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Membership and Personnel Requirements for VCA Programs (Resolution 27)

Proposed new requirements for VCA transplant programs to specify the type(s) of VCA they intend to transplant. Compliance monitoring and policy violation consequences discussed.

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Membership and Personnel Requirements for VCA Programs (Resolution 27)

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  1. Membership and Personnel Requirements for VCA Programs(Resolution 27) Vascularized Composite Allograft (VCA)Transplantation Committee Sue V. McDiarmid, MD, Chair

  2. The Problem • Current VCA membership requirements do not include requirement that transplant programs specify which type(s) of VCA the program intends to transplant as part of the OPTN membership approval process • This allows programs to perform all types of VCA transplants once OPTN membership has been approved

  3. Strategic Plan

  4. Proposed New Requirements for Transplant Programs

  5. Compliance Monitoring • UNOS staff will contact all currently approved VCA programs to obtain information and will request this information as part of membership application process • If transplant program performs transplant for a type of VCA that is different than the type or types specified for approval, MPSC will consider this a policy violation

  6. Public Comment • Proposal is being presented for Board approval in advance of public comment • VCA Committee believes this is a technical clarification

  7. J.1 Letter of Notification If a transplant hospital member commits to performing VCA transplants, the hospital must send a written notification of this intent to the OPTN Contractor that includes both of the following:. The notification to the OPTN Contractor must include a written assurance from the local OPO that it will provide organs for use in vascularized composite allografts. • The specific type or types of VCA transplant the hospital will perform. • Assurance from the local OPO that it will provide the same type or types of VCA for transplantation. The letterof notificationfromthe transplanthospitalmustbe signed by all of the following individuals: • The chief administrative officerfor theinstitution. • AThe reconstructive surgeonfor each type of VCA transplantwith expertise in microsurgical reconstruction, priorexperience in VCA, orin lieu of actual VCA experience, extensive experience in the applicable reconstructive procedure as required,such as hand replantation orfacialreconstruction. • AThe transplant physician or transplant surgeon for each type of VCA transplant at an approved transplant program that has completed an approved transplant fellowship, or qualifies by documented transplant experience, in a medical or surgical specialty. The OPTN Contractorwillthen notifythe transplanthospitalmemberof the program designation for each type of VCA transplant.

  8. Overall Project Impact

  9. Resolution 27, Page 112 • RESOLVED, that modifications to OPTN Bylaws, Appendix J (Membership and Personnel Requirements for VCA Programs), are hereby approved, effective February 1, 2014.

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