1 OPTN Contract Modification - Task 18 Advisory Committee on Organ Transplantation November 17, 2015 Henri Haskell, RN, MSHA, CMQ/OE Director of Member Quality United Network for Organ Sharing

2 Objectives  Provide an overview of the new OPTN Contract Task for Alternative Monitoring of Transplant Programs  Review Key Components  Review Next Steps

3 Task 18: Transplant Center Performance Pilot  Conduct a pilot project that:  reduces the risk-avoidance behaviors that are associated with current monitoring system  removes current performance flagging criteria for participating kidney transplant programs  develops and tests an alternative data-rich quality monitoring framework  collaborative approach toward performance improvement and best practices  AIM: Increase transplantation!

4 Task 18: Transplant Center Performance Pilot 2  Year 1 – Design  Year 2 – Deployment  Year 3 – Evaluation  Nationally Recognized Performance Partner  Framework for Improvement  Change Management Tool Kit  Collaborative Partnership with UNOS and participating improvement organizations  Design of Deployment and Evaluation Strategies

5 Task 18 – Key Components  Advisory Council (10 – 12 Members)  Membership to include MPSC Alumni, Subject Matter expertise from Community, HRSA, CMS, Third Party Payers  Charge: Provide guidance to the Project, subject matter expertise, Champion and support the project through the life-cycle  Meeting Cadence: Every two months  Recruitment – November 2015 First Meeting Targeted: January 2016  Stakeholder Group  Community Representation to include members from various transplant societies (AST, ASTS, AOPO, etc)  To provide ongoing updates to the progress of the project  Meeting Cadence: Quarterly  Participant Recruitment Process  Develop relevant participation criteria for individual programs  Communication Plan  Updates to MPSC/PAIS Quarterly  HRSA/ CMS – Weekly/ Monthly  Advisory council – Every Two Months  Stakeholder Group/ Community at Large - Quarterly

6 Task 18 – Key Components  Development of Comprehensive Measures (Outcomes, Process and Structural)  Current data  Majority will be discrete data/ some may require process measures that participants may need to provide (80/20)  SRTR collaboration  Collaborative Site Assessment Visits (UNOS, PI Team/ Performance Partners)  Score Card Process  Providing a more comprehensive picture of performance (outcomes, process, care coordination, structure)

7 Task 18 – Key Next Steps  Development of Advisory Council Charter and Member Recruitment : Nov 2015 Kick Off Meeting: January 2016  CMS Collaboration Meeting (Nov 2015)  Design Work Continues  Measurement Development  Data Collection Plan  Participant Recruitment (anticipate early 2016)

8 QUESTIONS?