Healthcare Professionals

Hospital Services

PNTB’s hospital services team provides materials, inservices, and individual education to help hospitals maximize organs and tissue for transplantation.


Instead of text, could this section be a series of links to CoPs, JCAHO, DNV standards, Wa/Or/Id state laws?

The U.S. federal and state legislative bodies have historically supported donation and transplantation. Toward this end, they have enacted laws and put into place mechanisms to create a strong, permanent foundation for saving and enhancing lives through donation and transplantation.

  • Uniform Anatomical Gift Act of 1968
    • Establishes legality of donating a deceased individual’s organs for transplantation or other uses (research and/or therapy).
    • Protects health care personnel from potential liability arising from organ procurement.
  • Uniform Determination of Death Act 1980
    • Recognizes the legality of brain death.
    • Determines that the irreversible cessation of all brain function constitutes death in the same way as cessation of heartbeat and respiration.
  • National Organ Transplant Act of 1984
    • Prohibits the buying and/or selling of organs.
    • Requires establishment of the Organ Procurement and Transplantation Network (OPTN).
    • Paves the way for the United Network for Organ Sharing (UNOS) to be awarded the OPTN contract and to manage the organ distribution.
    • Prevents physician who declares brain death from being same physician involved in transplantation.
  • “Required Request/Required Referral” state laws of the mid-1980s
    • Requires healthcare professionals to assess/identify every potential donor.
    • Provides for every potential donor or donor family to be given the opportunity to donate.
  • Omnibus Budget Reconciliation Act of 1986 (Required Request
    federal law)

    • Federally mandates Organ Procurement Organizations (OPOs) to coordinate the procurement and transplantation process at local levels.
    • Requires hospital to be affiliated with a federally mandated OPO.
    • Requires hospitals participating in Medicare and Medicaid to establish written protocols for donation in order to maintain certification.
  • The Health Care Financing Administration’s (HCFA) revised Medicare Conditions of Participation (COP) of 1998
    • Federally mandates hospitals to refer all deaths to the local organ recovery organization (OPO).
    • Mandates hospitals to determine who makes the request to potential donor families and requires requesters to be OPO employees or OPO trained.
    • Requires hospitals to have an arrangement with an eye and a tissue bank.
    • Requires hospitals to work with OPOs in conducting medical record reviews to ensure that the families of all potential donors have been approached.