Part of the answer is that there is no centralized umbrella organization monitoring willed- body programs around the country. The structure of accountability fluctuates wildly from university to university. Many programs, like the one at Montana State, report to state-level agencies. We act in concert with the state anatomical board. But states such as Ohio don't have anatomical boards, so program administrators have to install a system of internal checks and balances.
Drake reports to the chairman of the anatomy department at Cincinnati.
UNOS maintains the national transplant waiting list, matches donors to recipients and monitors the matches to ensure adherence to policy. We have checks within our system. We conduct regular audits of hospitals and transplant centers. We go and look at the patient records. When UNOS agents sniff out possible misconduct at a transplant center or hospital, they contact the health department in that state to crack down on the offending institution.