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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 Stuart Sweet, MD Vice-President, OPTN/UNOS Board of Directors Region 10 September 10 , 2015
Re-Balancing Resource Allocation 2015-2016 allocation of effort: Increase transplants 40% Provide equity 30% Improve outcomes 15% Promote safety 10% Promote efficiency 5%
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
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.
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
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
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
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
UNOS Update Stuart Sweet, MD Vice-President, OPTN/UNOS Board of Directors Region 10 September 10 , 2015