Transplantation Regulations & Guidelines Flashcards
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Read the first 7 Transplantation Regulations & Guidelines flashcards as text
Which organization publishes the annual Scientific Registry of Transplant Recipients (SRTR) program-specific reports used to evaluate transplant center performance?
Answer: The SRTR contractor (currently MPHI)
SRTR reports are produced by the SRTR contractor (currently the Minneapolis Medical Research Foundation / MPHI) under contract with HRSA.
Which ethical principle is most directly invoked when an OPO coordinator follows a hospital's 'designated requestor' policy and involves a trained requestor in the family approach?
Answer: Respect for autonomy
Using trained designated requestors ensures that families receive accurate, unbiased information to make an autonomous, informed decision about donation.
Expanded Criteria Donors (ECD) for kidney transplantation were redefined under KAS 2014. The current equivalent metric is:
Answer: KDPI > 85%
KAS 2014 replaced the ECD label with the continuous KDPI score, where KDPI >85% corresponds roughly to the old ECD criteria and requires recipient informed consent.
The OPTN Board of Directors is required to submit proposed policy changes for public comment for a minimum of how many days before final adoption?
Answer: 45 days
OPTN bylaws require a minimum 45-day public comment period for proposed policy changes before the Board can vote on final adoption.
An OPO's Conversion Rate metric is calculated as:
Answer: Number of actual donors divided by number of eligible deaths (medically suitable referrals)
Conversion Rate = Actual Donors / Eligible Deaths, measuring how effectively the OPO converts medically suitable referrals into actual donors.
Under OPTN policy, if a transplant center's observed-to-expected (O/E) ratio for graft failure is flagged, the center is first required to submit:
Answer: A self-assessment to the MPSC within a defined timeframe
When a center is flagged for statistical outlier performance, MPSC policy requires the center to submit a self-assessment report before any formal sanction process begins.
Which US law requires hospitals participating in Medicare/Medicaid to establish protocols ensuring that families of potential donors are offered the opportunity to donate?
Answer: Required Request Laws codified in 42 CFR Part 482.45
42 CFR Part 482.45 (CMS Hospital Conditions of Participation) mandates that hospitals have protocols for identifying donors and offering families the opportunity to donate.