1. 1 Region 10 Meeting Tim Taber, MD Regional Councillor

2. 2 Purpose of Regional Meeting  Discuss regional business  Provide updates on OPTN/UNOS committee activities and projects  Discuss and comment on proposed policies and bylaws

3.  Summary of Spring and Fall 2015 regional meeting  Includes sponsoring committee’s response to regional comments  Board action on each proposal Regional Business 3

4. 1. MPSC Quality Assurance Proposal – modified and approved 2. Definition of Pancreas Graft Failure – modified and approved 3. POC Quick Fixes – modified and approved 4. MPSC Definition of a Transplant Hospital – not submitted 5. MPSC CPM - not submitted 6. Pediatric Requirements – re-submitted for consideration Fall 2015 June Board – Regional Comments 4

5.  Tentative spring meeting date: Feb 5th  Spring public comment: January 25-March 25  Check Transplant Pro website for regional meeting date  Spring proposals will be reviewed by the OPTN/UNOS Board in June Regional Business 5

6.  Deadline for regional representative nominations: October 15  Nomination announcement with link to online bio form is posted on the Transplant Pro website  Nominations reviewed by regional nominating committee  Regional recommendations considered by OPTN/UNOS President-Elect  Appointments in April for terms beginning July 1 OPTN/UNOS Committee Nominations 6

7.  Liver and Intestinal Organ Transplantation  Operations and Safety  Pediatric Transplantation OPTN/UNOS Committee Nominations 7

8.  Proposed to extend committee terms to three years  Excludes MPSC  Effective date of Feb 1, 2016 Spring 2015 POC Proposal 8

9. Institutional Participation in Committee Process 9

10. Regional Meeting Attendance Nationaly 10

11. Data 11

12.  Overall waiting list additions increased for third year in a row  Slight decrease in both Kidney and Liver additions.  Heart additions saw most significant increase.  Total and active registrations at year end peaked again in 2014 Waiting List National Trends

13. Waiting List Registrations 2005-2014 Region 10

17. Donor and Transplant Data

18.  Deceased donors increased by 4.0% (8,596 from 8,268), and increased donor transplants decreased by 2.4% from 2013  increases in DCD, SCD donors  DCD donors now comprise 15% of deceased donors overall (ranges from 7%-32% by region)  2.8% decrease in living donation from 2013-2014. National Trends

19. Deceased Donation 2013-2014 U.S. Donors Recovered Organs Recovered Organs Transplanted OTPD 20138,26829,40325,4373.077 20148,59630,16026,0463.03 % Change4.00%2.60%2.40%-1.50%

20. Deceased and Living Donors 2005-2014 Region 10

21. Donors Recovered Organs Recovered Organs Transplanted OTPD 2013 7102,6712,3233.272 2014 7342,7372,3743.234 % Change 3.40%2.50%2.20%-1.10% Deceased Donation 2013-2014 Region 10

22. Deceased Donors by Type 2005-2014 Region 10 -37%

23. Percent Change in Deceased Donors and Organs Recovered/Transplanted 2013 – 2014 - Region 10

24. Deceased Donor Transplants 2012-2014 U.S.

25. Deceased Donor Transplants 2012-2014 Region 10

26. Deceased Donors Recovered, Deceased Donor Organs Recovered, Deceased Donor Organs Transplanted, and Deceased Donor OTPD For Deceased Donors Recovered in the US from July 1, 2013 to June 30, For Deceased Donors Recovered in the US from July 1, June 30, 2014 and July 1, 2014 to June 30, 2015 by OPO Based on OPTN data as of August 28, 2015. Data subject to change based on future data submission or correction. 2014 and July 1, 2014 to June 30, 2015 by OPO Based on OPTN data as of August 28, 2015. Data subject to change based on future data submission or correction.

27. Region 10 Deceased Donors RecoveredDeceased Donor Organs Recovered Deceased Donor Organs TransplantedDeceased Donor OTPD

28. What should we be looking at??

29.  Discussion agenda format is the same as previous meetings  8 public comment proposals  Presentation  Discussion  Regional Vote Regional Meeting Agenda: Discussion 29

30.  Includes proposals anticipated to have a lower impact on the transplant community  Region was offered an opportunity to request that a proposal(s) be placed on the discussion agenda  None received  Proposals will be voted on today, but not presented or discussed  Proposals presented and discussed during national webinars Regional Meeting Agenda: Non- Discussion 30

31.  Two webinars to present and discuss 4 proposals on non-discussion agenda  First webinar held on August 26  Second webinar: September 15 at 2:00pm ET  To access registration link and presentation: https://www.transplantpro.org/community/regions https://www.transplantpro.org/community/regions National Webinars 31

32.  Proposed Changes to Transplant Program Key Personnel Procurement Requirements (Membership and Professional Standards Committee)  Revising Kidney Paired Donation Pilot Program Priority Points (Kidney Transplantation Committee)  Proposal to Update the Human Leukocyte Antigen (HLA) Equivalency Tables (Histocompatibility Committee)  Proposal to Reduce the Documentation Shipped with Organs (Organ Procurement Organization Committee) Non-Discussion Proposals: Vote You have the option to abstain from voting if you haven’t reviewed the proposals 32

33.  Public comment booklets on each table  All attendees may discuss and provide feedback  Each OPTN/UNOS member institution has one voting representative  Sponsoring committee considers regional feedback in development of final proposal  Board receives all public comment  Your feedback is important! Public Comment Proposals 33

34.  Contact Regional Representatives  http://transplantpro.org/community/regions/ http://transplantpro.org/community/regions/  Submit public comment online  OPTN website: http://optn.transplant.hrsa.gov/governance/public- comment/ http://optn.transplant.hrsa.gov/governance/public- comment/  blog-style format,  individual, regional, and committee comments are pubished Public Comment Opportunities 34

35.  The presentations shared today are posted online:  http://transplantpro.org/community/regions/ http://transplantpro.org/community/regions/  Make sure to review the presentations that weren’t presented today  Additional information available on this website including:  Meeting agenda and summaries  Data  Links to various OPTN resources Regional Meeting Materials – online! 35

36. Questions? 36