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Policy and Oversight of Cardiac Transplantation Cover

Policy and Oversight of Cardiac Transplantation

By:  and    
Open Access
|May 2025

Figures & Tables

Table 1

United Network for Sharing Technological Advancements (UNOS) list of technological innovations.

YEARTECHNOLOGICAL INNOVATION
1992UNOS prepares first-ever comprehensive report on transplant survival rates for all active hospitals in the United States.
1996UNOS creates the first Transplant Information Electronic Data Interchange (TIEDI) eliminating the step of mailing paper forms to the OPTN.
1999UNOS launches UNet, the first internet-based transplant information database system for all organ matching and management of transplant data.
2006UNOS launches DonorNet, a secure, internet-based system in which organ procurement coordinators send out offers of newly donated organs to transplant hospitals with potential candidates.
Table 2

Heart allocation system since 1988. BiVAD: biventricular assist device; IABP: intra-aortic balloon pump; LVAD: left ventricular assist device; RVAD: right ventricular assist device. * Clinical scenario described and risk-stratified in the 2018 allocation system but not specifically included in prior allocation systems.

1988 ALLOCATION1999 ALLOCATION2018-PRESENT ALLOCATIONCANDIDACY
Status 1Status 1AStatus 1Extracorporeal membrane oxygenation
Nondischargeable surgically implanted ventricular assist device
Durable LVAD with life-threatening arrhythmias
Status 1Status 1AStatus 2Durable LVAD with device failure
IABP
Percutaneous endovascular LVAD
Surgically implanted nonendovascular LVAD
Dischargeable BiVAD/RVAD/total artificial heart
Sustained ventricular arrhythmias
Status 1Status 1AStatus 3Durable LVAD (30-day discretionary period)
Inotropic agents with continuous hemodynamic monitoring
Durable LVAD with complications
Status 1Status 1BStatus 4Durable LVAD without complications
Continuous inotropic agents without hemodynamic monitoring
Congenital, hypertrophic, restrictive, amyloid, cardiomyopathies*
Intractable angina*
Retransplants*
Status 2Status 2Status 5Dual-organ transplants*
Status 2Status 2Status 6All other listed candidates
Table 3

Current pros and cons of the 2018 heart allocation system.

PROSCONSUNDETERMINED
Increase in number of transplantsIncrease in costsIncrease in temporary mechanical circulatory support
Increase in post-transplant 1-year survivalIncrease in exception request utilizationDecrease in durable left ventricular assist devices
Decrease in waitlist mortalityIncrease in ischemic timesDecrease in inotrope usage
Long-term survivalIncrease in distance traveled
Table 4

Attributes under consideration by the Heart Transplant Committee for the first Continuous Distribution Composite Allocation Score.

MEDICAL URGENCYREDUCING BIOLOGICAL DISADVANTAGESPATIENT ACCESSPLACEMENT EFFICIENCY
Potential attributesAdult status
Pediatric status
Waiting time on durable LVAD
Blood type
Sensitization
Waiting time
Priority for pediatric candidates
Priority for prior living donors
Distance between transplant and donor hospital
GoalPrioritize sickest candidates reducing wait list mortalityIncrease transplant opportunities for those who are medically harder to matchPromote appropriate transplant access for all candidatesConsider resource requirements needed to match, transplant and transplant an organ
Table 5

Roles of three organizations in transplantation. CMS: Centers for Medicare and Medicaid Services; HRSA: Health Resources and Services Administration; OPTN: Organ Procurement and Transplantation Network; SRTR: Scientific Registry of Transplant Recipients; OPOs: organ procurement organizations

ORGANIZATIONROLE
OPTNMaintain an equitable organ allocation for patients on the national waitlist governed by the National Organ Transplant Act and the Final Rule. They can include changes to allocation policy, bylaws, data collection, member requirements, guidance documents, and patient education materials. OPTN committees initiate all projects.
HRSAAward contracts to operate and oversee the contractors for OPTN and SRTR. SRTR conducts advanced statistical analysis of OPTN data. HRSA’s Final Rule also requires the Secretary of Health and Human Services to approve proposed policies prior to implementation that the OPTN Board recommends be enforceable.
CMSCertifies and regulates OPOs, evaluates OPTN member standing of transplant programs, requires donor hospitals to report to OPOs patient-level data of transplanted individuals who have died in the hospital, and regulates all laboratory testing including histocompatibility laboratories. CMS can decertify OPOs and suspend payments/reimbursements of transplant programs and histocompatibility laboratories if they do not comply with established requirements.
Table 6

Organ Procurement and Transplantation Network modernization aims.

TechnologyContinual focus is on improved IT system functionality and security while ensuring continuity or services and protecting patient safety.
Data Transparency and AnalyticsThe modernization process provides easily accessible, high-quality and timely data to make informed patient, donor, and clinical decisions. It also measures and evaluates program performance and helps inform oversight and compliance activities.
Quality Improvement and InnovationThe OPTN promotes a culture of quality improvement and innovation across the network by leveraging timely data and performance feedback, collaborative learning, and strategic partnerships.
GovernanceThe OPTN Board of directors is high-functioning and has greater independence. It also represents diversity of communities and delivers effective policy development.
OperationsThe OPTN is effective and accountable in its implementation of organ policy, patient safety, compliance monitoring, organ transport, OPTN member support, and education of patients, families, and the public.
Table 7

HRSA-OPTN modernization contracts and goals to date. HRSA: Health Resources and Services Administration, OPTN: Organ Procurement and Transplantation Network

GOALCOMPANY AWARDEDVISION
Improving patient safetyArbor Research Collaborative for HealthWill address patient safety and the policy compliance systems and processes to improve oversight of the multiple entities in the OPTN.
Supporting OPTN IT modernizationGeneral Dynamics Information Technology IncWill focus on opportunities to improve the OPTN organ matching IT system and inform HRSA’s Next Generation IT procurement and development.
Increasing transparency and public engagement in OPTN policy developmentMaximus Federal ServicesWill provide advance opportunities to improve public visibility and engagement in the OPTN policy-making process.
Strengthening patient-centered communicationsDeloitte ConsultingWill focus on improvements in communications from the OPTN, within the OPTN, and patients/families.
Improving OPTN financial managementGuidehouse DigitalWill address improvements for OPTN’s budget development and management systems and processes.
Improving organ transplantation logistics and transportationMITREWill work to develop system requirements to improve how organs are transported safely including how to ensure trackability during transport.
Evaluating organ allocation policyMITREWill work to develop an evaluation framework to assist HRSA in assessing organ allocation policy effectiveness.
Program management, data partnerships and analysisSummomeWill provide comprehensive program management support and work with HRSA to coordinate multi-vendor OPTN activities and performance.
Table 8

Concerns raised by the American Society of Transplant Surgeons with respect to the future board of the Organ Procurement and Transplantation Network. NOTA: National Organ Transplant Act; OPTN: Organ Procurement and Transplantation Network

CONCERNREASONING
Who are the nominating committee members?Representation of stakeholders on the OPTN Board needs to be determined by a Nominating Committee that has earned the respect and trust of the transplant community. Importantly, the Nominating Committee needs to include individuals with experience and expertise in organ acquisition and transplantation that is necessary to assess the qualifications of potential nominees.
Will there be political influence in decision making?The OPTN was established as a public-private partnership to ensure that highly sensitive policy decisions related to patient access, safety, and quality are made by the clinical and patient communities, independent of political influence. There is growing concern that decisions from the board may impact different regions differently and therefore become politically influenced or sensitive as the nominating committee is chosen through a closed process by government officials subject to political pressure.
Does the process of a nominating committee violate NOTA and Final Rule?The OPTN Board and Executive Committee have requested HRSA verify the legality of HRSA’s special election process as there are concerns that this process is not consistent with NOTA and the Final Rule.
By eliminating current or recent board members from the OPTN Board, are we setting up the system for success or failure?The limited Nominating Committee and Board selection criteria made public by HRSA indicates that anyone who served on the OPTN Board during the past 10 years will not be considered, based on “conflict of interest.” Ten years seems to be arbitrary, and this may leave the Board of Directors without any understanding of institutional history and expertise.
Why is there a lack of transparency, communication, and opportunities for change with constructive feedback from patients, societies, and OPTN?To date, an overall sentiment is that HRSA has not involved structured opportunities for input from key stakeholders. This lack of engagement can create a disconnect between decision-makers and the operational realities faced by those in the field.
DOI: https://doi.org/10.14797/mdcvj.1567 | Journal eISSN: 1947-6108
Language: English
Page range: 83 - 91
Submitted on: Jan 18, 2025
Accepted on: Mar 7, 2025
Published on: May 15, 2025
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2025 Amit Alam, Shelley Hall, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.