OPTN Evaluation Plan - Organ Procurement and Transplantation ...

Policy 18.5.A: Reporting Requirements after Living Kidney DonationEffective Date: 9/1/2014At Living Donor recovery hospitals, site surveyors will:OPTN Member Evaluation PlanUpdated January 1, 2015Review a sample of living donor medical records, and any material incorporated into the medical record byreference, to verify that data reported through UNet℠ is consistent with source documentation, including:⦁ Presence of supporting documentation in the donor chart for answers to each of the following:⦁ Most recent donor status since [date of last follow-up form submission]⦁ Working for income⦁ Presence of supporting documentation in the donor chart when any of the following are answered on theLDF:⦁ Cause of death⦁ If [not working for income], not working due to⦁ Presence of supporting documentation in the donor chart when any of the following are answered "yes" onthe living kidney donor LDF:⦁ Donor readmitted since last LDR or LDF form was submitted?⦁ Kidney complications⦁ Maintenance dialysis⦁ Donor developed hypertension requiring medication⦁ Diabetes⦁ The lab values entered on the living kidney donor LDF for⦁ Serum creatinine⦁ Urine protein or protein-creatinine ratioReview aggregate data derived from UNet℠ to verify that the recovery hospital’s submitted data met the requiredthresholds for:⦁ Completeness⦁ Timeliness of donor status and clinical information, based on the reported date last seenRecovery hospitals will provide:The requested sample of living donor recordsEvidence as needed to verify complianceAdditional Guidance:"Unknown" or "not done" does not count as "complete" for data thresholds.43