Eddie Betterton, MS is the Clinical Program Manager at Banner University Medical Center-Tucson. He has been working in the Artificial Heart/ Transplant arena since 2007. This has included a large variety of device (BTT) experiences in the past. Ranging from early use of HeartMate I and Novacor through our current stable of both acute and durable devices. This experience also has been strongly impacted by our UNOS change in 2018. The new discussions in this space are critical to helping promote advanced therapy options.