CCTC Regulatory and Quality Compliance 5

Question 1

Which of the following best describes the purpose of the OPTN's Identification of Patients at High-Risk for Non-Compliance (IPHRC) review?

Accepted Answer

To ensure programs have processes for identifying and managing patients with adherence challenges

Answer

To remove non-compliant patients from the waitlist automatically

Answer

To report individual patient non-compliance to CMS

Answer

To mandate psychiatric evaluation for all waitlist candidates

Question 2

A transplant center is undergoing a CMS survey. Surveyors request the program's data on living donor follow-up at 6 months and 24 months. Which CoP is being evaluated?

Accepted Answer

482.74 — Living Donor Protections

Answer

482.68 — Patient and Living Donor Selection

Answer

482.70 — Organ Recovery and Receipt

Answer

482.76 — Patient and Living Donor Records

Question 3

An OPO's conversion rate is defined as the percentage of:

Accepted Answer

Eligible deaths that result in at least one organ transplanted

Answer

Brain-dead donors who become actual organ donors among all ICU deaths

Answer

Families approached for consent who agree to donation

Answer

Procured organs that are ultimately transplanted

Question 4

Under OPTN policy, which situation REQUIRES a transplant program to submit a variance request before proceeding?

Accepted Answer

Performing a living donor transplant without an ILDA for a documented medical emergency

Answer

Accepting an organ outside standard allocation sequence due to logistical constraints

Answer

Using a non-standard immunosuppression protocol approved by pharmacy

Answer

Listing a patient at a second center while active at the primary center

Question 5

The 'look-back' investigation triggered by a newly identified donor-derived disease transmission must include:

Accepted Answer

Notification and testing of all recipients who received organs from the implicated donor

Answer

Testing of all recipients from donors at the same OPO in the prior year

Answer

A UNOS-mandated suspension of the OPO pending investigation results

Answer

Mandatory disclosure to the implicated donor's family within 48 hours

Question 6

Which quality metric is used by the Scientific Registry of Transplant Recipients (SRTR) to compare transplant program outcomes across centers?

Accepted Answer

Risk-adjusted observed-to-expected (O/E) outcome ratios

Answer

Raw graft survival rate

Answer

Absolute number of transplants performed annually

Answer

Median wait time for patients on the active waitlist

Question 7

A transplant coordinator is asked by a research team to access recipient records for a retrospective study without individual patient consent. This is permissible ONLY if:

Accepted Answer

The data is de-identified per HIPAA Safe Harbor or Expert Determination method

Answer

The research team holds a federal research grant

Answer

An IRB has approved a waiver of authorization under HIPAA

Answer

The transplant program medical director provides written approval