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OPO Committee

The OPO Committee Fall 2018 session sought feedback on expedited placement concepts for liver allocation. This information is being used to develop a proposal for the January 2019 Expedited Placement Project. The focus is on developing criteria for in-OR and pre-OR triggers, evaluating potential "lists" for faster acceptance, and reviewing the "probability of transplant" model. The process includes work group calls, policy language development, in-person meetings, monitoring/compliance requirements, programming considerations, and finalizing the proposal. The public comment period will begin in January 2019, with the Board of Directors meeting in June 2019.

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OPO Committee

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  1. OPO Committee Fall 2018

  2. Recent Public Comment Proposals Expedited Placement Concept Paper • Solicited feedback on several concepts • Committee is using the feedback as it works to develop a proposal for January 2019

  3. Expedited Placement Project • Focus initially on liver allocation • Develop criteria for both the in-OR and pre-OR triggers • Evaluate what the “lists” might look like for both scenarios (e.g. quicker acceptance needed for in-OR turndown while pre-OR might be based on donor characteristics/acceptance history)

  4. Expedited Placement Project • Data requested to review “probability of transplant” model for pre-OR trigger • Compare results to the donor profiles developed by the Liver Committee

  5. Expedited Placement Project • Timeline – July to December 2018 • Continue monthly work group calls • Develop policy language • Discuss at OPO Committee in-person meeting • Identify monitoring/compliance requirements • Identify programming requirements • Finalize policy language and proposal document (Dec) • January-March 2019 public comment period • June 2019 Board of Directors meeting

  6. Questions? Jennifer Prinz, RN, BSN, MPH, CPTC Committee Chair jprinz@donoralliance.org Robert Hunter Committee Liaison robert.hunter@unos.org

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