Open AccessAddressing Critiques of the Proposed CMS Metric of Organ Procurement Organ Performance: More Data Isn’t Better
Author(s) -
David S. Goldberg,
Brianna Doby,
Raymond Lynch
Publication year - 2019
Publication title -
transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.45
H-Index - 204
eISSN - 1534-6080
pISSN - 0041-1337
DOI - 10.1097/tp.0000000000003071
Subject(s) - metric (unit) , concordance correlation coefficient , medicine , statistics , spearman's rank correlation coefficient , medicaid , correlation , concordance , pearson product moment correlation coefficient , ventilation (architecture) , correlation coefficient , mathematics , health care , operations management , mechanical engineering , geometry , engineering , economics , economic growth
Centers for Medicare and Medicaid Services (CMS) has proposed a rule change to redefine the metric by which organ procurement organizations (OPOs) are evaluated. The metric relies on Centers for Disease Control and Prevention (CDC) data on inpatient deaths from causes consistent with donation among patients <75 years of age. Concerns have been raised that this metric does not account for rates of ventilation, and prevalence of cancer and severe sepsis, without objective data to substantiate or refute such concerns.