US · guidance
CMS SOM App. A, Tag A-0888
§482.45(a)(3) - Ensure, in collaboration with the designated OPO, that the family of each
potential donor is informed of its options to donate organs, tissues, or eyes, or to decline to
donate.
Interpretive Guidelines §482.45(a)(3)
It is the responsibility of the OPO to screen for medical suitability in order to select potential
donors. Once the OPO has selected a potential donor, that person’s family must be informed of
the family’s donation options.
Ideally, the OPO and the hospital will decide together how and by whom the family will be
approached.
Survey Procedures §482.45(a)(3)
• Verify that the hospital ensures that the family of each potential donor is informed of its
options to donate organs, tissues, or eyes, including the option to decline to donate.
• Does the hospital have QAPI mechanisms in place to ensure that the families of all
potential donors are informed of their options to donate organs, tissues, or eyes, or to
decline to donate?
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
b028e42f9d4edde37a65ae5c353a49b8589d8ae350d6a8401a9dacca41bea39b
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