OPTN Evaluation Plan - Organ Procurement and Transplantation ...

Policy 8.5.E: Allocation of Kidneys by Blood Type OPTN Member Evaluation PlanUpdated January 1, 2015Effective Date: 12/4/2014At transplant hospitals, site surveyors will:Review a sample of medical records, any material incorporated into the medical record by reference, and thetransplant program's written policy regarding its titer threshold for transplanting non-A1 and non-A1B blood typekidneys into candidates with blood type B to verify that:⦁ When the program confirmed a candidate's eligibility in UNet℠, the candidate's most recent titer resultsmet the threshold established in the transplant program's internal policyTransplant hospitals will provide:The requested sample of medical recordsThe transplant hospital's internal policies, procedures and protocols for the care of candidates and recipientsPolicy 8.5.G: Highly Sensitized Candidates 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, fordocumentation that:⦁ For candidates receiving priority based on a Calculated Panel Reactive Antibody (CPRA) score of 99% or100%:⦁ The transplant program's HLA laboratory director and the candidate's transplant physician or surgeonhas signed a written approval of the candidate's unacceptable antigens⦁ The written approval was provided before the UNet℠ entry of the approvers' namesTransplant hospitals will provide:The requested sample of medical recordsAdditional Guidance:The written approval in the candidate's medical record must occur on the same date or on an earlier date than the approval is documented in UNet℠.Written approval may be in the form of a physical or electronic signature. The hospital's internal policies regarding requirements for electronic signatures apply. Entry in UNet℠ does not qualify as an electronic signature.17