TABLE 3.

Ambulatory transplant clinic service reduction during COVID-19 pandemic

Transplant activity level	Transplant center priority	Description (may include but not limited to)
25% reduction in transplant activity	Should be deferred	•Annual and well-visit posttransplant check ups •Consider telehealth •Non-urgent rehab •All blood work should be done at outside laboratories if possible •Redeploy Ambulatory Staff to establish 24/7 call center for patient
50% reduction in transplant activity	Should be seen	•Recent transplant patients (define for each organ) •Transplant patients with sub-acute/chronic complications •Consider telehealth
75% reduction in transplant activity	Need to be seen	•Very recent transplants (define for each organ) •Transplant patients with acute complications to avoid inpatient admission
Near 100% reduction in ambulatory activity	No capacity due to health-care system overwhelmed with COVID; lack of personnel	•Ambulatory activity unable to proceed. Referral to community primary care physicians if possible