National Patient Safety Efforts Save 125,000 Lives and Nearly $28 Billion in Costs

Hospital-Acquired Conditions (HACs) are 28 specific conditions that are not present on admission but are instead “acquired” during a stay.  Essentially, HACs are conditions that a patient develops while being treated for something else by a provider.  Examples of HACs include largely preventable conditions, including falls, pressure ulcers, adverse drug events and serious infections, such as catheter-associated urinary […]

Multiple studies confirm that Medicare’s payment reduction policies for complications has not resulted in reductions in complications.

The CMS policy of withholding additional Medicare payment for mediastinitis was not associated with a reduction in actual infection rates during the first 2 years after policy implementation. Similar findings were associated with catheter-associated urinary tract infections (CAUTIs), which actually continued to rise after Medicare instituted payment reduction policies. Notwithstanding the lack of reduction or […]

Relationship between surgeon volume and outcomes: a systematic review of systematic reviews

A systematic review of 32 separate systematic reviews, yielded a trend of surgeon volume-outcome relationship for the following procedures/conditions: AAA, cystectomy, esophageal cancer, head and neck cancer, lung cancer, pancreatic surgery, radical prostatectomy, and total knee arthroplasty.  Overall, the systematic reviews tend to support the presence of a surgeon volume-outcome relationship. This is most clear-cut in […]

Mortality and Readmissions are not inversely related

Median RSMR was 16.57% for AMI, 11.06% for HF, and 11.46% for pneumonia. The RSMRs ranged from 10.90% to 24.90% for AMI, from 6.60% to 19.85% for HF, and from 6.36% to 21.58% for pneumonia. The median RSRR was 19.87% for AMI, 24.42% for HF, and 18.09% for pneumonia. The RSRRs ranged from 15.26% to […]

Complications account for nearly 10 percent of inpatient hospital costs

Potentially Preventable Complications (PPC) increased lengths of stay for inpatient admissions resulting in dramatically increased total costs of care. A study of 3 hospitals for two 9 month periods showed that two PPCs — urinary tract infection and pneumonia – experienced substantially longer inpatient stays than those who did not suffer from these PPCs. Patients […]

Critical Access Hospital (CAH) can opt out of Medicare quality measures, including those published on the Hospital Compare website as well as those on

Critical Access Hospital (CAH) designation was established to provide rural residents local access to emergency and inpatient care. CAHs – while exempt from comparison to non-CAH hospitals – demonstrate worse outcomes. CAH hospitals show worse short-term outcomes for pneumonia, heart failure, and myocardial infarction compared to other non-CAH hospitals.

Unnecessary / Otherwise Preventable Deaths Occur Each Year

The National Academy of Medicine (NAM), previously known as the Institute of Medicine (IOM), found as far back as 1999 – that as few as 44,000 people and as many as 98,000 people – die in hospitals each year as a result of medical errors that could have been prevented according to estimates from two […]

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