About NaMELD suspension
Intended audience: recipient coordinator transplant program admin
Recipients who are waitlisted for a liver or liver-cluster, are 18 years of age or older, and who have a medical status of SMC, must have current NaMELD test result values to accrue wait time and be included in organ allocations.
If the recipient’s NaMELD test results are missing or expired, the system automatically applies a NaMELD suspension to their waitlisted transplant journey (and all clustered journeys).
A transplant journey that is on NaMELD suspension:
Does not accrue wait time.
Does not accumulate exception points.
Is excluded from organ allocations.
NaMELD suspension triggers
The system places a waitlisted liver or liver-cluster journey on NaMELD suspension under the following conditions:
The recipient’s medical status is SMC.
The recipient is 18 or older.
Either:
The journey is added to the waitlist without NaMELD test results, or
The NaMELD Data is more than 90 days old.
The system first alerts the transplant program when the Date of NaMELD Data is 70 days old.
The system also applies an NaMELD suspension if
The recipient’s medical status is SMC.
The recipient turns 18 (i.e. becomes an adult).
NaMELD data is missing or more than 90 days old.
The system first alerts the transplant program 20 days before the recipient’s 18th birthday.
Lifting a NaMELD suspension
A NaMELD suspension is lifted when new NaMELD test results are entered.
A waitlisted transplant journey may have multiple holds and suspensions applied to it at the same time. Lifting a NaMELD suspension does not have any effect on other holds or suspensions.
Determining whether a transplant journey has a NaMELD suspension
The system indicates which journeys are on NaMELD suspension in a variety of ways.
NaMELD suspension notifications
When a NaMELD suspension is applied, the system sends a notification to the recipient’s transplant program.
Identifying NaMELD suspensions in a recipient profile summary
Go to the recipient’s profile.
The summary section at the top of the profile page presents an overview of all transplant journeys along with their status.
Identifying NaMELD suspensions in the waitlist history table
Go to the recipient’s profile, then select Liver > Waitlist on the sidebar.
A table at the top of this section presents historical medical statuses and waitlist status changes.
NaMELD suspensions are indicated by Suspended: Liver Sodium MELD in the Type column.
The Wait List History Table shows the Effective Suspension days by displaying a “Start Date” and “End Date” (if available) in the Wait List History Table.
If the End Date is blank, the journey is still on NaMELD suspension.
The Days column indicates how long the journey has been on NaMELD suspension.
The Details column indicates whether the suspension is caused by missing or expired NaMELD information.
Filtering the waitlist summary for suspensions
Create a waitlist summary that filters for suspensions. This includes medical suspension, heart suspension, HCC suspension, and NaMELD suspension.
Select Waitlist from the main menu at the top of the page.
Specify search criteria in the fields at the top of the page.
Ensure that Include Suspended Recipients is selected.
Select the Generate Report button.
The Results Summary indicates the total number of Suspended Recipients that matched the search criteria.
In the Waitlist Summary list, sort or filter by the Suspended column.
If the Suspended column is not visible, select the Columns button to control which columns are displayed.
