OPTN Evaluation Plan - Organ Procurement and Transplantation ...

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Policy 14.2.A: ILDA Requirements for Kidney Recovery HospitalsEffective Date: 2/1/2014At Living Donor recovery hospitals, site surveyors will:OPTN Member Evaluation PlanUpdated January 1, 2015Interview relevant staff, and substantiate the information obtained in the interview through review of internal policies, procedures and/or protocols; a sample of living donor medical records; or any material incorporated intothe medical record by reference to obtain evidence that the hospital's standard practice is:⦁ To designate a key ILDA contact for each potential living kidney donor⦁ That the ILDA is not involved with the potential recipient evaluation⦁ That the ILDA is independent of the decision to transplant the potential recipient⦁ That the ILDA discusses with each donor, the:⦁ Informed consent process⦁ Evaluation process⦁ Surgical procedure⦁ Medical and psychosocial risks⦁ Follow-up requirements and the benefit and need for participating in follow-upRecovery hospitals will provide:The requested sample of living donor recordsThe recovery hospital's internal policies, procedures and protocols for the care of living donorsAccess to relevant staff who can answer interview questionsAdditional Guidance:Site surveyors will examine the hospital's internal policies, procedures and/or protocols to verify the presence of aprocess by which the hospital ensures that the assigned ILDA for a given potential living donor patient is not involvedin the evaluation of the associated transplant candidate, and is not involved in the decision to proceed totransplantation or approve the transplant candidate for transplantation.24
OPTN Member Evaluation PlanUpdated January 1, 2015Policy 14.2.B: ILDA Required Protocols for Kidney Recovery HospitalsEffective Date: 2/1/2014At Living Donor recovery hospitals, site surveyors will:Review the living donor recovery hospital’s internal policies, procedures and/or protocols to verify that the hospitalhas developed and implemented written protocols that address:⦁ Composition of the ILDA team, if a team is used⦁ Qualifications and training of the ILDA⦁ Duties and responsibilities of the ILDA⦁ Grievance process for the ILDARecovery hospitals will provide:The recovery hospital's internal policies, procedures and protocols for the care of living donors25
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 and 26: Policy 9.3.H: MELD/PELD Score Excep
Page 27: Policy 13.2: Potential KPD Donor Re
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

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