SRTR is contested and 18 months stale. Cross-reference CMS cost reports, OPTN policy violations, and CMS survey findings to surface deteriorating centers before SRTR catches up.
Pending status
This product is in the .dev preview as a pending methodology commitment. It is not presented as a live surface until the source contract, normalization path, refresh cadence, and public-preview limits are ready.
What it is
Organ Transplant Center Outcomes Forensic is a continuous shadow registry over the SRTR outcomes data. SRTR is the canonical source for U.S. transplant center performance — but its methodology has been contested in the literature for years, and its publication is roughly 18 months behind current performance.
Branmoor combines SRTR with CMS Medicare cost reports (transplant cost behavior is an early signal), OPTN policy violation records, CMS survey findings at transplant centers, and the public outcomes data from the major insurance carve-out networks (Optum Transplant Solutions and Interlink publish steering data) into a more current and more multi-source signal. The free patient-facing surface lets a candidate on a transplant waitlist see something less stale than SRTR.
The licensed surface serves transplant centers benchmarking against peers (the centers want it more than they admit), insurance transplant carve-out vendors who need defensible center selection for steerage, and academic medical centers running program-improvement initiatives. Sold under named institutional license.
Distribution and join path
Scope: Nationwide; TN centers; Vanderbilt transplant cut
Entity graph join: transplant center ID, `ccn`, `npi`, payer/network IDs.
Primary data sources
- SRTR public reports and PSR data — Outcome measures, expected vs. observed performance
- OPTN policy violation records — Citation history, MPSC findings
- CMS Medicare cost reports (transplant centers) — Cost behavior, volume trajectory
- CMS Conditions of Participation survey findings — Survey citations specific to transplant
- Published outcomes from insurance carve-out networks — Optum Transplant Solutions, Interlink steering criteria where public
Buyers
- Transplant candidates and families choosing centers (free)
- Transplant centers benchmarking
- Insurance transplant carve-out vendors (Optum Transplant Solutions, Interlink)
- Self-insured employers with transplant-heavy populations
- Academic transplant program improvement
Methodology
Shadow registry methodology is published and reviewed; differences from SRTR's published methodology are documented. Confidence bands account for sample size by organ and center.
Notify me at launch
Organ Transplant Center Outcomes Forensic is pending. Subscribe to The Branmoor Brief to be notified when the source-backed preview is ready.