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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Reported effects of the Scientific Registry of Transplant Recipients 5-tier rating system on US transplant centers: results of a national survey

TitleReported effects of the Scientific Registry of Transplant Recipients 5-tier rating system on US transplant centers: results of a national survey
Publication TypeJournal Article
Year of Publication2018
AuthorsVan Pilsum Rasmussen, SE, Thomas, AG, Garonzik-Wang, J, Henderson, ML, Stith, SS, Segev, DL, Nicholas, LH
JournalTranspl Int
Volume31
Pagination1135-1143
Date PublishedOct
ISBN Number0934-0874
Accession Number29802802
Keywords*quality of care/care delivery, *Scientific Registry for Transplant Recipients
Abstract

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.

PMCID

PMC6219856