1. Membership and Professional Standards Committee
Fall 2017

2. Bylaws Awaiting Implementation
Joint Society Working Group Key Personnel Bylaws changes
Updating Primary Kidney Transplant Physician Requirements
Changes to Transplant Program Key Personnel Procurement Requirements
Addressing the Term “Foreign Equivalent” in OPTN/UNOS Bylaws
Sponsored by MPSC, collaborated with JSWG
Implementation- September 1, 2017
Applications received on or after September 1, 2017, will be reviewed relative to these new requirements
Three proposals that the MPSC sponsored and worked on with a Joint Society Working Group- Updating Primary Kidney Transplant Physician Requirements; Changes to Transplant Program Key Personnel Procurement Requirements; & Addressing the Term “Foreign Equivalent” in OPTN/UNOS Bylaws – will be implemented on September 1, 2017.
Membership applications received on or after September 1, 2017, will be reviewed in consideration of these new requirements.

3. Bylaws Awaiting Implementation
Membership Requirements for Intestine Transplant Programs
Creates intestine program key personnel requirements in Bylaws
Will require ALL intestine programs to reapply, meet new requirements
Three other projects that impact the Bylaws will be implemented in the near future. These projects had previously been awaiting OMB approval on the changes to the membership applications forms, and UNOS received this approval in late July. These three projects are :
Membership Requirements for Intestine Transplant Programs
Membership Requirements for VCA Transplant Programs
“General Supervisor” Requirements from Histocompatibility Bylaws Rewrite Phase II

4. Bylaws Awaiting Implementation
Membership Requirements for VCA Transplant Programs
Establishes more detailed and rigorous membership requirements for VCA programs
Will require ALL VCA programs to reapply, meet new requirements

5. Bylaws Awaiting Implementation
Histocompatibility Bylaws Rewrite Phase II
To be implemented - “general supervisor” as histo lab key personnel
OPTN Bylaws Appendices C.3; C.4; C.4.2; C.5.A; C.5.A.2; C.5.A.3; C.5.B; C.6.B
Remaining changes from proposal implemented Sept. 1, 2015
ALL histo labs must designate a general supervisor

6. New Bylaws- What to Generally Expect
Intestine Program Bylaws
Histocompatibility Lab General Supervisor Bylaws
VCA Membership Bylaws
Staggered implementation
General Timeline
30 day notice that applications will be sent out to current programs
30 days later – send applications and opt out forms
Set period for members to submit applications
Set period to process (staff) & review (ad hoc MPSC subcommittee) applications
MPSC approval at meeting = Bylaws implementation date
Notice will be sent ~30 days prior to implementation
Because of the volume of applications that will need to be reviewed to implement Intestine Program Bylaws, Histocompatibility Lab General Supervisor Bylaws, and VCA Membership Bylaws, UNOS plans to stagger the implementation of the Bylaws changes from these three projects. This slide shows a general timeline of the efforts that will precede the implementation of each of these Bylaws changes. Please note that these time frames are approximate and will be slightly different to implement each of these Bylaws changes.

7. Bylaws Awaiting Implementation
Updating OPTN Definition of Transplant Hospital
Awaiting programming changes - UNOS membership database
Requires OMB approval of application forms
More thoroughly defines “transplant hospital,” requires collection of additional information from ALL transplant hospitals
May also include:
Exception requests to be deliberated by MPSC
Separating single transplant hospital into multiple transplant hospitals
Combining multiple transplant hospitals into a single transplant hospital
Two other Bylaws proposals are pending implementation that are expected to have a longer timeline until implementation. The longer timeline is to accommodate UNOS membership database programming changes that are necessary to implement these Bylaws changes.
The first of these efforts-Updating the OPTN Definition of a Transplant Hospital – is summarized here as a reminder.

8. Bylaws Awaiting Implementation
Pediatric Training and Experience Bylaws Requirements
Awaiting programming changes - UNOS membership database
Requires OMB approval of application forms
Requires a “pediatric component” for all programs that wish to transplant pediatric patients
Demonstrate that proposed primary pediatric transplant surgeons and physicians:
Meet current key personnel Bylaws requirements
Meet to-be-implemented, pediatric key personnel Bylaws requirements
The second Bylaws project that you should be reminded of, and that will have a longer implementation timeline, is the Pediatric Training and Experience Bylaws Requirements adopted by the Board in December 2015.

9. Questions? Jeff Orlowski, MS, CPTC Committee Chair
Chad Waller
Committee Liaison