RE: recipient permission to find a donor

[Guest guest]

June,

If you mean by 'list' putting a pt on the UNOS waiting list for an organ,

it is up to each center to determine @ what point to list the pt-is the pt sick

enough, has the met all the center's criteria for listing (such as having

sufficient ins or an ins approval), etc. Within each organ group there are some

minimum listing criteria established by UNOS that also must be met (for example,

for a kidney pt to recieve points for waiting time he/she must either be on

dialysis or have a creatinine clearance below 20). UNOS does not require

consent from the pt to be put on the waiting list.

However, under the new Medicare COPs, each potential recipient & living

donor candidate MUST give consent to start their tx evaluation & there is a

whole laundry list of information CMS has specified the tx ctr must provide

prior to obtaining consent up to & including both national & center specific

SRTR data.

With re: to the question of starting a donor search, my feeling has always

been, on the solid organ side, that a formal donor evaluation should never be

started until & unless the recipient has completed his/her own evaluation & been

deemed an acceptable candidate by the tx ctr. That doesn't mean the coordinator

can't do an initial screening discussion w/the donor, but especially under the

new COPs, no diagnostics until formal consent is rec'd from the donor for an

evaluation. Plus, there's no sense in incurring the expense of the donor

testing if the recipient isn't an appropriate candidate, so that's another

reason to get the recipient completely worked up first (at least, in my

opinion).

J. Aguiar

Mayo Clinic Arizona

________________________________

From: TxFinancialCoordinators on behalf of June Richetts

Sent: Fri 2/8/2008 6:55 PM

To: TxFinancialCoordinators

Subject: recipient permission to find a donor

I work only with bone marrow and I don't know what kind of requirements

there are for solid organ. If you list a patient does that patient need

to sign a consent or " permission " form to list them?