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 04P001 (X3) Date Survey Completed 05/06/2010
Name of Provider or Supplier Arkansas Organ Recovery Agency Street Address, City, State 1701 Aldersgate Road, Suite 4, Little Rock, AR
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)
Z0313 POTENTIAL DONOR EVALUATION
CFR(s): 486.344(b)(2)

[The OPO must do the following:] (2) Determine whether there are conditions that may influence donor acceptance.


Based on record review and interview the Organ Procurement Organization (OPO) did not ensure their policies specified elimination criteria for possible donors. The policy entitled: "The Evaluation and Management of Potential Deceased Organ and Tissue Donors" did not include information for how the OPO staff would determine conditions that would influence donor acceptance and did not include information on whether or not there were conditions that might result in preliminary exclusion criteria. During an interview at 2:30 PM on 5/5/10 the Organ Procurement Manager stated the OPO policy does not specify elimination criteria because when United Network for Organ Sharing policy updates occur the OPO would have to change its written criteria also.