| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01P001 | (X3) Date Survey Completed 04/18/2014 |
| Name of Provider or Supplier Legacy Of Hope | Street Address, City, State 516 20th Street South, Birmingham, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| Z0119 | QUALIFICATIONS CFR(s): 486.326(a)(2) The OPO must develop and implement a written policy that addresses potential conflicts of interest for the OPO's director, medical director, senior management, and procurement coordinators. This STANDARD is not met as evidenced by: Based on interview, the Organ Procurement Organization did not have written policies and procedures for the identification, investigation and resolution of potential conflicts of interest (financial or personal) for the OPO director, medical director, senior management and procurement coordinators. The findings include: Interview with the Certified Procurement Transplant Coordinator (CPTC) on 4/17/14 at 10:30 a.m., revealed the OPO did not have policies or procedures to address conflicts of interest for the OPO director, medical director, senior management and procurement coordinators. 28555 Based on interview, the Organ Procurement Organization did not have written policies and procedures for the identification, investigation and resolution of potential conflicts of interest (financial or personal) for the OPO director, medical director, senior management and procurement coordinators. The findings include: Interview with the Certified Procurement Transplant Coordinator (CPTC) on 4/17/14 at 10:30 a.m., revealed the OPO did not have policies or procedures to address conflicts of interest for the OPO director, medical director, senior management and procurement coordinators. |