OPTN Evaluation Plan - Organ Procurement and Transplantation ...

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Policy 10.2.B: Lung Candidates with Exceptional CasesOPTN Member Evaluation PlanUpdated January 1, 2015Effective Date: 7/1/2014At 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:⦁ Data reported on the LRB exception applicationTransplant hospitals will provide:The requested sample of medical recordsPolicy 11.4.B: Kidney-Pancreas Waiting Time Criteria for Candidates At Least 18Years OldEffective 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:⦁ Kidney criteria⦁ 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)⦁ Pancreas criteria⦁ On insulin⦁ C-peptide value⦁ Height used for BMI calculation (if C-peptide value is greater than 2)⦁ Weight used for BMI calcuation (if C-peptide value is greater than 2)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℠.22
Policy 13.2: Potential KPD Donor Requirements for ParticipationEffective Date: 2/1/2014At Living Donor recovery hospitals, site surveyors will:OPTN Member Evaluation PlanUpdated January 1, 2015Review a sample of KPD donor medical records, and any material incorporated into the medical record by reference,to verify that data reported through UNet℠ is consistent with source documentation, including:⦁ The donor's date of birthRecovery hospitals will provide:The requested sample of living donor recordsPolicy 13.11: Transportation of KidneysEffective Date: 2/1/2014At Living Donor recovery hospitals, site surveyors will:Review a sample of KPD donor medical records, and any material incorporated into the medical record by reference,for documentation of a plan detailing:⦁ The location where the recovered kidney will be picked up for transport to the recipient hospital⦁ The name and telephone number of every person or company who will package and label the kidney⦁ The date and time that the plan was documented⦁ This must be before the potential donor entered the operating room for the kidney recovery surgeryRecovery hospitals will provide:The requested sample of living donor records23
Page 1 and 2: OPTN Member Evaluation PlanUpdated
Page 3 and 4: Policy 8.5.A: Candidate Classificat
Page 9 and 10: Policy 2.8: Required Deceased Donor
Page 11 and 12: Policy 2.11.B: Required Information
Page 17 and 18: Policy 6.1.A: Adult Heart Status 1A
Page 21 and 22: Policy 8.5.E: Allocation of Kidneys
Page 25: Policy 9.3.H: MELD/PELD Score Excep
Page 35 and 36: Policy 14.4.B: Living Kidney Donor
Page 37 and 38: ⦁ Personal history of:⦁ Hyperte
Page 47 and 48: Policy 18.5.A: Reporting Requiremen
Page 49 and 50: Bylaws Appendix B.1: OPO Compliance
Page 51 and 52: Bylaws Appendix B.4: OPO PersonnelO
Page 55 and 56: Bylaws Appendix D.5: Transplant Pro
Page 57 and 58: Transplant hospitals must:Address e
Page 61 and 62: Bylaws Appendix D.10.A: Transplant
Page 63 and 64: Bylaws Appendix F.6.E: Conditional
Page 67 and 68: Bylaws Appendix K.4.A: Notice to th

OPTN Evaluation Plan - Organ Procurement and Transplantation ...

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