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Region 7 Meeting

Join us for the Region 7 Meeting to discuss regional business, updates on OPTN/UNOS committee activities, proposed policies and bylaws, and nominations for committee positions.

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Region 7 Meeting

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  1. Region 7 Meeting Julie Heimbach, M.D. Heimbach.Julie@mayo.edu Regional Councillor

  2. Purpose of Regional Meeting • Discuss regional business • Provide updates on OPTN/UNOS committee activities and projects • Discuss and comment on proposed policies and bylaws • Provide suggestions or alternatives to any proposals not supported

  3. Regional Business • Summary of spring 2016 regional meeting • Summary of regional meeting includes: • Sponsoring committee’s response to regional comments on proposals • Board action on each proposal • Implementation date if computer programming is not required

  4. Regional Business • Spring public comment: January 23-March 24 (proposals reviewed by the Board in June) • A tentative date for the spring meeting will be circulated to the region for feedback

  5. Regional Business • Councillor responsibilities • Moderate regional meetings, oversee regional business • Serve as the region 7 representative to the OPTN/UNOS Board of Directors • Present the region’s comments on public comment proposals and other OPTN/UNOS matters • To best represent the region, I need to hear from you Heimbach.Julie@mayo.edu • Welcome other members of the Board of Directors

  6. OPTN/UNOS Committee Nominations • Nomination period for regional representative nominations: September 12-October 12 • Nomination announcement with link to online bio form will be sent by email and posted on the Transplant Pro website • https://www.transplantpro.org/community/regions/region-7/ • Nominations reviewed by Nominating Committee • Regional recommendations considered by OPTN/UNOS President-Elect • Appointments in April for terms beginning July 1

  7. OPTN/UNOS Committee Nominations • Kidney Transplantation Committee • Liver and Intestine Transplantation Committee • Living Donor Committee • Membership and Professional Standards Committee (Associate Councillor) • Operations and Safety Committee • Patient Affairs Committee • Pediatric Transplantation Committee • Transplant Coordinators Committee

  8. Regional Business Regional Nominating Committee composition: Issue: Historical lack of guidelines for composing the roster of the Nominating Committee • Regional Administrator has selected potential participants and proposed them to Councillor and Associate Councillor for approval Proposed solution: Standardize the Nominating Committee roster with the following personnel: • Current Councillor • Associate Councillor • Immediate-Past Councillor • Region representatives to the OPO, Transplant Administrators, Transplant Coordinators Committees

  9. Regional Business State representation in Associate Councillor elections: Issue: The election of Associate Councillor currently follows a three state rotation. North and South Dakota are not included in the rotation. • 2015 – Illinois (2016-2017 term) • 2017 – Minnesota (2017-2019 term) • 2019 – Wisconsin (2019-2021 term) When the rotation was established, the Dakotas had few transplant programs Proposed solution: Allow candidates from the Dakotas to apply at any time during the rotation. If a member from either of the Dakotas is elected to serve as Associate Councillor: • The Dakotas will not put forward a candidate for the subsequent three election cycles. • For the next election, the state rotation cycle will return to the state that was supplanted by the member from North or South Dakota.

  10. Regional Business • Nomination and voting process for Associate Councillor: Issue: During the 2015 Associate Councillor election, confusion arose when members from one DSA put forward a candidate after the voting ballot had been distributed to the region. • A biography form was not submitted • The ballot was recalled, altered, and redistributed Proposed solution: Publish guidelines clarifying the nominating/voting process: • Submit a biography form during the specified nomination period • Nominating Committee will select up to three candidates for the ballot • The state that is next in the rotation may submit a candidate endorsement to the Nominating Committee. • States may develop their own protocols for endorsing candidates; these protocols must be transparent within each state. • Ballots – finalized by the Nominating Committee – will go to designated voters at each OPO, transplant center, and independent HLA labs • Voting will determine the selection of the Associate Councillor

  11. Regional Business • A ballot will go out later this month for voting members of each institution in the region to vote on these proposed modifications and clarifications.

  12. Regional Meeting Agenda: Discussion • Discussion agenda format is the same as previous meetings • 10 public comment proposals • Presentation • Discussion • Regional Vote

  13. Regional Meeting Agenda: Non-Discussion • Includes proposals anticipated to be: • non-controversial, • minimal impact on the transplant community, and/or • represent a clerical change to clarify policy or remain current with clinical practice • Region was offered an opportunity to request that a proposal(s) be placed on the discussion agenda • None received • Proposals will be voted on today, but not presented or discussed • Proposals presented and discussed during national webinars

  14. National Webinars • Two webinars to present and discuss the proposals and white papers on non-discussion agenda • August 23 and September 20: 2-3:30 p.m. • Registration information located on Transplant Pro

  15. Non-Discussion Proposals: VoteYou have the option to abstain from voting if you haven’t reviewed the proposals • Consider Primary Transplant Surgeon Requirement – Primary or First Assistant on Transplant Cases (Membership and Professional Standards Committee) • Updating Primary Kidney Transplant Physician Requirements (Membership and Professional Standards Committee) • Split Versus Whole Liver Transplantation (Ethics Committee) • The Ethics of Deceased Organ Recovery without Requirements for Explicit Consent or Authorization (Ethics Committee) • Ethical considerations of Imminent Death Donation (Ethics Committee)

  16. Public Comment Proposals • Public comment booklets on each table • All attendees may discuss and provide feedback • Each OPTN/UNOS member institution has one voting representative • Sponsoring committee considers regional feedback in development of final proposal • Board receives all public comment • Your feedback is important!

  17. Public Comment Opportunities • Contact Regional Representatives • http://transplantpro.org/community/regions/ • Submit public comment online • OPTN website: http://optn.transplant.hrsa.gov/governance/public-comment/ • blog-style format, • individual, regional, and committee comments are published

  18. Regional Meeting Materials – online! • The presentations shared today are posted online • http://transplantpro.org/community/regions/ • Make sure to review the presentations that weren’t presented today • Histo, Minority Affairs, OPO, Pancreas, Pediatric, VCA • Additional information available on this website including: • Meeting agenda and summaries • Data • Links to various OPTN resources

  19. Regional and National Data

  20. U.S. Deceased Donation, 7/1/2014 – 6/30/2016

  21. U.S. Deceased Donors by Type and Region, 7/1/2014 – 6/30/2016

  22. Region 7 Deceased Donation, 7/1/2014-6/30/2016

  23. Region 7 Deceased Donors by Type, 7/1/2006 – 6/30/2016 38% NOTE: 2007=7/1/2006-6/30/2007; 2008=7/1/2007-6/30/2008; 2009=7/1/2008-6/30/2009; 2010=7/1/2009-6/30/2010; 2011=7/1/2010-6/30/2011; 2012=7/1/2011-6/30/2012; 2013=7/1/2012-6/30/2013; 2014=7/1/2013-6/30/2014; 2015=7/1/2014-6/30/2015; 2016=7/1/2015-6/30/2016

  24. Region 7 Deceased and Living Donors, 7/1/2006-6/30/2016 NOTE: 2007=7/1/2006-6/30/2007; 2008=7/1/2007-6/30/2008; 2009=7/1/2008-6/30/2009; 2010=7/1/2009-6/30/2010; 2011=7/1/2010-6/30/2011; 2012=7/1/2011-6/30/2012; 2013=7/1/2012-6/30/2013; 2014=7/1/2013-6/30/2014; 2015=7/1/2014-6/30/2015; 2016=7/1/2015-6/30/2016

  25. U.S. Deceased Donor Transplants, 7/1/2013 – 6/30/2016 NOTE: 2014=7/1/2013-6/30/2014; 2015=7/1/2014-6/30/2015; 2016=7/1/2015-6/30/2016

  26. Region 7 Deceased Donor Transplants, 7/1/2013 – 6/30/2016 NOTE: 2014=7/1/2013-6/30/2014; 2015=7/1/2014-6/30/2015; 2016=7/1/2015-6/30/2016

  27. Framing the day • Full agenda • We want feedback from as many attendees as possible • To manage the discussion on each proposal, please limit your comments to new comments, points that haven’t been raised • Please hold your comments and questions until the end of each presentation • If the region opposes a proposal, specific feedback is valuable regarding the reason and what modifications could be made

  28. Questions?

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