Postpartum Hemorrhage
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Vascularized Composite Allograft (VCA) Transplantation Committee Spring 2019 1
Recently Implemented Projects Board Approval Implementation Date Proposal Guidance to OPOs on Optimizing VCA Authorization & Recovery Share effective practices for VCA authorization & recovery June 2018 June 12, 2018 2
Upcoming Policy Implementations Board Approval Implementation Date Proposal Membership Requirements for VCA Transplant Programs Established minimum training and experience requirements for key personnel List Covered Body Parts Pertaining to VCA Added 8 covered body parts (OPTN Policy 1.2) Madetraining and experience requirements for primary transplant surgeons of head, neck and upper limb transplant programs consistent Non-substantive changes to Bylaws, Appendix J for style, consistency, and clarity Application period target Q2 2019 June 2015 Application period target Q2 2019 June 2016 3
Upcoming Policy Implementations Board Approval Implementation Date Proposal Aligning VCA Membership Requirements with Requirements for Other Transplant Programs Achieve greater alignment between VCA membership requirements and solid organ transplant requirements Application period target Q2 2019 June 2018 4
Future Projects & Initiatives Proposal Status Ongoing discussions Public comment target January 2020 Understanding VCA Transplant Outcomes Modify recipient data collection to have better understanding of VCA transplant outcomes Collaboration with AOPO Increase deceased donors screened for VCA donation Ongoing through 2019 5
Approved VCA Transplant Programs* as of 1/18/2019 VCA Program Type Number 15 17 19 Abdominal Wall Head and Neck Upper Limb Other VCA Genitourinary Uterus Genitourinary Penis Genitourinary/Urogenital Lower Limb Musculoskeletal Composite Graft Segment Total 5 2 3 2 1 64 *Representing 28 transplant hospitals Based on most recent available information provided by members to the OPTN as of January 18, 2019. Data subject to change based on future data submission or correction. 6
VCA Waiting List and Transplant Numbers by Type as of 1/18/19 Candidates Added to Waiting List, 7/3/2014-1/18/19 Transplants, 7/3/2014- 1/18/19 Candidates Waiting as of 1/18/19 VCA Type Abdominal Wall Head & Neck: Craniofacial 7 11 2 6 2 4 Head & Neck: Scalp Upper Limb, Bilateral Upper Limb, Unilateral Other: GU - Penis Other: GU - Uterus Total 2 1 7 4 2 1 3 2 0 12 10 3 30 75 17 39 12 24 Based on most recent available information provided by members to the OPTN as of January 18, 2019. Data subject to change based on future data submission or correction. 7
Questions Linda C. Cendales, M.D. Chair linda.cendales@duke.edu Bohdan Pomahac, M.D. Vice Chair bpomahac@partners.org Christopher L. Wholley, M.S.A. Transplant Community Administrator christopher.wholley@unos.org 8
