|New York State Department
of Health Updates
Extended Criteria Liver Transplant
The NYCLT and DOH continue their collaborative efforts to increase the availability of organs to NYS patients. In our most recent project, NYCLT has provided each liver transplant surgeon in the state with a tablet PC with WiFi and 3G service for 24/7 access, allowing a high resolution image of the liver to be delivered directly to the decision-maker for each liver offer made. NYCLT contributed in-kind to provide each OPO with similar devices. Each OPO has agreed to have their procurement staff image livers at the time of procurements.
In collaboration with the New York Organ Donor Network, this project is currently being modified to provide a portal for OPOs across the nation to offer their expedited placement livers to all of the NYS transplant programs simultaneously, and will allow for those livers to be shared according to the regional list. A 3-month pilot of this project is anticipated to begin in late Summer.
Current Liver Transplant Data
The first New York State Living Liver Donor Data Report was produced using UNOS data in November 2005 and delivered to DOH in January 2006. The most recent New York State Living Liver Donor Data Report was delivered to DOH in April 2012.
The Annual Staff Report summarizing the Center’s activities for the year was presented to the NYCLT Board of Directors at their Annual meeting in November 2011.
The RRB met recently to review and discuss UNOS policy changes. With the help of the NYCLT Clinical Policy Committee, the RRB approved an HHC Downstaging Protocol and HHC Exception Narrative documents.
UNOS Contract for Data Collection
The Center has worked with UNOS to obtain access to center-specific transplant data, including living donor data. This process eliminates the need for NYS liver transplant programs to report large amounts of data to both entities, reducing the use of staff time and resources for data submission requirements at the state and federal levels.
Regional Disparities in Liver Allocation
The Center continues its campaign against the geographic disparities in liver distribution in the US. The UNOS Liver-Intestine Committee responded to a letter sent to them by NYCLT in November 2011 urging them to go beyond the MELD 15 National Share in their efforts to reduce the geographic disparities in access to liver transplantation:
“The Committee recognizes the NYCLT’s concern that these proposed steps will likely have little impact on New York State/Region 9, and that these steps are small, incremental changes. The Committee continues to address the issue of geographic disparity, and has begun to review novel approaches for “redistricting” Regions into more equitable units for distribution. The Committee is also working to identify ways to expedite the placement of donor livers.”
In fall 2011, the Center for Disease Control posted proposed Public Health Service Guideline for Reducing Transmission of Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) through Solid Organ Transplantation for public comment. To see NYCLT’s response to these proposed guidelines, please click here.