After a March inspection at UPMC Presbyterian Shadyside's transplant program found serious violations of federal documentation regulations, state Health Department inspectors on Monday re-inspected the world-renowned facility and found the problems rectified, according to UPMC officials.

"They essentially gave us a clean bill of health," Dr. Abhinav Humar, UPMC's transplant chief, said Tuesday.

The hospital still hasn't yet gotten final recertification. That won't take place until officials at the Centers for Medicare and Medicaid Services have a chance to review the state's report. But the hospital expects that within a few weeks, based on what they were told by the state's inspectors in an exit interview.

Both inspections were done by the state at CMS's request as part of what has become a regular three-year inspection process for all transplant centers.

CMS spokeswoman Sharon Graham confirmed that the state did re-inspect the hospital on Monday but said since CMS had not yet gotten the state's report -- which isn't due for another eight days -- she could not comment on the findings.

Though UPMC deemed the three areas of serious violations found in March as easily rectified paperwork problems, if the state found they weren't corrected within 180 days of receiving the state's report on the violations, it could have lost its Medicare reimbursements.

That report, done during an unannounced visit over four days by 14 state inspectors in March, found documentation problems with everything from failure to inform people of their patient rights, to not documenting that blood compatibility matches were done before a transplant, to not properly counting everyone who died from a transplant-related death.

As bad as it sounded in the report, there were no allegations that any of UPMC's patients were ever harmed or put in danger because of the violations.

During this week's inspection, three state workers, two of whom took part in the initial inspection in March, showed up unannounced at 9 a.m. Monday and spent more than six hours at the hospital rechecking the problem areas, said Deborah Maurer, UPMC's transplant administrator.

The inspectors asked to see a random selection of patient information since May 1 -- the date that UPMC told the state and CMS that it had made all of the changes to correct the violations -- in all seven of the hospital's transplant programs.

After the release of the results from the March inspection brought UPMC a bout of bad publicity, Ms. Maurer said when the state inspectors showed up on Monday: "I told the surveyors I was happy they were here" for the reinspection. "We wanted to demonstrate that in fact we had corrected the problems they had identified."

At the end of the day Monday, the inspectors held an exit interview and told hospital officials that they found all of the corrections were made and no other violations were found, hospital officials said.

"We spent a fair amount of time and effort making those corrections and we were fairly confident in our plan," said Dr. Humar.

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