Maine Medical Center
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Maine Transplant Program


Transplant Program Improvement

For the past year, the Transplant Program at Maine Medical Center (MMC) has been working with The Centers for Medicare and Medicaid Services (CMS) on a review of our program. CMS is the government agency that oversees Medicare.

As you recall, the program’s data from 2007-2009, revealed that the hospital’s Kidney Transplant Program did not meet minimum Medicare requirements for patient and graft (transplanted organ) survival rates at 1-year post transplant.

Since that time, we have made several changes to improve the care and quality of our transplant program.  Because of sustained quality and rigorous changes to our program, CMS informed us on March 22, 2012 that we have successfully met all of their expectations of the Systems improvement Agreement. 

What does this mean to our patients?

Due to the changes during our re-structuring process driven by CMS, we have made significant modifications to our listing criteria for transplantation.  The new criteria are listed in our inclusion and exclusion checklist as well as our cardiac (heart) evaluation checklist

As you can imagine, we are reviewing all of our patients on our wait list to ensure that they meet our current expectations.  In order to facilitate this change, we will be calling several patients for appointments to review the new criteria with them in detail to be absolutely certain that these changes do or do not affect them directly.

We are anticipating that additional testing will be required for a few patients.  Because of this, we are committed to work with your providers to order these tests as quickly as possible.

Background

Since we performed our first transplant in 1971, the Maine Transplant Program at Maine Medical Center has been the sole provider of kidney transplant services for the State of Maine, caring for both adults and children. All transplant programs in the U.S. have an obligation to report patient and graft survival rates to the Scientific Registry of Transplant Recipients, the analysis of which is available online at http://www.srtr.org. Historically, our patient and graft survival rates have been as expected or significantly better for our adjusted case mix (see table below).

 

Current Data

To review current long-term outcome data about our program, visit the Scientific Registry of Transplant Recipients (SRTR) at http://www.srtr.org. This shows that our patients experience excellent long-term graft and patient survival rates comparable to the rest of the United States.

However, short-term (1 year) transplant program data from 2007-2009 revealed that the hospital's Kidney Transplant Program did not meet expected requirements for graft survival, For the period of July 2007 through December 2009, the hospital's graft survival rate for patients transplanted was 88.3 percent. Based on our patient population, the expected graft survival rate is 94.2 percent.

On a positive note, our program excels in other areas, as shown below:

Maine Transplant Patients Experience Shorter Waiting Times: 

Maine Transplant Program

20.5 months

Rest of New England

35.6 months

U.S. average

48.2 months

A Higher Percentage of MMC Listed Patients Receive Transplants: 

Maine Transplant Program

49 %

Rest of New England

19%

U.S. average

18%

Maine Transplant Program Patients Experience a Reduced Risk of Death while Waiting:  

Maine Transplant Program

4 %  (expected 7%)

Rest of New England

7%   (expected 6%)

U.S. average

6%   (expected 6%)

 To review current outcome data about our program, visit the Scientific Registry of Transplant Recipients (SRTR) at http://www.srtr.org.