Heart & lung
On March 9, 2023, a new lung allocation policy based on continuous distribution was implemented. Member education and resources are available in the implementation toolkit to help you understand the new policy.
Policy toolkits
Allocation calculators
Lung Composite Allocation Score (CAS) calculator
A guide to calculating the lung composite allocation score (Lung CAS)
Monitoring reports
- Four-year heart monitoring report: Proposal to modify the adult heart allocation system (PDF 3/2023)
- One-year heart monitoring report: Pediatric National Heart Review Board (PDF 12/2022)
- Three-month heart monitoring report: Heart policy to address patient safety following device recall (PDF 11/2022)
- Three-year heart monitoring report: Proposal to modify the adult heart allocation system (PDF 9/2022)
- Two-year heart monitoring report: Eliminate the use of DSAs in thoracic allocation (PDF 8/2022)
- One-year heart monitoring report: Eliminate the use of DSAs in thoracic allocation (PDF 7/2020)
- Two-year heart monitoring report: Proposal to modify the adult heart allocation system (PDF 3/2021)
- One-year heart monitoring report: Proposal to modify the adult heart allocation system (PDF 3/2020)
Policy & guidance
Heart
- OPTN policy 6: allocation of hearts and heart-lungs (PDF - 2.5 M; 2/2022 )
- Evaluation plan guidance for policy 6 (PDF - 91 K; 7/2021)
- Adult heart allocation toolkit
- National Heart Review Board (NHRB) for Pediatrics FAQ (PDF - 900KB; 7/2021)
- Guidance for Adult Heart Exception Requests (Status 2 Cardiogenic Shock Candidates) (PDF - 448KB; 2/2021)
- Guidance for Pediatric Heart Exception Requests (PDF - 620 KB; 2/2021)
- Heart Allocation Variances (None active as of 3/1/2020) (PDF 378 K)
- Review board guidance for HCM/RCM exception requests (PDF - 674 K; 10/2018) Effective 10/18/2018
- Review board guidance for adult CHD exception requests (PDF - 180 K; 12/2017)
Lung
- OPTN policy 10: allocation of lungs (PDF - 2.5 M; 2/2022)
- Evaluation plan guidance for policy 10 (PDF - 91 K; 7/2021)