The most important goal of risk management should not be to minimize payout but to deliver a superior patient experience at a lower cost. Identifying serious harm or the risk thereof within 24 hours and acting to ameliorate and avoid with a requisite level of transparency is the path to a new generation of risk management.
The Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) just released a landmark study reporting that 25% of Medicare patients suffer patient harm and that 43% of those, or about 12% of the total, are preventable.
The Center for Medicare and Medicaid Services (CMS) recently released the FY2023 Inpatient Prospective Payment System (IPPS) Proposed Rule governing payment for the inpatient setting. Prominent in the adverse event domain was the CMS announcement of a new EHR-based hospital harm measure; the opioid-related event eCQM measure (NQF #3501e).
The Cardinal Rule: Measure Outcomes The foundation for any performance strategy or program should be outcome data. Unfortunately for many on the road to becoming a high reliability organization (HRO) in healthcare (or even to
Patient Safety: Taking a “Pulse” The New England Journal of Medicine published a piece on February 17th entitled, “Health Care Safety during the Pandemic and Beyond — Building a System That Ensures Resilience.” Despite
Setting Priorities: The Best Way Prior to the pandemic, Pascal published a “Top 10” list of patient harms based on clinically validated adverse event outcomes using EHR data (AE Outcomes). Measuring patient-specific AE Outcomes and