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Region 3 Meeting

Join the Region 3 Meeting led by Dr. Tom Pearson for updates from OPTN/UNOS, discussions on infectious diseases, public comment proposals review, and committee updates. Mark your calendar for the event on August 25, 2017. Engage in shaping the future of transplant procedures and donor organ use.

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Region 3 Meeting

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  1. Region 3 Meeting Tom Pearson, MD, D. Phil Regional Councillor

  2. Meeting agenda • Update from OPTN/UNOS leadership • Regional discussion session – New! • Highlights from the OPO & Transplant Center Roundtable – Danielle Cornell • Living Donation – Tom Pearson • Trends & Issues in Infectious Diseases/Disease Transmission – Aneesh Mehta • Review and discuss 3 public comment proposals • Your feedback will be shared with the Kidney and Liver Committees • Updates on committee activities: Kidney, Liver

  3. Regional Business • Summary of fall 2016 regional meeting • Why should you review it? • Committee’s response to our region’s comments • Board’s action on each proposal • Information on implementation date

  4. Fall regional meeting date • Fall public comment: July 31 – October 2, 2017 • Proposals will go to the Board for review in December • Fall 2017 Region 3 meeting: August 25, 2017 • Mark your calendar!

  5. Region 3 Meeting Attendance

  6. Regional Business • Councillor responsibilities • Moderate regional meetings, oversee regional business • Serve as the region 3 representative to the OPTN/UNOS Board of Directors • Present the region’s feedback on public comment proposals and other OPTN/UNOS matters • Welcome members of the Board of Directors • Stuart Sweet, Mindy Dison, Walt Nichols, and Ken Murphy

  7. OPTN/UNOS Committee Nominations • Regional nominating committee selected primary and secondary representatives for each vacancy • Committee leadership is reviewing committee rosters, and finalizing for OPTN President-Elect review • Purpose: ensure staffing needs of the committees are met, and expertise needed for project work is represented • President-Elect reviews the membership of all committees • Purpose: goal is for the committee system to represent the community we serve - balance of professions, opinions, race, gender • New committee members will receive notice by early April

  8. Region 3 Vacancies on Committees, terms begin July 1 • Kidney Transplantation • Living Donor • Minority Affairs • OPO • Pancreas Transplantation • Transplant Administrators

  9. Committee Representation 2016-2017 vs. 2017-2018: Demographics

  10. Our region’s nominations from the fall

  11. Our region’s nominations from the fall

  12. Some of the challenges with the current Committee structure • 11 of 18 individuals on most Committees are selected by a group other than the committee and OPTN leadership • Lack of diversity (perspectives, demographics, professions) due to disjointed appointment process • Review all committee rosters to identify specialties and demographics that are underrepresented

  13. Regional Meeting Agenda: Discussion • Discussion agenda format is the same as previous meetings • 3 public comment proposals • Presentation • Discussion • Regional Vote

  14. 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 • Other proposals will be voted on today, but not presented or discussed • Proposals presented and discussed during national webinars

  15. National Webinars • Two webinars to present and discuss the proposals on non-discussion agenda and two webinars on the discussion agenda proposals • Recordings available on Transplant Pro: https://www.transplantpro.org/community/regions/

  16. Non-Discussion Proposals: VoteYou have the option to abstain from voting if you haven’t reviewed the proposals • Rewrite of Bylaws Article II: Board of Directors (Executive Committee) • Histocompatibility Laboratory Bylaws and Policies Guidance Document(Histocompatibility Committee)

  17. 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!

  18. Public Comment Opportunities • Contact Regional Representatives • List is located on Transplant Pro: select the community tab, and then “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 • Last day for public comment is today!

  19. Upcoming: Special Public Comment Period • Dates: March 27-April 25 • Proposal: Guidance on Explaining Risk Related to Use of U.S. PHS Increased Risk Donor Organs When Considering Organ Offers • Sponsoring Committee: Ad-hoc Disease Transmission Advisory Committee • Summary: Guidance to inform and facilitate conversations between transplant teams and their patients about increased risk organs • Webinar: April 4: 12:00 pm – 1:00 pm ET • Potential Board Vote: June 2017

  20. Regional Meeting Materials – online! • The presentations presented today are posted on Transplant Pro • Make sure to review the presentations that weren’t presented today • Histo, OPO, Pancreas, Patient Affairs, Pediatric, Transplant Administrators, Thoracic, VCA • Additional information available on this website including: • Meeting agenda and summaries • Data • Links to various OPTN resources

  21. Regional and National Data

  22. Deceased Donation 2015-2016U.S.

  23. Deceased Donors by Type and Region2016

  24. Deceased Donation 2015-2016Region 3

  25. Deceased Donors by Type2007-2016Region 3 9%

  26. Deceased and Living Donors2007-2016Region 3

  27. Deceased Donor Transplants 2014-2016 U.S.

  28. Deceased Donor Transplants 2014-2016 Region 3

  29. Reminders • We want feedback from as many attendees as possible • Please actively participate in the regional discussion session! • During the discussion of each proposal, please try to limit your comments to new comments - points that haven’t been raised • Please hold your comments and questions until the end of each presentation (and remember to come to the microphone!) • If the region opposes a proposal, specific feedback is valuable regarding the reason for opposition and any modifications the committee could make

  30. Questions?

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