authorizing collective patient and wait time transfers operations and safety committee fall 2014
TRANSCRIPT
Authorizing Collective Patient and Wait Time Transfers
Operations and Safety CommitteeFall 2014
Transplant programs may stop performing organ transplants due to:
Long-term inactivity Withdrawal of membership Termination of membership
Processing large volume of patients who transfer to alternate program or programs is challenging
The Problem
Create process to transfer patients collectively Increases efficiency Allows for timely response Creates safe mechanism for restoring transplant
opportunities
Goal of the proposal
How the proposal will Achieve its Goal Amend Policy 3.6.C Individual Waiting Time
Transfers
Create Policy 3.8 Collective Patient Transfers authorizing the OPTN to collectively transfer patients
Amend Bylaws K.6 Transferred Candidates Waiting Time to outline the process for collective transfers
How the Proposal will Achieve its Goal
Requirements before a collective transfer:
Complete existing requirements for patient notification
Written agreement between programs
Patient management plan
How the Proposal will Achieve its GoalWritten agreement between closing and accepting programs must contain:•Request for collective transfer
•List of patient names and identifiers
•Agreed upon transfer date
•Assurance of required notifications and consent
•Acknowledgement that records transfer without modification
•Accepting program becomes responsible for patient notification and management
How the Proposal will Achieve its Goal
Accepting program plan must contain:
Procedure for immediate review and designation of candidate waiting list status
Expected date for completing full evaluations
How the Proposal will Achieve its GoalThe OPTN will:
Review agreement and plan
•Provide expected date of transfer completion
•Notify programs in writing after transfer is complete
How the Proposal will Achieve its GoalRequirements after a collective transfer:
Send OPTN progress report with updates on each transferred candidate within 90 days post-transfer
Supporting Evidence
Current process designed for individual transfers
Individual transfers take up to 30 minutes each
Collective process used successfully in prior case
Average transplant hospital has 495 candidates
Forms can be lost; data may be erroneously transcribed; and opportunity for transplant delayed if large groups are transferred individually
What Members will Need to Do
There are no new requirements that must be implemented for all programs
If transplant programs enter long-term inactivity, withdraw membership, or terminate membership, the requirements will need to be followed to transfer patients collectively
Process is optional
Specific Requests for Comment Should deadline be proposed to complete full evaluations
following a collective transfer?
Should post-transfer reporting be done every 90 days until post-transfer evaluation plan is complete?
Should a new post-transfer evaluation plan be developed if circumstances change?
Expectations about the receiving transplant program communicating active versus inactive status to candidates?
Theresa Daly, MS, FNP Committee Chair [email protected]
Regional representative name (RA will complete) Region X Representative email address
Susan Tlusty Committee Liaison [email protected]
Questions?