1. Mark S. Orloff, MD Regional Councillor
Region 9 Meeting
Mark S. Orloff, MD
Regional Councillor
Welcome to the spring Region 9 meeting. We know you took time out of your schedule to be here and your attendance is appreciated.

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
The purpose of regional meetings is to:
discuss regional business
receive updates on committee activities and projects
discuss and comment on proposed policies and bylaws.
Regional feedback on committee proposals and updates will be provided to the sponsoring committees.

3. Regional Business Fall meeting date
Summary of fall 2013 regional meeting
Vote
Updated summary of spring 2013 regional meeting
Includes sponsoring committee’s response to regional comments
Board action on each proposal
We have not selected a date for the fall meeting, but will send an to the region for feedback on a proposed date in the next week.
Please review the fall regional meeting summary located in the booklet at your seat. I will then take a vote to approve the summary. **take vote** Any opposed?
An updated spring 2013 meeting summary is also located in the booklet. The summary includes the sponsoring committee’s responses to our region’s comments and the Board action taken on each proposal.

4. Regional Business Committee appointment status
Regional Nominating Committee recommendations
Final appointments
Notification
Associate Councillor election results – Dr. Lewis Teperman’s term will begin July 1st
Dr. Lloyd Ratner will serve as Councillor 7/2014-6/2016
Next we will discuss the status of the OPTN/UNOS committee appointment process. Last fall you were asked to nominate members to serve as regional representatives to OPTN/UNOS Committees.
The regional nominating committee reviewed the nominations received and made recommendations based on an individual’s professional experience, willingness to serve, the needs of the committee for subject specific expertise, the candidate’s ability to represent the region nationally and the desire to have representation from all areas of the region.
Dr. Carl Berg, the incoming OPTN/UNOS President, has reviewed the regional representative recommendations and finalized committee appointments. Appointment letters are being sent this week.
Next, I would like to congratulate Dr. Lew Teperman, who was elected to serve as the Region 9 Associate Councillor/Councillor elect beginning July 1, Dr. Teperman will represent the region on the OPTN/UNOS Membership and Professional Standards Committee for two years and will move into the Councillor position in July We will also have a new Councillor beginning in July as my term ends in June. Dr. Lloyd Ratner will take over as Councillor for a 2 year term.

5. Update on OPTN/UNOS Activities
Presentation from OPTN/UNOS leadership
Committee reports presented by regional representatives
Regional feedback is provided to each committee
OPTN/UNOS leadership makes it a priority to attend each regional meeting and provide updates on OPTN and UNOS activities. Today, Dr. Carl Berg, Vice-President of OPTN/UNOS is here to provide this update.
Today, the regional representatives will present updates on OPTN committee activities. Any feedback received will be provided to the sponsoring committee by the regional representatives for consideration.

6. Regional Meeting Agenda
Regional Councillors and Administrators reviewed spring meeting agenda
17 public comment proposals
11 committee updates, some requiring regional discussion
Problem: large amount of material to cover during one meeting
Solution: Divide agenda into two sections, discussion and non-discussion
The Regional Councillors and Administrators met to review the agenda for the spring regional meetings. The committees have 17 public comment proposals and 11 committee updates for the regions to review and discuss. In order to cover the material, the regional meeting time would need to be extended by at least an hour and a half. A decision was made to extend the regional meeting by 30 minutes, and reduce the amount of material to be discussed by dividing the agenda into two sections, discussion and non-discussion.

7. Discussion Agenda
Discussion agenda format is the same as previous meetings
12 public comment proposals
Presentation
Discussion
Regional Vote
The discussion agenda follows the same format as previous regional meetings. The regional representatives will present proposals today and the region will have an opportunity to discuss them. Following discussion, a vote will be taken on each proposal.

8. Non-Discussion Agenda
Includes proposals anticipated to have a lower impact on the community
Region was offered an opportunity to request that a proposal(s) be placed on the discussion agenda
Proposals will be voted on today, but not presented or discussed
Proposals were presented and discussed during national webinars
The Regional Councillors and Administrators identified 5 proposals that are anticipated to have a lower impact on the transplant community as a whole. In previous correspondence, you were provided an opportunity to request that a proposal or proposals on the non-discussion agenda be added to the discussion agenda. No requests were received. The 5 proposals on the non-discussion agenda will be voted on today, but they will not be presented or discussed.
The proposals on the non-discussion agenda were presented and discussed during national webinars.

9. National Webinar
Two webinars were held to present and discuss 5 proposals on non-discussion agenda
Information on Transplant Pro website:
webinar/
Summaries of the 5 proposals were presented by the sponsoring committee and members were given an opportunity to ask questions and provide feedback. Regional Administration offered webinars in March and April. Webinar information is located on the Transplant Pro website at the link on this slide. If you have questions or need assistance accessing this information, please contact Shannon.

10. Non-Discussion Proposals: Vote You have the option to abstain from voting if you don’t have knowledge of the proposals listed below
Proposal to Require the Collection of Serum Lipase for Pancreas Donors (Pancreas Transplantation Committee)
Proposal to Require the Reporting of Aborted Living Donor Organ Recovery Procedures (Living Donor Committee)
Proposal to Clarify Data Submission and Documentation Requirements (Membership and Professional Standards Committee)
Proposed ABO Subtyping Consistency Policy Modifications (Operations and Safety Committee)
Proposal to Allow Non-substantive Changes to the OPTN Policies and Bylaws (Policy Oversight Committee)
This slide includes a list of the 5 proposals that we need to vote on today. **Read the title of each proposal**
The plan is to take one vote on all 5 proposals unless anyone is opposed to a specific proposal. If you do oppose any of the proposals listed on this slide, please raise your hand.
Note to councillors:
**Please remind the group that they have the option to abstain if they didn’t attend one of the national webinars to hear the proposal presented or haven’t read the proposal online.
If no hands are raised, take one vote on all 5 proposals: yes, no, abstentions
If hands are raised: vote on each proposal separately – yes, no, abstentions

11. Public Comment Proposals
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 booklets containing the proposals we will discuss and vote upon today are located at each table.
All of you may participate in the discussion today and provide feedback. After each proposal is presented and discussed, a vote will be taken. Each OPTN/UNOS member institution receives one vote. OPTN/UNOS members include OPOs, transplant centers, histocompatibility laboratories, general public members, and professional organizations. A yellow card is provided to each voting member at the registration desk.
Regional feedback is important as it is considered by the sponsoring committee when developing final proposals, and public comment proposals are often modified and improved based upon regional feedback.
The Board also receives all public comment responses so that the directors have a sense of the transplant community’s sentiment about a given proposal.

12. Public Comment Opportunities
Contact Regional Representatives
Submit public comment online
OPTN website: publicComment/
If you have individual feedback on any of the public comment proposals, you have a couple ways to provide feedback.
You can contact our region’s representative on the sponsoring committee. A list of our region’s representatives is located in the booklet at your seat and also on the Transplant Pro website.
As always, you can also submit an individual public comment online through the OPTN website. As a reminder, this tool is always available to members to provide individual and center specific feedback to the committee on all the proposals that are submitted for public comment.

13. Regional Meeting Materials – online!
The presentations shared today are located online:
Navigate to: and find the link to your region listed in the 2014 spring meeting schedule
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
All of the committee presentations and meeting materials are posted on the Transplant Pro website approximately one week prior to the meeting.
You should have received an from Shannon with this link. The link also appears on this slide for your reference.

14. Questions?
Thank you for your attention and I am happy to answer any questions that you may have.