Advisory Committee on Organ Transplantation

Realignment Workgroup ReportAugust 28, 2012

Danielle Cornell (Co-Chair)

ACOT Working Group Members

ACOT members Non-ACOT members

Dr. Mark Barr (Co-Chair) Elling Eidbo, AOPO

Jan Finn Charlie Alexander, Past President, UNOS

Dr. Velma Scantlebury Tim Brown, Past President, AOPO

Bernice Coleman Dr. Mitch Henry, Past President, ASTS

Dr. Janice Beaverson Dr. Robert Gaston, Past President, AST

Dr. Eduardo Lara Helen Bottenfield, Exec Dir, The Alliance

Jon Snyder, SRTR

John Rosendale, UNOS

Dr. Daniel Schwartz, CMS

Dr. John Lake, Past President, UNOS

Dr. Matt Cooper, Tx surgeon, Univ of MD

Susan Gunderson, CEO, LifeSource

Rebecca Anderson, UNOS Quality Dept

Proposed Recommendation• Due to the misalignment and inconsistencies

between CMS certification regulations and outcomes requirements for transplant centers (TCs) and organ procurement organizations (OPOs), the ACOT recommends that the Secretary direct CMS to confer with HRSA, OPTN, SRTR, the OPO community, and transplant center representatives to determine appropriate requirements for OPOs and TCs that unify mutual goals of increasing organ donation, improving recipient outcomes and reducing organ wastage. The report will include, but is not limited to, improved risk-adjustment methodologies for TCs and a statistically sound method for yield measure for OPOs.