24 hours ago · NPR's Leila Fadel talks with ProPublica reporter Marshall Allen about his new book, "Never Pay the First Bill," which advises how to manage medical debt. When you head to the hospital because ... >> Go To The Portal
The Patient Safety Case identifies the evidence-base that is available to support designing for patient safety and quality. The improvements which have been identified are shown to improve patient outcomes and safety, promote healing, increase patient satisfaction, and in some instances, reduce cost.
Marshall Allen is an investigative reporter, and he's been digging through medical bills for years. He's taken all he's learned and put it in a new book, somewhat of a self-help guide to dealing with crushing and at times unfair medical charges. It's called "Never Pay The First Bill: And Other Ways To Fight The Health Care System And Win."
This report presents different aspects of patient safety in terms of root cause analysis (RCA) and risk management, the role of human resources, the role of professionalism, the necessity of informing the parents (disclosure of medical errors), and forensic medicine with focus on ethical aspects.
But ProPublica’s reporting shows that they often fail to identify problem performers. The Centers for Medicare and Medicaid Services collects reams of data from hospitals and publishes hospital-wide quality measures. It recently started reporting some data on physician groups that voluntarily provide the information.
According to Hopkins, Han’s readmissions peaked in 2010, when he had 10 in 93 cases, a rate of 10.8 percent. Hospital officials did not specify his readmission rates for the years that followed, but indicated they had dropped. By these measures, however, Han’s performance still appears below average.
But experts who reviewed ProPublica’s results say they strongly suggest that the typical surgeon’s rate can and should be significantly lower. The evidence: Some 756 surgeons who each did at least 50 operations did not record a single complication in the five years covered by the analysis. Another 1,423 had only one.
ProPublica can’t say how many because Medicare patient-privacy rules bar reporting any count of patients between zero and 11. In interviews last year, Pronovost praised ProPublica’s approach for calculating surgeons’ complication rates, saying it “advanced the field.”. More recently, though, he blasted our findings.
ProPublica compared the performance of surgeons by examining five years of Medicare records for eight common elective procedures, including knee and hip replacements, spinal fusions and prostate removals. To be fair to surgeons, ProPublica’s analysis accounted for factors such as patients’ health and age.
Facebook Twitter. CMS officials say focusing on doctors alone isn’t the answer because hospitals rely on teams of health professionals. Reducing patient harm “requires a focus on the full care team,” said the agency’s chief medical officer, Dr. Patrick Conway.
Henry Tischler, had one of the highest complication rates on knee replacements in New York State.
Many systems are supposed to protect patients from high-risk doctors. But ProPublica’s reporting shows that they often fail to identify problem performers. The Centers for Medicare and Medicaid Services collects reams of data from hospitals and publishes hospital-wide quality measures.