OPTN Evaluation Plan - Organ Procurement and Transplantation ...

Policy 9.3.H: MELD/PELD Score Exception ExtensionsOPTN Member Evaluation PlanUpdated January 1, 2015Effective 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:⦁ Diagnosis and narrative content reported on the MELD or PELD exception applicationTransplant hospitals will provide:The requested sample of medical recordsPolicy 10.1.F: The LAS CalculationEffective 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:⦁ All variables that can affect the LAS⦁ Date of birth⦁ Weight⦁ Height⦁ Oxygen rate⦁ Oxygen status⦁ Diabetes status⦁ Assisted ventilation status⦁ Functional status⦁ PC02⦁ PC02 type⦁ Diagnosis⦁ Creatinine⦁ 6 minute walk distance⦁ Pulmonary artery systolic pressure⦁ Pulmonary capillary wedge pressure⦁ Pulmonary artery mean pressure⦁ Forced vital capacityTransplant hospitals will provide:The requested sample of medical records21