The Centers for Medicare and Medicaid Services' proposed metrics for recertification of organ procurement organizations: Evaluation by the Scientific Registry of Transplant Recipients.,American Journal of Transplantation

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The Centers for Medicare and Medicaid Services' proposed metrics for recertification of organ procurement organizations: Evaluation by the Scientific Registry of Transplant Recipients.
American Journal of Transplantation ( IF 8.9 ) Pub Date : 2020-03-11 , DOI: 10.1111/ajt.15842
Jon J Snyder _{1,

2} , Donald Musgrove ₁ , David Zaun ₁ , Andrew Wey ₁ , Nicholas Salkowski ₁ , John Rosendale ₃ , Ajay K Israni _{1,

2,

4} , Ryutaro Hirose _{1,

5} , Bertram L Kasiske _{1,

4}

Affiliation

On December 23, 2019, the US Centers for Medicare and Medicaid Services proposed 2 new standards that organ procurement organizations (OPOs) must meet for recertification. An OPO’s organ donation rate (deceased donors/potential donors) and organ transplant rate (organs transplanted/potential donors) must not fall significantly below the 75th percentile for rates among all OPOs. 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. In 2017, 31 (53%) OPOs failed to meet the proposed donation rate standard, 36 (62%) failed to meet the proposed organ transplant rate standard, and 37 (64%) failed at least 1 standard. We found that adjusting for age, race, and Hispanic ethnicity altered the evaluation: 8 OPOs changed their pass/fail status for the donation rate and 5 for the proposed organ transplant rate standard. 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.

中文翻译：

医疗保险和医疗补助服务中心提出的器官采购组织再认证指标：移植接受者科学登记处的评估。

2019 年 12 月 23 日，美国医疗保险和医疗补助服务中心提出了器官获取组织 (OPO) 重新认证必须满足的 2 项新标准。OPO的器官捐献率（已故捐献者/潜在捐献者）和器官移植率（器官移植/潜在捐赠者）不得显着低于所有 OPO 比率的第 75 个百分位。我们研究了 2016-2017 年 OPO 在拟议的绩效标准下的表现。供体和移植数据来自器官获取和移植网络；捐助者的潜力是根据疾病控制和预防中心收集的详细的多死因数据估计的。2017年，31家（53%）OPO未达到拟议器官移植率标准，36家（62%）未达到拟议器官移植率标准，37家（64%）至少达不到一项标准。我们发现调整年龄、种族和西班牙裔改变了评估：8 个 OPO 改变了捐赠率的通过/未通过状态，5 个 OPO 改变了拟议的器官移植率标准。

更新日期：2020-03-11

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