Solid Organ Transplant Product Roadmap

1. Solid Organ Transplant Product Roadmap OUI 2016

2. Solid Organ Transplant Product Roadmap Welcome • OTTR User Group 2016, the 16th annual OUI • Poll Question: • How many have each of you been to?

3. Solid Organ Transplant Product Roadmap Outline • State of the product • Near term updates that are on their way • Long term vision

4. Solid Organ - State of the Product OTTR7 • Re-write of OTTR6 client-server • Functionality target: • Full replacement of OTTR client and OTTR Admin

5. Solid Organ - State of the Product OTTR7 • Motivation • OTTR7 is easier to use and train users on • Client/Server can be hard for new users • OTTR7 works with new browser technology • Client/Server requires IE 8 or IE 9 which are not available under general support from Microsoft • OTTR7 Has a new/updated look and feel • Client/Server looks like 1995 • OTTR7 Does not require desktop installs • OTTR7 runs in a browser frame and is more compatible with Cerner integration

6. Solid Organ - State of the Product OTTR7 • Status: • Overall 80% complete • SOT Clinical functionality 95% • VAD functionality 100% • Admin Functionality 15% • Users, Roles, Site Configuration, Review, MOTD

7. Solid Organ - State of the Product OTTR7 - Live at Upgraded sites • OTTR7 In Production at 12 sites • First wave in Jan 2016, most recent in Sept • Schedule at 7 additional sites • There are currently 47 sites running older versions

8. Solid Organ - State of the Product OTTR7 - Live at Upgraded sites • Poll Question: • What version do you have in production?

9. Solid Organ - State of the Product OTTR6 – Client/Server • Status • Patient safety hot patches will continue • Plan • Continue to support OTTR 6 customers • End of Life – pressure to stop maintenance releases on this version. Date: Dec 31, 2017

10. Solid Organ - Roadmap Solid Organ Registry Agent Update to our electronic UNOS form submission module • Populate forms for all organs • Including: TCR,TRR, TRF and living donor forms, download expected forms, upload completed forms • New look and feel • Significant improvementsfrom the client/server product • Easier to use and more closely mimics the UNOS forms • Improvement: Missing data on form can entered on form • Form entered data gets put where it goes in the workflow • Facilitates rapid response to form changes

11. Solid Organ - Roadmap Solid Organ Registry Agent • SOT RA Status: • Kidney TCR forms • Coded and in QA • Kidney TRR forms are being coded • TRF forms are next • Target • Kidney in Production at Pilot Sites - late 2016

12. Solid Organ – Roadmap OTTR7 - Upgrade issues • Source of Issues • Every site uses OTTR a bit differently • Initial release of OTTR7 in January was a 65% “Minimal viable product“ • Plan • Committed to identify and escalating issues in upgrade that need addressed in OTTR7 • Prioritized on a week to week basis as sites get OTTR7 in test and report findings

13. Solid Organ – Roadmap OTTR7 - Upgrade issues • OTTR6 <> OTTR7 • The vision is NOT for OTTR7 to grow to be "identical" to OTTR6 client/server • Features are deliberately being done differently • Little used features were deliberately left out • Let us know • We want you to escalate upgrade issues and production usage issues • Communicate to us WHY they are important

14. Solid Organ - Vision Transplant is changing • 1995 it was the wild west • Now a highly regulated and scrutinized practice Market is changing • Global • Integrated healthcare networks • Integrated information systems Expectations are changing

15. Solid Organ – Vision Online Referral Management Capture referrals directly and deposit them into a database. • Poll Question: • Do you capture referrals in OTTR within 1 business day of knowing the patient’s name? • Yes: We use Online Referral • Yes: but we do it without online referral • No: we put referrals into OTTR later in the process • Other / Unknown 

16. Solid Organ – Vision Online Referral Management • Poll Question: • Does your center measure the number of days from Referral to Selection Committee? • Yes: And I know the current answer for our center • Yes: I know we measure it but I don’t know the answer • No: I don’t know if we measure it • No: We DO NOT measure it • I don’t understand the question

17. Solid Organ – Vision Online Referral Management Capture referrals directly and deposit them into a database • If you use Online Referral, OTTR can help drive the pre-transplant process • If you don’t use Online Referral, we can only manage what is in OTTR

18. Solid Organ – Vision Improved Clinical and Workflow Alerts • Current Expectations • OTTR manages transplant workflow • Collects transplant data • Integrates with EMR • Electronically reports data to transplant registries • Future Expectations • OTTR alerts the team to cases that are not on the right path

19. Solid Organ – Vision Improved Clinical and Workflow Alerts • Prerequisites • Common core product and a core workflowpathway • Registry Agent only works if you follow the core workflow pathway

20. Solid Organ – Vision Future Product Enhancements • Increased regulatory scrutiny • Increased desire for software-based alerts • EMR Integration • Improved Data Visualization and Query Tool • Increased data from Workup / Evaluation • Multiple transplant centers in a Health System • International transplant community

21. Solid Organ – Vision Future Product Enhancements • Poll Question: • In what area should OTTR solid organ focus future product efforts? • Regulatory • Software-based alerts • EMR Integration • Ad Hoc Query Tool • Workup / Evaluation • Integrated Health Care systems

22. Later Today… • Risk Management with XynManagement • Paul Kenyon • Using OTTR for Best Practice • Robyn Dye • OTTR VAD • Jan Drelicharz • XynManagement Transplant Solutions • Jay Milton • OTTR International • Mike Donnell

23. Next up… Keynote Presentation: • The Importance of Transplant Data:Through the Lens of Policy Development, Performance Oversight, and Quality Monitoring • Jon Snyder, PhD • Director of Transplant Epidemiology • Minneapolis Medical Research Foundation