TY - JOUR
T1 - Reported effects of the Scientific Registry of Transplant Recipients 5-tier rating system on US transplant centers
T2 - results of a national survey
AU - Van Pilsum Rasmussen, Sarah E.
AU - Thomas, Alvin G.
AU - Garonzik-Wang, Jacqueline
AU - Henderson, Macey L.
AU - Stith, Sarah S.
AU - Segev, Dorry L.
AU - Nicholas, Lauren Hersch
N1 - Publisher Copyright:
© 2018 Steunstichting ESOT
PY - 2018/10
Y1 - 2018/10
N2 - In the United States, the Scientific Registry of Transplant Recipients (SRTR) provides publicly available quality report cards. These reports have historically rated transplant programs using a 3-tier system. In 2016, the SRTR temporarily transitioned to a 5-tier system, which classified more programs as under-performing. As part of a larger survey about transplant quality metrics, we surveyed members of the American Society of Transplant Surgeons and American Society of Transplantation (N = 280 respondents) on transplant center experiences with patient and payer responses to the 5-tier SRTR ratings. Over half of respondents (n = 137, 52.1%) reported ≥1 negative effect of the new 5-tier ranking system, including losing patients, losing insurers, increased concern among patients, and increased concern among referring providers. Few respondents (n = 35, 13.7%) reported any positive effects of the 5-tier ranking system. Lower SRTR-reported scores on the 5-tier scale were associated with increased risk of reporting at least one negative effect in a logistic model (P < 0.01). The change to a more granular rating system provoked an immediate response in the transplant community that may have long-term implications for transplant hospital finances and patient options for transplantation.
AB - In the United States, the Scientific Registry of Transplant Recipients (SRTR) provides publicly available quality report cards. These reports have historically rated transplant programs using a 3-tier system. In 2016, the SRTR temporarily transitioned to a 5-tier system, which classified more programs as under-performing. As part of a larger survey about transplant quality metrics, we surveyed members of the American Society of Transplant Surgeons and American Society of Transplantation (N = 280 respondents) on transplant center experiences with patient and payer responses to the 5-tier SRTR ratings. Over half of respondents (n = 137, 52.1%) reported ≥1 negative effect of the new 5-tier ranking system, including losing patients, losing insurers, increased concern among patients, and increased concern among referring providers. Few respondents (n = 35, 13.7%) reported any positive effects of the 5-tier ranking system. Lower SRTR-reported scores on the 5-tier scale were associated with increased risk of reporting at least one negative effect in a logistic model (P < 0.01). The change to a more granular rating system provoked an immediate response in the transplant community that may have long-term implications for transplant hospital finances and patient options for transplantation.
KW - Scientific Registry for Transplant Recipients
KW - quality of care/care delivery
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UR - http://www.scopus.com/inward/citedby.url?scp=85053001101&partnerID=8YFLogxK
U2 - 10.1111/tri.13282
DO - 10.1111/tri.13282
M3 - Article
C2 - 29802802
AN - SCOPUS:85053001101
SN - 0934-0874
VL - 31
SP - 1135
EP - 1143
JO - Transplant International
JF - Transplant International
IS - 10
ER -