Transplant programs experience multiple situations where an Independent Peer Review may be indicated. While it may initially be viewed as a negative or punitive experience, most find it to be a positive experience with neutral eyes to help their program. An Independent Peer Review provides an unbiased look by a team of Transplant Administrators, Surgeons, and Physicians. Additional team members such as Intensivists and Social Workers may be added as needed.
With the CMS change from federal contractors to State Department of Health surveyors in 2019, the baton for patient and graft survival accountability was passed to the OPTN, specially the Membership & Professional Standards Committee (MPSC).
The Peer Review Team is onsite at the Transplant Center for an average of three days. It begins with a Multi-Disciplinary entrance conference where expectations are outlined. Individual team member interviews are conducted over the next few days. There is an exit conference where high-level findings are shared. A comprehensive written report is provided to the center thereafter.
An Independent Peer Review may be indicated at the following times:
• Declining patient or graft survival
• Program recognized
• MPSC inquiry
• Team dysfunction
• Primary Surgeon or Physician turnover
• Program growth and/or decline