, such as lack of transparency and consistency in organ placement. The focus is on developing an expedited placement system with specific triggers and qualifications to improve access to organs for transplant candidates in need. The document also introduces new concepts to enhance organ utilization efficiency. Feedback is sought on proposed triggers, transplant hospital qualifications, and the overall concept. The timeline for review and feedback, as well as contact information for inquiries, are provided.

• Organ Transplant
• Expedited Placement
• Transparency
• Consistency
• Healthcare

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1. Expedited Organ Placement Concept Paper OPO Committee 1

2. What problem will the proposal solve? Policy does not address expedited placement Lack of transparency with the current system Lack of guidance for OPOs and transplant hospitals Lack of consistent practice across the country Inconsistent access to organs for candidates in need of transplant 2

3. What are the proposed solutions? Develop an expedited placement system that includes: Trigger Mechanism Qualifications 3

4. Specific Requests for Feedback Two proposed triggers for expedited placement process. 1. Pre-O.R. 2. In-O.R. 4

5. Specific Requests for Feedback Transplant Hospital Qualifications 5

6. Additional Concept Current allocation algorithms consider factors related to equity and utility Do not specifically include factors targeting organ utilization New concept to expedite most or all organs based on probability of discard and transplant hospital acceptance Forced screening system uses past acceptance rates behaviors 6

7. Additional Concept 7

8. Timeline Review public comment feedback Develop policy proposal Initial proposal in August 2018 8

9. Questions? Jennifer Prinz, RN, BSN, MPH, CPTC Committee Chair jprinz@donoralliance.org Robert Hunter Committee Liaison robert.hunter@unos.org 9