Pioneering Pediatric Transplantation Initiatives
In the realm of pediatric transplantation, recent projects and upcoming bylaw implementations are focused on enhancing care transition, establishing key personnel requirements, and implementing vital components for kidney, liver, heart, lung, and pancreas transplants. The initiatives aim to improve patient outcomes and streamline processes within pediatric transplant programs. Notable projects include addressing inconsistent transfer practices, outlining training and experience requirements, and preparing members for the specialized needs of pediatric recipients. The bylaw implementation plan outlines a comprehensive timeline for adoption, subject to U.S. Office of Management and Budget approval. These dynamic efforts underscore a commitment to excellence in pediatric transplant care.
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Presentation Transcript
Pediatric Transplantation Committee Spring 2019 1
Implemented Projects Implementation Status Project Summary Inconsistent transfer practices for pediatric transplant recipients to adult programs for post-transplant care Guidance on Pediatric Recipient Transition & Transfer Implemented Dec. 4, 2018 Project shares effective practices for pediatric recipient transition and transfer https://optn.transplant.hrsa.gov/resources/guidance/ (OPTN website: resources>>guidance>>other) 2
Board Approved Projects Project Summary Established requirements for key personnel at pediatric heart, liver, and kidney transplant programs Pediatric Transplantation Training & Experience Requirements https://optn.transplant.hrsa.gov/governance/public- comment/establish-pediatric-training-and-experience/ (OPTN>>Governance>>Public Notices) Revise Pediatric Emergency Membership Exception Outlines requirements for an adult heart or liver programs to register a candidate less than 18 years old. 3
Upcoming Bylaw Implementation: Pediatric Transplant Components - Board Approved 12/2015 Notice Late Spring 2019 Applications Summer 2019 Staff & MPSC Review 12 - 18 months Board Approval 6/2020 12/2020 Tentative implementation plan: Late Spring 2019 30 day notice Summer 2019 90 day application period begins Summer 2019 to Summer 2020 or Fall 2020 Staff & MPSC Review of applications Board approval June 2020 or December 2020 Board Approval Dependencies: U.S. Office of Management and Budget (OMB) approval of revised applications 4
Pediatric Transplant Components: What members need to know to prepare Kidney, liver and heart: Primary pediatric transplant surgeon must Meet all requirements for primary transplant surgeon Demonstrate current working knowledge and experience in pediatric transplant Primary pediatric transplant physician must Meet all requirements for primary transplant physician Meet requirements of one of the pediatric training or experience pathways 5
Pediatric Transplant Components: What members need to know to prepare Lung and pancreas: Primary pediatric transplant surgeon or transplant physician for pediatric components must meet all requirements of respective requirements for the program 6
Want additional information? Contact the UNOS Membership Analyst for your region at 804-782- 4800, or by email: Regions 1, 4, 5, Tierra Yuille Regions 2, 3, 10 Christi Manner Regions 6, 7, 9, 11 Nadine Drumn tierra.yuille@unos.org christi.manner@unos.org nadine.drumn@unos.org Tool kit for members is available on the OPTN website https://optn.transplant.hrsa.gov/governance/public-comment/establish-pediatric- training-and-experience/ (OPTN>>Governance>>Public Notices) UNOSConnect learning module course QLT-117 Future updates (web-based, regional meetings, transplant society e- newsletters, social media) 7
Ongoing collaboration Kidney Committee Replace DSA/Region Public comment concept paper Liver and Intestine Committee Replace DSA/Region Board Approved Ethics Committee White Paper on Multi-organ Transplantation Public Comment Board consideration pending Thoracic Committee Replace DSA/Region Public comment Board consideration pending 8
