Pediatric Transplantation Committee Spring 2016 Update

Policy Implementation Proposal Board Approval Implementation Date Phase I - Change Pediatric Heart Allocation Policy Pediatric Status 1A & 1B Criteria June 2014 Q1 2016 Phase II - Change Pediatric Heart Allocation Policy Changes to intended ABOi eligibility requirements Improve priority for infants and intended ABOi-eligible Eliminate in utero heart registrations Q4 2016 This proposal was approved by the Board in June 2014. Implementation will be in two phases: Phase I will only include changes to Pediatric Status 1A and 1B qualifying criteria. The estimated implementation date for these changes is the end of first quarter of 2016. Phase II will include the remaining components of the proposal (changes to ABO incompatible eligibility requirements, changes in priority for infants and ABOi-eligible pediatric candidates, and elimination of the option to register candidate while in-utero). The estimated implementation date for these changes is the fourth quarter of 2016. Additional details can be found in the policy notice - https://optn.transplant.hrsa.gov/ContentDocuments/OPTN_Policy_Notice_07-24-2014.pdf (p. 78)

Board Approved Projects Summary Key Dates Pediatric Transplantation Training & Experience Established training and experience requirements for key personnel at pediatric heart, liver, and kidney transplant programs Applications – no sooner than March 2017 Implementation - no sooner than December 2018 The Board passed the pediatric transplantation training and experience bylaws proposal at the December 2015 Board meeting. The delayed implementation is intended allow key personnel at pediatric transplant programs to become qualified, or recruit a qualified primary transplant physician or primary transplant surgeon. Programs that have listed at least one pediatric candidate in the last five years will receive an application. This is estimated to happen in March 2017. Due to the anticipated volume of applications, completed applications will be due to OPTN within 90 days of receipt. The OPTN/UNOS Membership and Professional Standards Committee (MPSC) will be reviewing all applications. Implementation is estimated to be December 2018. Please call UNOS if you have questions on the application process or membership requirements. Additional details can be found in the policy notice - http://optn.transplant.hrsa.gov/media/1224/policy_notice_12-2015.pdf (p 163)

Questions? Eileen D. Brewer, M.D. Committee Chair edbrewer@texaschildrenshospital.org Christopher. L. Wholley, M.S.A. Committee Liaison christopher.wholley@unos.org