OPTN Evaluation Plan - Organ Procurement and Transplantation ...

OPTN Member Evaluation PlanUpdated January 1, 2015Policy 9.1.C: Pediatric Status 1BEffective Date: 2/1/2014At transplant hospitals, site surveyors will:Review a sample of medical records, and any material incorporated into the medical record by reference, fordocumentation that data reported through UNet℠ is consistent with source documentation, including any of thefollowing information if it is submitted on a liver candidate's application for status 1B:Qualifying criteria for: ⦁ Non-metastatic hepatoblastoma⦁ Urea cycle defect or organic acidemia⦁ Chronic liver diseaseTransplant hospitals will provide:The requested sample of medical recordsPolicy 9.2: Status and Laboratory Values Update ScheduleEffective Date: 2/1/2014At 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:⦁ The following lab results that affect the MELD score:⦁ Creatinine⦁ Bilirubin⦁ INR⦁ 24 hours of CVVHD or dialysis twice in the week prior to modification date (if applicable)⦁ The following lab results that affect the PELD score:⦁ Albumin⦁ Bilirubin⦁ INR⦁ Growth failure variables (height, weight, gender)⦁ 24 hours of CVVHD or dialysis twice in the week prior to modification date (if applicable)⦁ That all lab results listed above were the most recent available at the time they were entered into UNet℠Transplant hospitals will provide:The requested sample of medical records19