Guidelines for transplant programs

Transplant facilities and programs must meet certain criteria to be part of the Humana National Transplant Network (NTN).

Transplant program selection guidelines

Solid organ transplant requirements
NTN participation requires that each solid organ program:

  1. Meet established annual volume requirements as reported by the Organ Procurement and Transplantation Network (OPTN).
  2. Meet outcomes requirements data as reported by the Scientific Registry for Transplant Recipients:
  • One-month and one-year graft and patient survival rates must be within or above expected outcomes.
  • Any program that is below the expected outcomes for respective one-month and one-year categories must pass all components of the "three-prong test" outlined in the OPTN bylaws.

Annual minimum volume requirements

Pediatric volume information is attained from the Scientific Registry for Transplant Recipients, as reported for the two-and-a-half-year period used to determine program performance, or from the Organ Procurement and Transplantation Network, as reported for the preceding two years.

Organ
Adult/year
Pediatric/period
Heart 10 9
Lung 10 9
Heart/lung Heart and lung programs must be approved Heart and lung programs must be approved
Kidney 10 9
Pancreas Kidney program must be approved Kidney program must be approved
Liver 10 9
Intestine Liver program must be approved Liver program must be approved
Multi-visceral Liver and intestine programs must be approved Liver and intestine programs must be approved

Bone marrow (stem cell) transplant (BMT) requirements

NTN participation requires that each bone marrow (stem cell) transplant program meet the following requirements:

  1. Adult and pediatric autologous BMT: 90 percent 100-day survival rate**
  2. Adult and pediatric allogeneic BMT: 70 percent 100-day survival rate**
  3. All participating programs must be accredited by the Foundation for the Accreditation of Cellular Therapy (FACT)

** Programs that perform less than 35 annual autologous or 35 annual allogeneic transplants will be required to submit data from the immediately preceding year's transplants in order to obtain a statistically significant number of transplant cases (35).

All transplant programs

Transplant programs that fail to meet NTN criteria will be suspended from network participation until such time that they meet NTN participation criteria. In most circumstances, members may remain at the facility under continuity-of-care provisions.

Certification requirements

Adult transplant programs must be Medicare-certified and will be subject to the following criteria:

  • Solid organ transplant programs will be reviewed twice annually, following the release of updated statistics from the Scientific Registry of Transplant Recipients (SRTR).
  • All stem cell transplant facilities are required to perform both autologous and allogeneic bone marrow transplants, effective with contracts executed after Jan. 1, 2007.
  • ASBMT statistics/forms (including the 100 day survival statistics) must be received by NTN no later than Oct. 1 of each calendar year. Reporting volumes and outcomes of the previous calendar year should be included. Failure to submit these statistics by Oct. 1 of each year may result in immediate suspension of referral and authorization of new patients.
  • All facilities must execute an NTN Agreement in order to participate in the National Transplant Network.