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Guidance Document for Histocompatibility Laboratory Practices

This document provides guidance to histocompatibility laboratories to clarify OPTN policy requirements, offering templates for best practices. It addresses ambiguous sections in current histocompatibility bylaws and policies.

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Guidance Document for Histocompatibility Laboratory Practices

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  1. Histocompatibility Laboratory Bylaws and Policies Guidance Document Histocompatibility Committee

  2. What problem will the proposal solve? • Somepolicy and bylaw sections arebetter suited as guidance • Some current histocompatibility bylaws and policies are vague

  3. What are the proposed solutions? • Create guidance document as a tool for laboratories to provide clarity on OPTN policy and bylaws requirements • Provide a template for best practices

  4. Content included in guidance • C.2 Facilities and Resources • C.2.C: Written Agreements • C.2.C #8: A process to obtain sensitization history for each patient • C.2.C #9: The frequency of periodic sample collection • C.2.C #11: The criteria for crossmatching • C.2.C #12: The assay format that will be used for antibody screening and for crossmatching • 4.4 Resolving Discrepant Donor and Recipient HLA Typing Results • 4.6 Crossmatching • 4.6.A Crossmatching for Kidney Transplants • Physical Crossmatching • Virtual Crossmatching • 4.7 Blood Type Determination • 4.8 Preservation of Excess Specimens

  5. How will members implement this proposal? • Member obligations won’t change (guidance not a policy change) • Guidance document posted on OPTN website

  6. How will the OPTN implement this proposal? • Anticipated Board approval: June 2017 • Will post guidance document on OPTN website • No programming required • No instructional effort currently needed

  7. Questions? Robert A. Bray, Ph.D., D(ABHI), HCLD/CC(ABB) Committee Chair rbray@emory.edu Alison Wilhelm Committee Liaison alison.wilhelm@unos.org

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