5 . 1 . 1 . National Action Plan – CZECH REPUBLIC

1. 5.1.1. National Action Plan –CZECH REPUBLIC 9th Meeting of National CompetentAuthorities for Organ donation & transplantation European Commission Directorate-General for Health & Consumers Unit D4 - Substances of HumanOrigin Team

2. Czech Republic: facts and figures • Population 10.5 million • 7 transplantcenters (2 multi-organ) • Transplantprogrammes: kidney, heart, lungs, liver, pancreas • Deceaseddonors: 20.6 pmp (2014) • Livingdonors: 7.7 pmp (2014) • Kidneywaiting list: + 500 • GDP: 25 000 US$ per capita • Big Mac index: 3,6 US$ (- 22%)

3. Statistics: Hearts 2004 - 2013

4. Statistics: Kidney 2003 - 2013

5. The EC Action Plan Communicated Dec. 2008 3 Main Challenges: - Increasing organ availability - Efficiency and accessibility - Quality and safety 10 Priority Actions Mid-term review

6. The EC Action Plan Communicated Dec. 2008 3 Main Challenges: - Increasing organ availability - Efficiency and accessibility - Quality and safety 10 Priority Actions Mid-term review • The Czech National ActionPlan • Approved by theGovt. May 2010 • 3 SpecificAreas: • - National Donor Program • - Legislation • - International cooperation • 14 KeyElements • Regularannualevaluation

7. Priority action 1:promote the role of transplant donor coordinators Cooperation with the Ministry, health insurance, medical associations, patients societies Job description of „donor consultants“ prepared (DC) Health insurance DC codes approved Rules for DC´s remuneration formulated During 2011-2012, 208 physicians and hospital officials trained in total The Parliament turned down proposal for DC´s in all hospitals Part-time DC approx. in 1/3 hospitals Potential donors being indicated from „new“ hospitals 

8. Priority action 2: Promote Quality Improvement Programmes Quality and safety (QaS) standardsprepared and maintained ISO 9001 ornationalequivalent in alltransplantcenters KST preparing General WorkingProceduresfortransplantcenters Systemfor reporting/evaluation SAR/E introduced KST + MoH auditing transplantcenters  8

9. Priority Action 3: Exchange of best practices on living donation programmes; Support registers of living donors Regular monthly meetings of TC coordinators and KST Project MODE – exchange of best practices (Portugal) Financial incentives: lost income refund for living donors income tax statement deduction for living donors National Register of Donors Automatically linked with the police register (deceased) Increase of living donors from 17 (2010) to 83 (2013)  9

10. Priority Action 4: Improve the knowledge and communication skills of health professionals and patient support groups • Trainingcoursesforhealthprofessionals • KST publishingofficialstatements on hot issues • KST publishing info newsletter • TV, radio, newspaper, journalinterviews • KST havingorganized a concert and a hollymessfor organ donors  10

11. Priority Action 5: Facilitate the identification of organ donors across Europe Legislativeregulationsfor non-residents on WL Procurementfromforeigndeceaseddonorspossible SOP foridentificationof donor, relatives Analysingcrossborder organ exchangeconditions (COORENOR) Preparingthe FOEDUS IT portal and mobile application  11

12. Priority Action 6: Enhancing the organisational models in the EU MS Utilization of marginal donors (mean donor age in 2013 – 51 years) Donors age group 60+ (mean age - 68) Healt Insurance covering pulsatile perfusion Ex Vivo Lungs Perfusion, Heart Mate MODE project – exchanging best practices 

13. Priority Action 7: Promote EU-wide agreements on aspects of transplant medicine KST agreements with PL, IT, HU, ETI KST observer in SAT Active participation in ETN, BSA, DOPKI, EOEO, EUROCET, IRODAT, SOHO, MODE, COORENOR, FOEDUS, ACCORD ... WP leader in EU projects  13

14. Priority Action 8: Facilitate the interchange of organs between national authorities Enhanced participation in international projects Analysing conditions for international organ exchange (COORENOR) Launching 1.0 version of IT Portal Upgrading the IT Portal (FOEDUS): OREXIS – Organ Exchange Information System ETMA – European Transplant Mobile Application EUROTIP – European Transplant Information Portal  14

15. Priority Action 9: Evaluation of post-transplant results Follow-up in each transplant center : Within 2 weeks after release of a recipient Regularly – annual Reported to the Czech Transplant Society All performed transplantations registered in the National Register Follow-up recently audited in two biggest transplant centers by an international auditing team (ACCORD) - OK  15

16. Priority Action 10: Promote a common accreditation system for organ donation/procurement and transplantation programmes 6 KST coordinatorspassed international TPM courses 5 KST coordinators on study visits to NTO´s in IT, SP, SLO, PT KST audited by international auditors (ACCORD) 3 specialistspassedtrainingcoursefor international transplantauditors KST regularlyaudited ISO 9001, ISO 27001 2 Czech transplantcenterspassed international audits (ACCORD)  16

17. SUMMARY 17

18. 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

19. Thank you!