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Thoracic Organ Transplantation Committee

Thoracic Organ Transplantation Committee. Fall 2012 Public Comment Cycle. Recent Public Comment Proposals. LAS Modification Proposal 24 Hour Downgrade Proposal. Recent Public Comment Proposals (cont’d). LAS Modification Proposal Feedback overwhelmingly positive

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Thoracic Organ Transplantation Committee

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  1. Thoracic Organ Transplantation Committee Fall 2012 Public Comment Cycle

  2. Recent Public Comment Proposals • LAS Modification Proposal • 24 Hour Downgrade Proposal

  3. Recent Public Comment Proposals (cont’d) • LAS Modification Proposal • Feedback overwhelmingly positive • Much feedback Pulmonary Hypertension community • All 11 OPTN/UNOS Regions supported • NATCO/ASTS/AST all supported • Adopted by the Board in November 2012 • Implementation pending programming

  4. Recent Public Comment Proposals (cont’d) • 24 Hour Downgrade Proposal • Approved by the Board in June 2012 • Reporting change in criterion/status effective Sept. 1, 2012 • Proposal includes unrelated edits to pediatric heart inotrope dosage language

  5. Ongoing Committee Initiatives • Outpatient Total Artificial Heart Policy Expiring • Evaluating Heart Allocation System • Heart-Lung Allocation

  6. Ongoing Committee Initiatives (cont’d) Outpatient Total Artificial Heart Policy Expiring • Policy to expire December 1, 2012 • Evaluated data since implementation in November 2010 • Will reevaluate how to treat outpatient TAH candidates

  7. Ongoing Committee Initiatives (cont’d) • Evaluating Heart Allocation System • Heart Subcommittee continuing to monitor the heart allocation system • Heart Subcommittee defining “device complications”

  8. Ongoing Committee Initiatives (cont’d) • Heart-Lung Allocation • Allocating heart-lung blocs • Thoracic Committee submitted multi-organ allocation principles to POC for consideration

  9. New Committee Initiatives • Ex Vivo Lung Perfusion Policy Development • Lung Subcommittee defining project scope • Created workgroup, and will identify stakeholders

  10. Questions? • Steven Webber, M.D., MBChB, MRCP, Chair steve.a.webber@vanderbilt.edu Joe Rogers, M.D., Vice Chair joseph.rogers@duke.edu • Liz Robbins, Liaison liz.robbins@unos.org

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