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Transcript of Medical Error
98,000 people died of medical error in 1998, 200,000 in 2008
How will the ACA affect this?
CMS will no longer pay for hospital or doctor errors, Other private insurers such as Blue Cross Blue Shield are also implementing this.
Health Care in America, Spring 2014
What is a Medical Error?
A medical error is a preventable adverse effect of care, whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, or other ailment.
Accountable Care Organizations and Value-Based Purchasing
ACOs will help coordinate care by having people work together in a network in order to improve quality, reduce costs, and will hopefully reduce medical error.
Will the ACA be Successful?
There is not much preliminary data yet, as some of these provisions are not implemented until 2015.
The Big Issues
18% of hospital patients are injured during their course of care
This amounts to the 6th leading cause of death in the U.S.
IOM reports about 15 million incidents of medical harm each year
One common suggestion for improving medical error is changing the culture and creating a more open environment. Admit it, and save money. Example: University of Illinois at Chicago Medical Center.
Although the ACA addresses Medical Error, there are still other ways that can help improve quality and reduce the costs associated with medical errors.
Design for America: Swipe Sense
2 million people a year in the US aquire infections during hospital stays because of insufficient hygiene
CDC says increasing hand hygiene is the best way to prevent illness, and so they created the swipe sense, a portable hand sanitizer dispenser
Will save each hospital over 15,000 dollars and will increase hand hygiene for nurses by 64%
Fee-for-service care, which is very common, makes doctors want to see patients as many times as possible, and are rewarded on quantity not quality.
Because of this, millions of extra hospital visits and medical problems are arising after patients have laready been treated for something.
In 2012, only about 25% of the nation's 6,000 hospitals were involved in any sort of quality improvement effort.
Medical error has been a large problem in the US, killing thousands of people each year, harming millions, and costing the government and taxpayers millions of dollars. With the ACA attempting to address this issue, medical error will likely improve, as the financial aspect is too great for hospitals to risk. Combined with other solutions that have been tried on smaller scales, the US can use a combination of methods to help reduce the morbidity and mortality caused by medical error.
This is expected to save taxpayers 21 million dollars annually.
Value-Based Purchasing is incrasingly being used by employers and the Federal Government as it includes comparing different performances, paying differentially based on performance, and incentivizing the usage of these higher quality providers.
The government will instead pay hospitals a certain lump some for each procedure under Medicare, Medicaid and then the hospital is responsible for any complications that arise in the first 30 days, or else they keep the rest of the money.
Now, doctors will be paid based on quality of care they provide.
However, because of the large financial incentives for hospitals, if they do not successfully do this, they will lose their own revenue, making it likely to reduce medical error and improve quality in hospital and PCP care.
In 2008, these medical errors cost the US 19.5 billion dollars