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Sponsored by the Thoracic Organ Transplantation Committee

Proposed changes to the 24-Hour Policy for reporting changes in candidate status or criterion within UNet℠, sponsored by Dr. Mark L. Barr. Includes edits for consistency and accuracy in adult and pediatric candidate policies.

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Sponsored by the Thoracic Organ Transplantation Committee

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  1. Requiring Transplant Programs to Report in UNet℠ a Change in Criterion or Status within 24 Hours of that Change, and Other Edits Sponsored by the Thoracic Organ Transplantation Committee Chair – Mark L. Barr, MD

  2. Policies Affected • 3.7.3 (Adult Candidate Status) • 3.7.4 (Pediatric Candidate Status)

  3. 24-Hour Policy Background • The OPTN Contractor requires, as part of its site audit criteria, • Adult and pediatric heart transplant programs record in UNetSM changes to a candidate’s status or criterion within 24 hours of that change • Requirement is not in policy

  4. Proposed 24-Hour Policy • Change in Status 1A or 1B Criterion or EligibilityIf a change in the candidate’s medical condition makes the criterion used to justify a candidate’s Status 1A or 1B no longer accurate, the transplant program must report the accurate information in UNet℠ within 24 hours of the change in medical condition.

  5. Other Policy Changes • Remove phrase that the OPTN contractor will notify “a responsible member of the transplant team” prior to downgrading a candidate’s Status • Develop consistent language in the adult and pediatric policies regarding case referrals to the Thoracic Committee • Edit the inotrope language in the pediatric policy so that it reads similarly as the adult policy • Change in formatting and general edits

  6. Public Comment Responses

  7. Resolution **RESOLVED, that Policies 3.7.3 (Adult Candidate Status) and 3.7.4 (Pediatric Candidate Status) shall be modified as set forth in Resolution 12, pending programming in UNet℠ and notice to OPTN membership

  8. Questions?

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