12.07.2015 Views

OPTN Evaluation Plan - Organ Procurement and Transplantation ...

OPTN Evaluation Plan - Organ Procurement and Transplantation ...

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Policy 14.4.B: Living Kidney Donor Medical <strong>Evaluation</strong> RequirementsEffective Date: 2/1/2014At Living Donor recovery hospitals, site surveyors will:<strong>OPTN</strong> Member <strong>Evaluation</strong> <strong>Plan</strong>Updated January 1, 2015Review a sample of living donor medical records, <strong>and</strong> any material incorporated into the medical record byreference, for documentation that the donor medical evaluation was completed.Interview relevant staff, <strong>and</strong> substantiate the information obtained in the interview through review of internalpolicies, procedures <strong>and</strong>/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 st<strong>and</strong>ard practice is:⦁ Those performing the medical evaluations are physicians or surgeonsReview the living donor recovery hospital’s internal policies, procedures <strong>and</strong>/or protocols to verify that the hospitalhas developed <strong>and</strong> implemented written protocols that address:⦁ PKD screening⦁ Cancer screening⦁ Cervical cancer⦁ Breast cancer ⦁ Prostate cancer ⦁ Colon cancer ⦁ Skin cancer ⦁ Lung cancer Review a sample of living donor medical records, <strong>and</strong> any material incorporated into the medical record byreference, for documentation that there are results for:31

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