US · guidance
CMS SOM App. Y, Tag Z002
(Standard) §486.318(a)(1) The OPO’s donation rate of eligible donors as a percentage
of eligible deaths is no more than 1.5 standard deviations below the mean national
donation rate of eligible donors as a percentage of eligible deaths, averaged over the
4 years of the re-certification cycle. Both the numerator and denominator of an
individual OPO’s donation rate ratio are adjusted by adding a 1 for each donation
after cardiac death donor and each donor over the age of 70;
Interpretive Guidelines §486.318(a)(1)
Prior to going on site, refer to the most recent CMS OPO Database report. The database
report will record the OPO’s compliance level with this measurement as computed on an
annual basis and then averaged over the three full calendar years of the re-certification
cycle (aggregate 36 months) (see §486.318(c)(1)). Utilize the most recent calculated
compliance results for the aggregate calculation. During the re-certification survey,
inform the OPO of the report findings (compliance/non-compliance) and include any
non-compliance in the exit interview.
History
Rev. 115, Issued: 05-23-14, Effective: 05-23-14, Implementation: 05-23-14
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
52e9b3d5f13b916b96c48a7e4e65e3a9f02c532f683eefb154fe4d4813d39fd9
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