Tag Archives: HHS OIG

OIG report: CMS not doing enough for vulnerable nursing home residents

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.

Photo: Matthew Paulson via FlickrDespite hurricane risks, Florida has been a popular retirement locale for senior citizens, who may eventually need to transition to skilled nursing facilities.

News on Wednesday that eight residents of a Hollywood, Fla. nursing home had died a few days after the facility lost power for its air conditioning unit during Hurricane Irma (see more coverage links below) has refocused attention on persistent weaknesses in nursing facility regulation and oversight.

A report released in late August (prior to the Harvey and Irma hurricanes) by the Department of Health and Human Services Inspector General (OIG) highlights problems with how incidents of potential abuse or neglect are reported and investigated. Separately, there has been pushback in Congress on a Trump administration effort to weaken Obama-era restrictions on the use of arbitration agreements to settle nursing home claims. Continue reading

Report projects 134,000 hospital patients a month experience adverse events

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates AHCJ's social media efforts and edits and manages production of association guides, programs and newsletters.

More than 13 percent of hospitalized Medicare beneficiaries were harmed during a hospital stay, according to a study released by the HHS Office of the Inspector General (PDF, 81 pages).

The report is based on a review of a nationally representative sample of 780 patients in October 2008. Based on the sample, the report projects that 134,000 Medicare patients a month experience at least one adverse event during their hospitalization. About 1.5 percent died as a result of those adverse events, which projects to 15,000 patients in a single month.

From a financial standpoint, the report says the hospital care associated with those events cost Medicare an estimated $324 million in that month.

Adverse events, identified through a review of medical records, included the National Quality Forum Serious Reportable Events; Medicare hospital-acquired conditions; and events resulting in prolonged hospital stays, permanent harm, life-sustaining intervention, or death.

The reviewers found that 44 percent of the events were preventable, prompting the OIG’s office to recommend that the Agency for Healthcare Research and Quality and the Centers for Medicare and Medicaid Services “broaden patient safety efforts to include all types of adverse events and enhance efforts to identify events” and for CMS to “provide further incentives for hospitals to reduce adverse events through its payment and oversight functions, including strengthening the Medicare hospital-acquired conditions policy and holding hospitals accountable for adopting evidence-based practices.”

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