Organ Procurement and Transplantation Network

Implementation toolkit

Policy and system changes will be implemented in 2019. Check this page for updated resources and information to help members prepare.

News

• Learn more about national liver review board (NLRB) (10/2018)
  Effective 1/31/2019 - training is available 
• Board approves updated liver distribution system (12/2018)
  Effective 4/30/2019

Policy changes

• NLRB policy language (PDF; 1/2019)
• NLRB policy language with mark-up (PDF; 1/2019)
• NLRB policy notice (PDF; 7/2017)
• Liver and intestine distribution policy notice (PDF; 1/2019)

Documents

• Upcoming NLRB operational guidelines (PDF; 1/2019)
• NLRB questions and answers for professionals (PDF; 1/2019)
• NLRB questions and answers for patients (PDF; 1/2019)
• NLRB exception scoring (PDF; 1/2019)
  Median MELD and PELD scores at transplant

Allocation calculators

The Model for End-Stage Liver Disease (MELD) and Pediatric End-Stage Liver Disease (PELD) calculators are numerical scales used for liver allocation.

• MELD calculator (ages 12 and older)
• PELD calculator (under age 12)

Current policy & guidance

• OPTN Policy 9: Allocation of livers and liver-intestines (PDF - 2.5 MB)
• Liver review board guidance (6/2017)
• Increasing utilization of deceased donor livers (PDF - 2.5 M; 6/2012)