Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

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)
Z0147 REPORTING OF DATA
CFR(s): 486.328(b)

An OPO must provide hospital-specific organ donation data annually to the transplant hospitals with which it has agreements.


This STANDARD is not met as evidenced by:
Based on document review and staff interview, the Organ Procurement Organization (OPO) failed to include all of the required elements in their Hospital-Specific Organ Donation annual data reports for three (3) of three (3) transplant hospitals (Hospital #'s 1, 2 and 8). The findings include: Document review revealed there was no documentation of the number of organs recovered by type of organ and the number of organs transplanted by type of organ in the Hospital-Specific Organ Donation annual data reports provided to the OPO's transplant hospitals. During interview with the OPO's Senior Manager of Professional Education on 4/17/14 at approximately 3:03 p.m., she confirmed these elements were not present in the annual data reports provided to the transplant hospitals.