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This document outlines new membership requirements for various transplant programs, including intestine and VCA transplants, with implementation details and timelines. It also covers changes in histocompatibility lab personnel and OPTN definitions.
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Bylaws Awaiting Implementation • Joint Society Working Group Key Personnel Bylaws changes • Updating Primary Kidney Transplant Physician Requirements • Changes to Transplant Program Key Personnel Procurement Requirements • Addressing the Term “Foreign Equivalent” in OPTN/UNOS Bylaws • Sponsored by MPSC, collaborated with JSWG • Implementation- September 1, 2017 • Applications received on or after September 1, 2017, will be reviewed relative to these new requirements
Bylaws Awaiting Implementation • Membership Requirements for Intestine Transplant Programs • Creates intestine program key personnel requirements in Bylaws • Will require ALL intestine programs to reapply, meet new requirements
Bylaws Awaiting Implementation • Membership Requirements for VCA Transplant Programs • Establishes more detailed and rigorous membership requirements for VCA programs • Will require ALL VCA programs to reapply, meet new requirements
Bylaws Awaiting Implementation • Histocompatibility Bylaws Rewrite Phase II • To be implemented - “general supervisor” as histo lab key personnel • OPTN Bylaws Appendices C.3; C.4; C.4.2; C.5.A; C.5.A.2; C.5.A.3; C.5.B; C.6.B • Remaining changes from proposal implemented Sept. 1, 2015 • ALL histo labs must designate a general supervisor
New Bylaws- What to Generally Expect Intestine Program Bylaws Histocompatibility Lab General Supervisor Bylaws VCA Membership Bylaws • Staggered implementation • General Timeline • 30 day notice that applications will be sent out to current programs • 30 days later – send applications and opt out forms • Set period for members to submit applications • Set period to process (staff) & review (ad hoc MPSC subcommittee) applications • MPSC approval at meeting = Bylaws implementation date • Notice will be sent ~30 days prior to implementation
Bylaws Awaiting Implementation • Updating OPTN Definition of Transplant Hospital • Awaiting programming changes - UNOS membership database • Requires OMB approval of application forms • More thoroughly defines “transplant hospital,” requires collection of additional information from ALL transplant hospitals • May also include: • Exception requests to be deliberated by MPSC • Separating single transplant hospital into multiple transplant hospitals • Combining multiple transplant hospitals into a single transplant hospital
Bylaws Awaiting Implementation • Pediatric Training and Experience Bylaws Requirements • Awaiting programming changes - UNOS membership database • Requires OMB approval of application forms • Requires a “pediatric component” for all programs that wish to transplant pediatric patients • Demonstrate that proposed primary pediatric transplant surgeons and physicians: • Meet current key personnel Bylaws requirements • Meet to-be-implemented, pediatric key personnel Bylaws requirements
Questions? Jeff Orlowski, MS, CPTC Committee Chair jorlowski@lifeshareok.org Chad Waller Committee Liaison chad.waller@unos.org