OPTN Evaluation Plan - Organ Procurement and Transplantation ...

Bylaws Appendix D.1: Transplant Hospital ComplianceOPTN Member Evaluation PlanUpdated January 1, 2015Effective Date: 9/1/2012How the OPTN contractor will evaluate member compliance with this bylaw:The OPTN contractor will investigate and refer a member to the MPSC for review when:⦁ OPTN contractor learns of a final adverse action taken by a regulatory agency against a transplant hospital,and the transplant hospital did not report this action to the OPTN contractor as defined in the bylawsTransplant hospitals must:Notify the OPTN contractor when any regulatory agency takes action against the transplant hospital.Notification must be:⦁ In writing⦁ Received by the OPTN contractor within 10 business days after the transplant hospital receives notificationof the final adverse actionThe member must provide all documents relating to the final adverse action to the OPTN contractor with thenotificationDefinitions:Final adverse actions by an agency:Include, but are not limited to any of the following:• Decertification by the Center for Medicare and Medicaid Services (CMS)• !ny action by a state licensing authority that affects the organization's ability to function• !ny action by the state health department that affects the organization's ability to function• Loss of accreditation by the !ssociation of Organ Procurement Organizations (!OPO), !merican !ssociation ofTissue Banks (AATB), or Joint Commission on Accreditation of Healthcare OrganizationsWhere to send notification:⦁ By Mail: UNOS Member Quality700 N 4th StreetRichmond, VA 23219⦁ By Facsimile: (804) 782-4896⦁ By E-mail: to your regional Performance Review contact(http://transplantpro.org/wp-content/uploads/Regional_Map_Staff.pdf)50