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Improving the Organ Procurement and Transplantation Network: A reply to “Should UNOS Yield to Competition?”

A recent installment of the AJT Report ("Should UNOS Yield to completion?")1 contends that failure by the Health Resources and Service Administration (HRSA) to promote competition for the Organ Procurement and Transplantation Network (OPTN) contract has led to inadequate response by the OPTN contractor to criticisms of its policies and decision-making processes. Clarification is warranted in two areas in the article to ensure the process of choosing the organization responsible for serving as the OPTN is presented accurately. Although community supported improvement of our consensus-based policy development process is essential, it is equally essential that the OPTN contractor is able to effectively operate the entire IT infrastructure that the donation and transplant community depends on to deliver 24/7 donor / recipient matching services, provide data for policy development and research, and support peer-driven quality improvement. This article is protected by copyright. All rights reserved.