Hospitals are penalized for harming patients

Thinking About Health
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    Anyone facing a hospital stay for themselves or a family member should look at new data the government released right before Christmas showing that it penalized 769 of the nation’s hospitals for having high rates of patient injuries.
    The monetary penalties — a reduction for the year in their reimbursement for treating Medicare patients — do bite. Larger teaching hospitals could lose as much as $1 million or more.
    This is the third year the government has penalized hospitals in an effort to prevent avoidable patient deaths in hospitals, which emerged as a big issue about 18 years ago. This year the government added injuries caused by MRSA and C. diff infections to their list of other harmful conditions patients contract in a hospital such as urinary tract and surgical site infections resulting from hysterectomies and colon procedures.
    MRSA — a staphylococcus bacterium — can cause pneumonia and bloodstream infections. C. diff is a germ that can multiply in the gut when patients are taking other antibiotics to kill other germs.
    While some facilities, like those serving children and psychiatric patients and critical care hospitals, are exempt from penalties, this year’s data show that more than 200 facilities, including some of the nation’s most well-known hospitals, have the dubious distinction of being on the government’s penalty list for all three years. They include the Cleveland Clinic, Ronald Reagan UCLA Medical Center in Los Angeles, California, Northwestern Memorial Hospital in Chicago, Illinois, and in Boston, Massachusetts, the Brigham and Women’s Hospital.
    The message for patients: A hospital’s TV advertising campaign for its great cancer care may obscure significant safety issues.

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EDITOR’S NOTE: The Rural Health News Service is funded by a grant from The Commonwealth Fund and is distributed in Colorado through the Colorado Press Association.

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