PolicyBrief
H.R. 330
119th CongressJan 9th 2025
Organ Donation Referral Improvement Act
IN COMMITTEE

The "Organ Donation Referral Improvement Act" mandates a study on the effectiveness of electronic automated systems in hospitals for identifying and referring potential organ donors, with the goal of improving the organ donation process nationwide.

Robert Wittman
R

Robert Wittman

Representative

VA-1

LEGISLATION

New Bill Could Speed Up Organ Donations with Automated Electronic Referrals: Study to Launch Within a Year

This bill, officially named the "Organ Donation Referral Improvement Act," pushes for a major upgrade in how hospitals handle potential organ donors. The core of the bill is a mandatory, in-depth study on using electronic systems to automatically flag potential organ donors and refer them to the right organizations. This isn't about replacing human judgment, but about making the initial identification process faster and more efficient.

Automating the Organ Donor Identification

The Department of Health and Human Services (HHS) has one year to complete a comprehensive study on electronic automated referrals. This means looking at how hospitals currently handle organ donation referrals and how much time and money could be saved by switching to an automated, electronic system. Think of it like this: instead of relying solely on busy nurses or doctors to manually identify and report potential donors, the system would use pre-set clinical criteria in a patient's electronic health record (EHR) to flag them automatically (SEC. 2). The bill specifically defines "electronic automated referral" as a system that uses clinical criteria in a patient's EHR to identify and automatically refer potential donors to the hospital's organ procurement organization.

Real-World Impact: Faster Matches, More Lives Saved?

For someone waiting on a transplant list, time is everything. This bill aims to cut down on delays. By automating the initial referral, the process of determining if someone is a suitable donor could be sped up. The study will specifically look at "timeliness variations in determining organ donation eligibility" (SEC. 2(1)) between the current manual system and the proposed automated one.

Imagine a busy hospital where nurses are juggling multiple critical patients. An automated system could mean the difference between a missed opportunity and a life-saving match. This could be a game-changer for patients and families. The study will also examine the "impact of electronic automated referrals on donation volumes" (SEC. 2(3)).

Challenges: Privacy and Accuracy

Switching to a fully electronic system isn't without its hurdles. The bill acknowledges this by requiring the study to address several key areas:

  • Data Security: "information technology practices for secure information transmission" (SEC. 2(6)) are a major focus. Patient records are highly sensitive, and any automated system needs robust security measures to prevent breaches.
  • Accuracy of Records: The system is only as good as the data it's based on. Errors in electronic medical records could lead to missed referrals or incorrect flagging of potential donors.
  • Avoiding Over-Reliance: The bill emphasizes studying "potential improvements over human interaction" (SEC. 2(1)), not necessarily replacing human interaction entirely. There will likely always be cases requiring the nuanced judgment of medical professionals.

The Big Picture

This bill represents a potential shift towards a more efficient and standardized approach to organ donation referrals nationwide. The study is tasked with developing "recommendations to promote the use of electronic automated referrals" (SEC. 2(7)) and identifying the steps needed to "establish the use of electronic automated referrals nationwide" (SEC. 2(8)). It's about leveraging technology to, potentially improve a critical healthcare process, and ultimately, help save lives. The required report to the House and Senate committees ensures accountability and oversight of this initiative.