The Centers for Medicare and Medicaid Services’ Proposed Metrics for Recertification of Organ Procurement Organizations: Evaluation by the Scientific Registry of Transplant Recipients
1SRTR, Minneapolis, MN, 2UNOS, Richmond, VA, 3Department of Surgery, Univ of California, San Francisco, San Francisco, CA
Meeting: 2020 American Transplant Congress
Abstract number: LB-1
Keywords: Allocation, Donation, Methodology, Procurement
Session Information
Session Name: Late Breaking Oral Abstract
Session Type: Oral Abstract Session
Date: Saturday, May 30, 2020
Session Time: 3:15pm-4:45pm
Presentation Time: 3:15pm-3:27pm
Location: Virtual
*Purpose: On December 23, 2019, the US Centers for Medicare and Medicaid Services proposed two new standards that organ procurement organizations (OPOs) must meet for recertification. An OPO’s organ donation rate (deceased donors/potential donors) and organ transplantation rate (organs transplanted/potential donors) must not fall significantly below the 75th percentile for rates among all OPOs.
*Methods: We examined how OPOs would have fared under the proposed performance standards in 2016-2017. Data on donors and transplants were from the Organ Procurement and Transplantation Network; donor potential was estimated from Detailed Multiple Cause of Death data collected by the Centers for Disease Control and Prevention.
*Results: In 2017, 31 (53%) OPOs failed to meet the proposed donation rate standard, 36 (62%) failed to meet the proposed organ transplantation rate standard, and 37 (64%) failed at least one standard. We found that adjusting for age, race, and Hispanic ethnicity altered the evaluation: eight OPOs changed their pass/fail status for the donation rate and five for the proposed organ transplantation rate standard.
*Conclusions: We conclude that the proposed new standards may result in over half of OPOs facing decertification, and risk adjustment suggests that underlying characteristics of deaths vary regionally such that decertification decisions may be affected.
To cite this abstract in AMA style:
Snyder J, Musgrove D, Zaun D, Wey A, Salkowski N, Rosendale J, Israni A, Hirose R, Kasiske B. The Centers for Medicare and Medicaid Services’ Proposed Metrics for Recertification of Organ Procurement Organizations: Evaluation by the Scientific Registry of Transplant Recipients [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/the-centers-for-medicare-and-medicaid-services-proposed-metrics-for-recertification-of-organ-procurement-organizations-evaluation-by-the-scientific-registry-of-transplant-recipients/. Accessed May 16, 2025.« Back to 2020 American Transplant Congress