Evaluation tool - this tool is to assist you in determining how the new CMS Conditions of Participation Standards will impact your transplant center, your day-to-day practice or that of your staff.  Please continue to watch this site as new tools are being developed and added daily.

Conditions of Participation Checklist - Are you trying to keep track of all of the changes that your program needs to institute due to the new CMS Regulations?  This tool will assist in creating your "to do" list and steps completed for each register code. 

The following documents were prepared by NATCO or provided to NATCO by our members; these forms can be downloaded and adapted to meet your

institutions needs.

482.76    Pediatric Transplants

Kidney

• Inclusion Exclusion Criteria

482.8      Data Submission, Clinical Experience, and Outcome   

                 Requirements for Initial Approval of Transplant Centers

482.81    Data Submission, Clinical Experience, and Outcome   

                 Requirements for Re-approval of Transplant Centers

482.9      Patient and Living Donor Selection

Kidney

• Indications for a Kidney Transplant
• Evaluation for Kidney Transplant
• Kidney Donor Evaluation
• Living Donor Selection Criteria

Pancreas

• Pancreas Patient Selection Criteria

Liver

• Liver Patient Selection Criteria

Heart

• Criteria for Heart Transplant (sample 1)
• Criteria for Heart Transplant ( sample 2)

Lung

• Criteria for Lung Transplant (sample 1)
• Criteria for Lung Transplant ( sample 2)

Heart/Lung (heart/lung references are posted under lung)

482.92    Organ Recovery and Receipt

• ABO Verification Prior to Surgery
• Donor Recipient ABO Compatibility Verification

482.94    Patient and Living Donor Management

Kidney

• Annual Letter for Listed Patient

Pancreas

• Annual Letter for Listed Patient

Liver

• Annual Letter for Listed Patient

Heart

• Annual Letter for Listed Patient

Lung

• Annual Letter for Listed Patient

Heart/Lung (heart/lung references are posted under lung)

482.96    Quality Assessment and Performance Improvement

482.98    Human Resources

• CCTC Core Competencies
• CCTC Evaluation Tool

482.1      Organ Procurement

482.102   Patient and Living Donor Rights

Kidney

• Informed Consent to Donate Kidney for Transplant

• Informed Consent to Evaluate for Kidney Transplant

• Annual Letter for Listed Patient

Liver

• Consent for Liver Transplant Patients
• Informed Consent to Donate Liver for Transplant
• Annual Letter for Listed Patient

Living Donor

• Living Donor Informed Consent to Evaluate as a Potential Living Donor
• Living Donor Kidney Follow up

Pancreas

• Annual Letter for Listed Patient

Heart

• Annual Letter for Listed Patient

Lung

• Annual Letter for Listed Patient

Multiple Organs

• Multiple Listing Wait Letter

 

Heart/Lung (heart/lung references are posted under lung)

482.104   Additional Requirements for Kidney Transplant Centers

488.61     Special Procedures for Approval and Re-approval of Organ Transplant  Centers