1 Operations and Safety Committee Update Fall 2015

ProposalImplementation Date Modifications to ABO Determination, Reporting, and Verification Early 2nd QTR 2016 Modifications to Internal Sterile Label9/1/2015 Allow Collective Patient and Wait Time Transfers 9/1/2015 Recent OSC Public Comment Proposals Approved by Board in June

 Label separates HBV results, based on public comment feedback  Label template and instructions are available on the UNOS store Sterile Internal Vessels Label 3

4 Policy Implementation: Vessels Reporting  Extra vessels disposition reporting within 7 calendar days of use or destruction  Implementation on October 22, 2015  New “Vessels” tab in TIEDI  Users can add, edit, and search for vessels disposition reports  To Prepare:  How will changing to electronic reporting impact your process?  Reporters will need UNet sm access and organ-specific permissions  Permissions can be limited to this function only  Enter unreported back data from 8/1/2012

For the latest update on the Hope Act, visit Transplant Pro at  Implementation is scheduled for November 19 th  NIH Hope Act research criteria have not been finalized  Once finalized, transplant programs can begin the IRB approval process based on the requirements in the final research criteria.  Transplant programs must notify the OPTN Contractor in writing that they have Hope Act IRB approval that meets all the requirements in the research criteria  We will continue to provide updates through future system notices and articles on Transplant Pro Hope Act Update 5

6  Voluntary nationwide OPO deployment March 2015  30 OPOs currently trained and using TransNet sm  Monthly train-the-trainer sessions at UNOS  Spots open for September-December  OPO iOS version in beta testing with release planned for November  January 2016 public comment addressing mandatory OPO use  Transplant hospital beta testing: August 2015-January 2016

Patient Safety: Sharing Lessons Learned 7

 Two fictional cases  Patient Safety Advisory Group members volunteered to write two “fictional” case studies, based on priority areas and other current events  Infectious disease testing results that were not available until post- transplant were delayed in being reported  Switched kidney laterality Patient Safety: Sharing Lessons Learned 8

Theresa Daly, MS, RN, FNP Committee Chair Regional representative name (RA will complete) Region X Representative address Susan Tlusty Committee Liaison Questions? 9