Dear Colleagues,

  

Once again we have the opportunity to comment on OPTN/UNOS proposals. This time it is a rewrite of the OPTN/UNOS Histocompatibility Policies. The proposed policy is number 2 on this page. We urge you to take a close look at the new policy and comment on it. 

  

These changes are quite substantial and will affect the way our laboratories operate.  Some changes align testing requirements with federal regulations.  Others resolve issues with policies that are difficult to monitor. Additionally, many sections are being deleted because they are outdated or already addressed in the ASHI standards or CAP checklist.

When reviewing the proposal, please pay particular attention to the seven new requirements listed on page 4.  The new requirement for laboratories to resolve HLA typing discrepancies within 30 days, the new requirement for laboratories to preserve any excess specimens from deceased donors for at least 5 years, and the permissibility for final crossmatches to be either virtual or physical are items that are likely to generate strong opinions.

  

The ASHI National Clinical Affairs Committee and the Executive Board will be working together to write and submit an official ASHI response. As in the past, the ASHI response will be shared with you when it is completed.

  

Again, we urge you to take a close look at the new policy and comment on it. There are additional proposals open for public comment, as well, but they will have less impact on our laboratories. You are encouraged to read all of the proposals and comment on any for which you have an opinion. Remember, it is important for ASHI members to comment on these proposals because every comment, whether it comes from an individual or an organization, is counted equally.

  

The deadline for submission of comments is December 6, 2013.

Thank you for your continuing support of ASHI and its mission.

Sincerely,