During the August – October 2016, public comment cycle, the OPTN/UNOS Thoracic Organ Transplantation Committee is issuing a revised proposal to improve the adult heart allocation system.
A webinar was held on August 18, 2016, to explain the proposed changes. Go to UNOS Connect to access a recording.
Beginning August 15, you’ll find the public comment proposal on the OPTN website under Governance>Public Comment.
Purpose of the webinar
This webinar is designed to explain the proposed changes, the problems that the proposal will solve, the goals of the proposal and alternatives the committee considered. The webinar will also detail revisions made in response to issues raised regarding the document originally published for public comment in January 2016, including the following:
- Stricter qualifying criteria and extension criteria for some of the more urgent status categories
- Limiting the proposed broader geographic sharing scheme for the most urgent candidates to donation service area and Zone A (instead of through Zone B)
- Modification of the pediatric donor allocation sequence to mitigate the impact to pediatric candidates of changes to adult heart allocation policy
- Clarification of the types of mechanical circulatory support devices that qualify for each status
- Requiring regional review boards to review cases external to their region
- Detailed listing of additional data the committee proposes to collect for future development of a heart allocation score
After participating in this webinar, attendees will understand the potential impact the proposed changes would have on their transplant centers if it passes.
Joseph G. Rogers, M.D., immediate past chair of the OPTN/UNOS Thoracic Organ Transplantation Committee