MTE #17: Too Sick or Too Well? Managing the Transplant Waiting List and Wait List Mortality Metrics (Ticketed)

United Network for Organ Sharing (UNOS) performance metrics—including wait list mortality rate ratio and offer acceptance rate ratio—are reshaping how liver transplant programs manage access and equity while optimizing performance. Join expert faculty to discuss approaches to optimizing these pretransplant metrics through risk stratification, transplant readiness workflows, and thoughtful timing of listing and delisting. Presenters emphasize wait list management for low MELD as well as acute-on-chronic liver failure grade 3 patients based on clinical trajectory and transplantability, highlighting how these strategies may differ across small and large transplant centers due to ability to absorb clinical risk.