OPTN Evaluation Plan - Organ Procurement and Transplantation ...

OPTN Member Evaluation PlanUpdated January 1, 2015Bylaws Appendix D.10.B: Patient Notification Requirements for Waiting ListInactivationEffective Date: 9/1/2014At transplant hospitals, site surveyors will:Review a sample of medical records, and any material incorporated into the medical record by reference, for documentation that:⦁ Transplant programs have provided written notice to candidates each time the program has reached eitheror both of the inactive waiting list thresholds⦁ Each element listed in the bylaws was addressed in the notification letterA copy of the actual letter sent, filed in the medical record, will be sufficient for this documentation providedit contains all required elements.How 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:Transplant hospitals must:Notify candidates when:⦁ a program inactivates its waiting list for either:⦁ 15 or more consecutive days, or⦁ 28 or more cumulative days during a calendar yearThe written notice must include:⦁ The reasons for the inactivity⦁ The expected length of time the waiting list will be inactive⦁ The explanation that no organs will be accepted by this program for the candidates during the inactiveperiod⦁ The candidate's options (must include multiple listing and transferring to another transplant hospital)⦁ How the candidate will be notified of reactivation or if the period of inactivation is extended⦁ A copy of the OPTN Contractor's Patient Information Letter⦁ The dates of each instance of waiting list inactivation (if notice is based on cumulative periods ofinactivation)The notices must also be documented and retained.Respond to inquiries regarding periods of waiting list inactivity58