Landmark HHS OIG Report on Adverse Events and Patient Harm
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.
CMS Proposes Another EHR-based Hospital Harm Measure
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).
Getting to High Reliability in Healthcare: 1 Cardinal Rule and 5 Reasons Why
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: Under Pressure…and New Policy
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
The Patient Safety Priority for 2022
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
The Social Determinants Of Safety (SDOS): A Validated Problem
There has been significant discussion regarding the Social Determinants of Health (SDOH). There is evidence that the impact of social determinants has extended more particularly into any healthcare domain affected by adverse events. Consequently, as called out by our inaugural Virtual Patient Safety (VPS) white paper released in August 2020, Pascal has coined a new term to account for this impact: the Social Determinants of Safety (SDOS).