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UNOS Update

UNOS Update. Stuart Sweet, MD Vice-President, OPTN/UNOS Board of Directors Region 10 September 10 , 2015. OPTN and UNOS Strategic Planning. 2012 v. 2015 Goals. Feedback from Regional Surveys. Re-Balancing Resource Allocation. 2015-2016 allocation of effort: Increase transplants 40%

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UNOS Update

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  1. UNOS Update Stuart Sweet, MD Vice-President, OPTN/UNOS Board of Directors Region 10 September 10 , 2015

  2. OPTN and UNOS Strategic Planning

  3. 2012 v. 2015 Goals

  4. Feedback from Regional Surveys

  5. Re-Balancing Resource Allocation 2015-2016 allocation of effort: Increase transplants 40% Provide equity 30% Improve outcomes 15% Promote safety 10% Promote efficiency 5%

  6. Committee Project Portfolio

  7. Metrics and quality improvement

  8. MPSC Outcomes workgroup

  9. OPO evaluations

  10. Member Quality Pilot

  11. Real Life Lessons

  12. OPTN/UNOS Finance Update

  13. OPTN Revenue: Registrations

  14. OPTN Funding • The OPTN contract is funded with OPTN registration fees and federal appropriations • 2016 OPTN budget is $49,497,000. $44,876,000 in OPTN fees for operations $ 3,500,000 in federal appropriations for operations $ 1,121,000 to OPTN fees for reserves • 2015 OPTN budget was $48,313,000. $43,623,000 in OPTN fees for operations $ 3,000,000 in federal appropriations for operations $ 1,690,000 in OPTN fees for reserves

  15. Fees • Combined OPTN and UNOS fees remain at $957. • OPTN fee increased $19, while UNOS fee declined $19. • $20 of each registration fee is dedicated to OPTN reserves. • $20 of each registration fee is dedicated to UNOS reserves.

  16. Projected Costs and Fees

  17. UNOS IT update

  18. Membership Screening for Kidney and Pancreas Revise the Lung Allocation Score (LAS) Pediatric Lung Other Specify Diagnosis Require HLA C and DQB (First Increment) Tiedi OMB Form Changes Living Liver Donor Follow-up Potential Derived Disease Transmission Reporting Pediatric Liver – Remove ICU Requirements Pediatric Liver – Revise Hepatoblastoma Requirements Update HLA Equivalency Tables 2015 IT Releases • Update HLA Equivalency Tables • Transnet Android National Deployment • Transnet Web OPO Functionality • Match Run Changes • HOPE ACT membership application (internal) • Comprehensive Histo Rewrite • Deceased Donor Updates • Transnet iPad (Beta release) • Infectious Disease • Transnet TxC Match/Receipt

  19. 2015 Board Project Plan

  20. iPad • User Acceptance Testing (UAT) – July 2015 • Production release – Q4 • Mobile Phones (iPhone6 & 6-Plus, corresponding Android phones) • Start Development – August 2015 • UAT – Late 2015/early 2016 • Production release – Q2 2016 • Transplant Center Functionality • Completed requirement gathering • Start development – June 2015 • Beta test (3 centers) – August 2015

  21. Board Project Service Level Objective • Approved projects start prior to next Board meeting • No projects are ever older than 12 months 100% of Projects Complete 90% of Projects Complete 95% of Projects Started 50% of Projects Started Board Approval Time T=0 T= 3 months T= 6 months T= 9 months T= 12 months

  22. IT Board Backlog by the End of… 35 Projects 7 Delivered 5 in progress 23 in queue 16 older than 12 months 2016 2014 2015 2013

  23. UNOS Update Stuart Sweet, MD Vice-President, OPTN/UNOS Board of Directors Region 10 September 10 , 2015

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