Pediatric Transplant Program Criteria Development Progress
Explore the progress and challenges in establishing pediatric training and experience requirements for transplant programs as outlined by the OPTN/UNOS Board of Directors. The efforts include developing qualification criteria, ensuring patient safety, and addressing concerns around quality standards versus access to care.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Pediatric Training and Experience Requirements in the Bylaws OPTN/UNOS Board of Directors Eileen Brewer, MD, Chair William Mahle, MD, Vice Chair November 12-13, 2014
The Problem Pediatric experience not required for key personnel at programs that perform pediatric transplants.
The Charge 2010 MPSC Annual Goal: Develop qualification criteria for pediatric program approval Strategic Plan Goal 4: Promote patient safety Objective B: Maintain high level of medical expertise Strategy: Ensure physicians and surgeons have current, relevant expertise Key Initiative: Develop separate program requirements for pediatric programs
Project Timeline 2013 Memo to Committees and Societies 2002 2012 Census conducted OPTN Strategic Plan 2006 - 2012 93-02 Comm. focused on WL mortality 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Sep 2013 - Dec 2013 Regional Meeting Feedback 2010 MPSC Annual Goal
Quality vs. Access: Why Achieving Consensus is Difficult Societies supportive of more stringent case volume criteria Organ-specific Stratified by age, size Limited timeframe of achievement Organ-specific Committees and Regional Meeting attendees concerned about restricting access
Current Proposal: Public Comment January 2015 Quality Access Programs performing any transplants in <18 yr old Organ-specific case volumes Requires currency Lifetime experience No stratifications Conditional Pathway Delayed implementation Surgeon Case Volume Heart 8 Kidney 12 Lung 4 Liver 18
Number of centers meeting the proposed pediatric criteria, 1/1/05-7/31/14 Organ Transplanted Centers with >1 Pediatric Transplant Number of Centers Meeting Criteria* N N % Kidney Liver Heart Lung 171 88 82 42 112 51 52 20 65.5 58.0 63.4 47.6 * Criteria: Kidney: At least 12 transplants in recipients <18 years Liver: At least 18 transplants in recipients <18 years Heart: At least 8 transplants in recipients <18 years Lung: At least 4 transplants in recipients <18 years
Geographic location of centers performing pediatric heart transplants, 1/1/05-7/31/14 Represents centers with > 8 pediatric transplants (N=52) Represents centers with < 8 pediatric transplants (N=30)
Geographic location of centers performing pediatric kidney transplants, 1/1/05-7/31/14 Represents centers with > 12 pediatric transplants (N=112) Represents centers with < 12 pediatric transplants (N=59)
Geographic location of centers performing pediatric liver transplants, 1/1/05-7/31/14 Represents centers with > 18 pediatric transplants (N=51) Represents centers with < 18 pediatric transplants (N=37)
Geographic location of centers performing pediatric lung transplants, 1/1/05-7/31/14 Represents centers with > 4 pediatric transplants (N=20) Represents centers with < 4 pediatric transplants (N=22)
Contacts Eileen Brewer, MD Committee Chair ebrewer@bcm.edu Christine Flavin, MPH Committee Liaison christine.flavin@unos.org
