Changes to Islet Bylaws
The proposal aims to address the current inadequacies in islet Bylaws personnel requirements, ensuring candidates with islet-specific expertise qualify for leadership positions. The changes outline new personnel criteria and connections to pancreas programs for enhanced patient care and program efficiency.
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Presentation Transcript
Changes to Islet Bylaws Pancreas Transplantation Committee 1
What problem will the proposal solve? Current islet Bylaws personnel requirements do not reflect the need for islet experience and expertise Suitable candidates with extensive islet-specific experience may not qualify Candidates without islet-specific experience could achieve leadership positions in islet programs Islet programs are required to be connected to pancreas programs 2
Summary of changes: Current Bylaws Proposed Changes 2 primary personnel primary surgeon, primary physician 1 primary person to lead the program clinical leader Recommended expert personnel Required, revised expert medical personnel Connection with pancreas program No connection with pancreas program required 3
What are the proposed solutions? Clinical leader replaces primary personnel : more islet-specific requirements pre-, peri, post tx care of 6 islet patients At least 1 allogeneic islet patient 3 islet isolations At least 1 allogeneic islet isolation Background in transplant medicine, immunosuppression management endocrinology, beta cell biology Physician or surgeon, with standard accreditation 4
What are the proposed solutions? Expert Medical Personnel to ensure islet program has adequate level of care Abdominal surgeon to handle complications Surgeon or interventional radiologist for portal vein access Physician to handle immunosuppression Endocrinologist or physician to oversee metabolic outcomes Free-standing islet programs Not required to have connection to pancreas program 5
How will members implement this proposal? Transplant Hospitals Membership applications updated to reflect the new islet personnel requirements Member hospitals with approved islet transplant programs must submit one of these during application submission period: Completed islet transplant program application Opt out form indicating the hospital is voluntarily inactivating or withdrawing its program approval 6
How will the OPTN implement this proposal? Implementation OMB approval New islet transplant program application form Once OMB approves, application period Monitoring Number of islet program applications - # approved, # declined Number of islet transplants 7
Questions for the Community: Do you support the proposed requirements for the clinical leader position? Should we add or remove anything from these requirements? Do you agree/disagree with the proposed change to allow islet programs to be free-standing? 8
How was this proposal developed? MPSC identified continued concern with islet personnel Bylaws in March 2017 & recommended Pancreas Committee revisit Project put on hold in 2015, taken off hold in 2017 Throughout 2017-2018, Subcommittee worked to improve islet program Bylaws Clinical consensus in Islet Bylaws Subcommittee included: various perspectives (tx surgeon, tx administrator, islet expertise) special emphasis on islet-specific experience, including 2 leaders of islet programs Provided updates to MPSC, AST, ASTS, CITR before public comment 10
