Status: Public Comment
Sponsoring Committee: Organ Procurement Organization Committee
Strategic Goal 1: Increase the number of transplants
Read the proposal (PDF; 1/2019)
Contact: Robert Hunter
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Expedited organ placement has been an important part of organ allocation for many years. Organ procurement organizations (OPOs) utilize this method to quickly place organs that are at risk of not being used for transplant. OPTN policy does not currently address expedited placement with the exception of Policy 11.6: Facilitated Pancreas Allocation. Consequently, during recent discussions about broader distribution and system optimization, the community expressed the desire to better understand expedited placement, its impact on transplant candidates, and to maximize utilization of transplantable organs. Therefore, the goal of this proposal is to address the following issues:
- Lack of transparency with the current system
- Lack of guidance for OPOs and transplant hospitals
- Lack of consistent practice across the country
- Inconsistent access to organs for candidates in need of transplant
The OPO Committee is proposing policy language that will allow for the quick identification of transplant candidates willing to accept an expedited offer when a liver has been declined late in the process. This will be accomplished by requiring transplant hospitals to enter candidate-level acceptance criteria that will allow for additional screening on an expedited liver match run. As part of this proposal, OPOs will be permitted to make expedited offers if the donor has entered the operating room and the OPO is notified of a liver turndown. These offers will be sent out with an abbreviated time limit of 20 minutes to identify those candidates willing to accept an expedited liver offer. At the end of this time limit, the liver will be placed with the candidate that appears highest on the match run.