Aetna Institutes of Excellence Transplant Facilities Criteria

This document is a guide outlining the criteria for facilities seeking designation as Aetna Institutes of Excellence® Transplant Facilities. It details the requirements for consideration, including the submission of a completed Request For Information (RFI) and the necessity for Aetna to determine the need for the facility's specific transplant services. The guide specifies that facilities must have a fully executed hospital services agreement and outlines the designation process, which is at the discretion of Aetna’s Institutes of Excellence Oversight Committee (IOEOC). It also describes the program criteria for facility certification, including the need for Medicare certification, UNOS membership, and accreditation by relevant bodies. Additionally, the document emphasizes the importance of a quality improvement program and the necessity for facilities to maintain proper staffing and insurance. Specific organ transplant volume requirements are included, along with outcome tracking metrics for solid organ and bone marrow transplants. Aetna retains discretion in determining designation based on these criteria.