OPTN Evaluation Plan - Organ Procurement and Transplantation ...

OPTN Member Evaluation PlanUpdated January 1, 2015Policy 8.4.A: Waiting Time for Candidates Registered at Age 18 Years or OlderEffective Date: 12/4/2014At transplant hospitals, site surveyors will:Review a sample of medical records, and any material incorporated into the medical record by reference, for documentation that data reported through UNet℠ is consistent with source documentation, including:⦁ Creatinine clearance less than or equal to 20 mL/min⦁ GFR less than or equal to 20 mL/min⦁ Start date of regularly administered dialysis for End Stage Renal Disease (ESRD)Transplant hospitals will provide:The requested sample of medical recordsAdditional Guidance:A hospital may use discretion in defining the start date of regularly administered dialysis for ESRD as long as there isdocumentation (i.e., 2728 form, physician's note, dialysis center documentation) of the date entered.The dialysis start date from the CMS database, if displayed in UNet℠, may be used as documentation supporting thestart date of regularly administered dialysis for ESRD entered by the hospital. The hospital is not required to print outthe information from UNet℠.Policy 8.4.B: Waiting Time for Candidates Registered prior to Age 18 Effective Date: 12/4/2014At transplant hospitals, site surveyors will:Review a sample of medical records, and any material incorporated into the medical record by reference, for documentation that data reported through UNet℠ is consistent with source documentation, including:⦁ Start date of regularly administered dialysis for End Stage Renal Disease (ESRD)Transplant hospitals will provide:The requested sample of medical recordsAdditional Guidance:A hospital may use discretion in defining the start date of regularly administered dialysis for ESRD as long as there isdocumentation (i.e., 2728 form, physician's note, dialysis center documentation) of the date entered.The dialysis start date from the CMS database, if displayed in UNet℠, may be used as documentation supporting thestart date of regularly administered dialysis for ESRD entered by the hospital. The hospital is not required to print outthe information from UNet℠.15