The Nation’s Organ Donation Process Is Failing Because of This Crucial Link

Nonprofits tasked with shoring up the country’s supply of donated organs for transplant are overwhelmingly underperforming at their job, according to federal data released Friday, contributing to a national organ shortage. The data from the Centers for Medicare and Medicaid Services is part of new standards for measuring performance meant to improve accountability in an industry laden with problems.

sent an April 18 letter to Sen. Ron Wyden expressing concern over the large number of procurement organizations that would be decertified and the lack of a publicized process for how competition and decertification would work. Poor performance among the organizations has dogged the organ donation pipeline for years. One organ procurement organization, LiveOnNY, did such a poor job that its contract was nearly taken away twice.

does not have the power to “impose sanctions, including payment and decertification,” as CMS does. The procurement organizations are required to submit a form for every death that could have become a donation and for each “imminent neurological” death.

. Hoffman said that

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