U.S. Department of Health & Human Services
The Liver and Intestine Transplantation Committee considers medical, scientific, and ethical aspects related to liver and intestine organ procurement, distribution, and allocation. The Committee considers both the broad implications and the specific member situations of these liver or intestinal issues and policies. The goal of the Committee's work is to develop evidence-based policies aimed at reducing the burden of liver disease in transplant patients (candidates and recipients), increasing liver utilization, improving access to liver transplantation, and improving the health outcomes of liver transplant recipients.
Current Projects
Review
- Review of National Liver Review Board (NLRB) Diagnoses and Update to Alcohol-Associated Diagnoses
- Redesigning liver distribution (8/2016)
Board approved and pending implementation
- Calculate Median MELD at Transplant around the Donor Hospital and Update Sorting within Liver Allocation
- Further Enhancements to the National Liver Review Board
- Access for Urgent Liver Candidates in Hawaii and Puerto Rico
- Align units of distribution in closed variance for split liver transplantation (11/2019)
- Split liver variance (1/2019)
Implemented
- Update National Liver Review Board Guidance Documents and Policy Clarification
- Enhancements to the National Liver Review Board (12/2019)
- Clarification of pre existing liver disease (11/2019)
- Liver and Intestine Distribution Using Distance from Donor Hospital (9/2018)
- Modify HCC extension criteria (12/2017)
- National liver review board 201701 (1/2017)
- HCC auto approval criteria changes (8/2016)
- Membership and Personnel Requirements for Intestine Transplant Programs (1/2015)
Chair
- Dr. James J Pomposelli
- University of Colorado Hospital/Health Science Center
Vice Chair
- Dr. Scott W Biggins
- University of Washington Medical Center
Liaison
- Matt Cafarella
- UNOS Employees
- matt.cafarella@unos.org
| Members | Organization | Position | End Term Date |
|---|---|---|---|
| Dr. Peter L Abt | Hospital of the University of Pennsylvania | Regional Rep. | 6/30/2023 |
| Dr. Sophoclis P Alexopoulos | Vanderbilt University Medical Center | At Large | 6/30/2024 |
| Dr. Diane Alonso | Intermountain Medical Center | Regional Rep. | 6/30/2023 |
| Dr. Sumeet Asrani | Baylor University Medical Center | At Large | 6/30/2023 |
| Dr. James S Bowman | Division of Transplantation, HHS | Ex Officio (non voting) | 6/30/2022 |
| Dr. Kimberly A Brown | Henry Ford Hospital | At Large | 6/30/2022 |
| Dr. Derek A DuBay | Medical University of South Carolina | Regional Rep. | 6/30/2022 |
| Dr. James D Eason | Methodist University Hospital | At Large | 6/30/2023 |
| Alan E Gunderson | University of Iowa Hospitals and Clinics Transplant Programs | Regional Rep. | 6/30/2023 |
| Ms. Bailey Heiting | Versiti Wisconsin, Inc | Regional Rep. | 6/30/2023 |
| Ms. Jennifer M Kerney | University of California San Francisco Medical Center | At Large | 6/30/2022 |
| Dr. Chandrashekhar A Kubal | Indiana University Health | Regional Rep. | 6/30/2022 |
| Dr. Allison J Kwong | Stanford Health Care | At Large | 6/30/2024 |
| Dr. Marilyn E Levi | Division of Transplantation, HHS | Ex Officio (non voting) | 6/30/2022 |
| Dr. Raymond J Lynch | Emory University Hospital | Regional Rep. | 6/30/2022 |
| Dr. James F Markmann | Massachusetts General Hospital | Regional Rep. | 6/30/2023 |
| Mr. Peter J Matthews | General Public Region 2 | At Large | 6/30/2023 |
| Dr. Gregory J McKenna | Baylor University Medical Center | Regional Rep. | 6/30/2023 |
| Dr. Mark S Orloff | Strong Memorial Hospital, University of Rochester Medical Center | Regional Rep. | 6/30/2022 |
| Dr. Jorge D Reyes | University of Washington Medical Center | Regional Rep. | 6/30/2022 |
| Dr. James F Trotter | Baylor University Medical Center | Ex Officio | 6/30/2022 |
| Dr. Kymberly D Watt | Rochester Methodist Hospital (Mayo Clinic) | At Large | 6/30/2024 |
Meeting Summaries
- September 16, 2021 PELD/Status 1B Criteria Workgroup (PDF - 580 K)
- September 9, 2021 Liver NLRB Subcommittee (PDF - 456 K)
- September 3, 2021 Liver Committee (PDF - 584 K)
- August 27, 2021 Liver Committee (PDF - 498 K)
- August 20, 2021 Liver Committee (PDF - 456 K)
- August 19, 2021 PELD/Status 1B Criteria Workgroup (PDF - 475 K)
- August 12, 2021 Liver NLRB Subcommittee (PDF - 113 K)
- August 6, 2021 Liver Committee (PDF - 114 K)
- July 15, 2021 Liver PELD/Status 1B Criteria Workgroup (PDF - 575 K)
- July 8, 2021 Liver NLRB Subcommittee (PDF - 462 K)
- July 2, 2021 Liver Committee (PDF - 583 K)
- June 17, 2021 PELD/Status 1B Criteria Workgroup (PDF - 465 K)
- June 10, 2021 Liver NLRB Subcommittee (PDF - 502K)
- June 4, 2021 Liver Committee (PDF - 511 K)
- May 21, 2021 Liver Improving the MELD Calculation Workgroup (PDF - 109 K)
- May 20, 2021 PELD/Status 1B Criteria Workgroup (PDF - 111 K)
- May 17, 2021 Liver NLRB Subcommittee (PDF - 113 K)
- May 7, 2021 Liver Committee (PDF - 627 K)
- April 15, 2021 PELD/Status 1B Criteria Workgroup (PDF - 503 K)
- April 14, 2021 Liver Committee (PDF - 681 K)
- April 8, 2021 Liver NLRB Subcommittee (PDF - 111 K)
- April 7, 2021Liver Improving the MELD Calculation Workgroup (PDF - 112 K)
- April 2, 2021 Liver Committee (PDF - 504 K)
- March 19, 2021 Liver Improving the MELD Calculation Workgroup (PDF - 511 K)
- March 18, 2021 PELD/Status 1B Criteria Workgroup (PDF - 511 K)
- March 11, 2021 Liver NLRB Subcommittee (PDF - 510 K)
- March 5, 2021 Liver Committee (PDF - 643 K)
- February 19, 2021 Liver Improving the MELD Calculation Workgroup (PDF - 507 K)
- February 18, 2021 PELD/Status 1B Criteria Workgroup (PDF - 508K)
- February 11, 2021 Liver NLRB Subcommittee (PDF - 497 K)
- February 5, 2021 Liver Committee (PDF - 235 K)
- January 21, 2021 PELD/Status 1B Criteria Workgroup (PDF - 502 K)
- January 7, 2021 Liver Committee (PDF - 508 K)
- December 17, 2020 PELD/Status 1B Criteria Workgroup (PDF - 500 K)
- December 10, 2020 Liver NLRB Subcommittee (PDF - 497 K)
- November 20, 2020 Liver Committee (PDF - 623 K)
- November 19, 2020 PELD/Status 1B Criteria (PDF - 501 K)
- November 12, 2020 Liver NLRB Subcommittee (PDF - 493 K)
- November 6, 2020 Liver Committee (PDF - 623 K)
- October 22, 2020 Liver Committee (PDF - 646 K)
- October 15, 2020 PELD/Status 1B Criteria Workgroup (PDF - 609 K)
- October 14, 2020 Acuity Circles Subcommittee (PDF - 623 K)
- October 13, 2020 Liver NLRB Subcommittee (PDF - 614 K)
- October 8, 2020 Liver NLRB Subcommittee (PDF - 609 K)
- October 6, 2020, Acuity Circles Subcommittee (PDF - 611 K)
- October 2, 2020 Liver Committee (PDF - 607 K)
- September 23, 2020 Acuity Circles Subcommittee (PDF - 593 K)
- September 17, 2020 PELD/Status 1B Criteria (PDF - 637 K)
- September 10, 2020 Liver NLRB Subcommittee (PDF - 631 K)
- September 9, 2020 Acuity Circles Workgroup (PDF - 493 K)
- September 3, 2020 Liver Committee (PDF - 625 K)
- August 26, 2020 Acuity Circles Workgroup (PDF - 500 K)
- August 20, 2020 PELD/Status 1B Criteria (PDF - 502 K)
- August 13, 2020 Liver NLRB Subcommittee (PDF - 604K)
- August 12, 2020 Acuity Circles Workgroup (PDF - 520 K)
- August 7, 2020 Liver Committee (PDF - 615 K)
- July 22, 2020 Acuity Circles Workgroup (PDF - 450 K)
- July 16, 2020 PELD/Status 1B Criteria (PDF - 492 K)
- July 9, 2020 Liver NLRB Subcommittee (PDF - 133 K)
- July 8, 2020 Acuity Circles Workgroup (PDF 451 K)
- July 2, 2020 Liver Committee (PDF 708 K)
- June 18, 2020 PELD/Status 1B Criteria (PDF - 454 K)
- June 11, 2020 NLRB Subcommittee (PDF - 106 K)
- June 10, 2020 Acuity Circles Workgroup (PDF - 107 K)
- June 5, 2020 (PDF - 254 K)
- May 21, 2020 (PDF - 451 K)
- May 14, 2020 (PDF - 140 K)
- May 13, 2020 (PDF - 109 K)
- May 1, 2020 (PDF - 581 K)
- April 14, 2020 (PDF - 152 K)
- April 9, 2020 (PDF - 185 K)
- April 8, 2020 (PDF - 104 K)
- April 3, 2020 (PDF - 140 K)
- March 19, 2020 (PDF - 560 K)
- March 12, 2020 (PDF - 120 K)
- March 11, 2020 (PDF - 507 K)
- February 13, 2020 (PDF - 330 K)
- February 12, 2020 (PDF - 112 K)
- February 7, 2020 (PDF - 510 K)
- January 10, 2020 (PDF - 206 K)
- January 9, 2020 (PDF - 229 K)
- December 12, 2019 (PDF - 475 K)
- November 19, 2019 (PDF - 470 K)
- November 15, 2019 (PDF - 457 K)
- November 14, 2019 (PDF - 522 K)
- October 22, 2019 (PDF - 218 K)
- October 10, 2019 (PDF - 114 K)
- October 9, 2019 (PDF 103 K)
- October 4, 2019 (PDF 113 K)
- September 13, 2019 (PDF 441 K)
- September 11, 2019 (PDF 450 K)
- September 12, 2019 (PDF 457 K)
- September 6, 2019 (PDF 359 K)
- August 9, 2019 (PDF 458 K)
- August 8, 2019 (PDF 465 K)
- July 12, 2019 (PDF 591 K)
- July 11, 2019 (PDF 590 K)
- June 21, 2019 (PDF 585 K)
- June 7, 2019 (PDF 207K)
- May 9, 2019 (PDF 107 K)
- May 8, 2019 (PDF 144 K)
- May 7, 2019 (PDF 175 K)
- April 8, 2019 (PDF 223 K)
- March 21, 2019 (PDF - 170 K)
- February 21, 2019 (PDF - 101 K)
- January 17, 2019(PDF - 145 K)
- December 7, 2018(PDF - 114 K)
- November 15, 2018(PDF - 100 K)
- November 2, 2018 (PDF - 201 K)
- October 30, 2018 (PDF - 104K)
- October 1, 2018 (PDF - 68 K)
- September 27, 2018 (PDF - 78 K)
- September 25, 2018 (PDF - 78 K)
- September 20, 2018 (PDF - 83 K)
- September 4, 2018 (PDF - 109 K)
- August 28, 2018 (PDF - 88 K)
- August 21, 2018 (PDF - 79 K)
- August 14, 2018 (PDF - 78 K)
- August 8, 2018 (PDF - 60 K)
- July 31, 2018 (PDF - 95 K)
- July 24, 2018 (PDF - 15 K)
- July 19, 2018 (PDF - 77 K)
- July 10, 2018 (PDF - 31 K)
- July 3, 2018 (PDF - 67 K)
- June 29, 2018 (PDF - 645 K)
- June 21, 2018 (PDF - 24 K)
- June 15, 2018 (PDF - 101 K)
- June 13, 2018 (PDF - 88 K)
- May 2018 (PDF - 561 K)
- April 2018 (PDF - 74 K)
- March 29, 2018 (PDF - 558 K)
- March 15, 2018 (PDF - 553 K)
- February 15, 2018 (PDF - 560 K)
- February 1, 2018 (PDF - 549 K)
- January 2018 (PDF - 117 K)
- December 21, 2017 (PDF - 562 K)
- December 1, 2017 (PDF - 78 K)
- November 16, 2017 (PDF - 488 K)
- November 8, 2017 (PDF - 478 K)
- November 2, 2017 (PDF - 38 K)
- October 2017 (PDF - 547 K)
- September 2017 (PDF - 485 K)
- August 2017 (PDF - 474 K)
- July 2017 (PDF - 489 K)
- June 19, 2017 (PDF - 486 K)
- June 15, 2017 (PDF - 485 K)
- June 12, 2017 (PDF - 585 K)
- June 8, 2017 (PDF - 475 K)
- May 24, 2017 (PDF - 499 K)
- May 18, 2017 (PDF - 486 K)
- May 8, 2017 (PDF - 504 K)
- April 20, 2017 (PDF - 121 K)
- April 3, 2017 (PDF - 49 K)
- March 2017 (PDF - 469 K)
- February 2017 (PDF - 516 K)
- January 2017 (PDF - 101 K)
- December 29, 2016 (PDF - 62 K)
- December 15, 2016 (PDF - 92 K)
- November 2016 (PDF - 86 K)
- October 2016 (PDF - 245 K)
- September 2016 (PDF - 84 K)
- July 2016 (PDF - 522 K)
- May 2016 (PDF - 492 K)
- April 2016 (PDF - 637 K)
- February 2016 (PDF)
- January 2016 (PDF)
Reports to the board of directors
- June 2019: Split liver variance (PDF - 538 K)
- December 2018: Liver distribution (PDF)
- June 2017: NLRB (PDF - 617 K)
- June 2017: Liver review board guidance (PDF - 662 K)
- December 2016: Board report (PDF - 177 K)
- December 2016: HCC (PDF - 376 K)
Looking for something else? Contact us at unoscommunications@unos.org or (804) 782-4800. We maintain an archive of historical OPTN documents.
