@article{4460b2683cc147578c91fe3e31d5ec30,
title = "Proceedings from the metrics forum in heart transplantation for performance monitoring",
abstract = "Regulatory oversight for heart transplant programs is currently under review by the United Network for Organ Sharing (UNOS). There is concern whether 1-year patient and graft survival truly represent heart transplant center performance. Thus, a forum was organized by the Thoracic and Critical Care Community of Practice (TCC COP) of the American Society of Transplantation (AST) for the heart transplant community to voice their opinions on matters involving program performance monitoring by UNOS. A TCC COP work group was formed to review outcome metrics for adult heart transplantation and culminated in a virtual community forum (72 participants representing 61 heart transplant programs) on November 12–13, 2020. One-year posttransplant survival is still considered an appropriate and important measure to assess program performance. Waitlist mortality and offer acceptance rate as pretransplant metrics could also be useful measures of program performance, recognizing that outside factors may influence these metrics. In depth discussion of these metrics and other issues including auditing thresholds, innovations to reduce risk-averse behavior and personally designed program scorecards are included in this meeting proceedings.",
keywords = "heart transplantation, metrics, performance monitoring",
author = "{the Consensus Conference Participants} and Kobashigawa, {Jon A.} and Shelley Hall and Maryjane Farr and Emily Blumberg and {Michael Borkon}, A. and Monica Colvin and Hannah Copeland and Howard Eisen and Maryl Johnson and Ulrich Jorde and Kiran Khush and Kirklin, {James K.} and Jignesh Patel and Sean Pinney and Hannaneh Saadaeijahromi and Schold, {Jesse D.} and Josef Stehlik",
note = "Funding Information: The work of the Ad Hoc System Performance Committee of the Organ Procurement and Transplantation Network (OPTN) culminated in a public meeting in March 2019 to review performance metrics for all organ transplantation. There was a concern whether 1‐year patient and graft survival truly represent transplant center performance. Thus, a forum was organized by the Thoracic and Critical Care Community of Practice (TCC COP) of the American Society of Transplantation (AST) for the heart transplant community to voice their opinions on matters involving program performance monitoring by UNOS. A TCC COP work group was formed to review outcome metrics for adult heart transplantation and was launched in November 2019. This group discussed various performance monitoring topics in a series of conference calls, culminating in a virtual community forum (72 participants representing 61 heart transplant programs) on November 12–13, 2020. This forum was endorsed by the AST and was supported financially by a grant from the California Heart Center Foundation in Los Angeles. 1 Publisher Copyright: {\textcopyright} 2021 The American Society of Transplantation and the American Society of Transplant Surgeons.",
year = "2022",
month = may,
doi = "10.1111/ajt.16901",
language = "English (US)",
volume = "22",
pages = "1299--1306",
journal = "American Journal of Transplantation",
issn = "1600-6135",
publisher = "Wiley-Blackwell",
number = "5",
}