The Organ Donation Referral Improvement Act mandates the Secretary of Health and Human Services to conduct a comprehensive study on the use of electronic automated referrals for organ donation in hospitals. This study aims to evaluate the effectiveness and impact of systems that identify potential deceased organ donors through electronic health records and automatically refer them to organ procurement organizations. Key components of the study include identifying potential savings in staff time, assessing improvements over manual identification, and reviewing the impact on donation volumes. It will also examine best practices, information technology security, and published clinical literature related to these automated systems. Ultimately, the Secretary is tasked with developing recommendations to promote the widespread adoption of electronic automated referrals and identifying necessary actions for their nationwide implementation, with a report on the study's findings to be submitted to Congress within one year.