Health Care Issues Assignment 4
Health Care Issues Assignment 4
Imagine you are the CEO of a 200-bed community hospital and
have heard that Medicare hospital payments will continue to be
trimmed for patients who experience harms considered to be
largely preventable, such as blood clots, surgical infections,
ventilator-associated pneumonias, and others. You want to make
sure that your hospital prevents all possible avoidable harms to
patients.
Your Helpant summarizes the issues for you: denied payments
focus exclusively on additional care required to treat the injury
(e.g., when a second procedure is required to retrieve a surgical
instrument). To date, the denied payments are for hospital care
only, but some analysts have recommended that the same policy
be applied to physician payments.
One measure your hospital has already taken is to require that all
workers who interact with patients wash their hands, to prevent
hospital-acquired infections. Although this would seem a simple
and obvious initiative, it has met with limited success. In response
to additional queries, you learn that the hospital’s patient safety
department does not track the kinds of events for which it may be
financially penalized.
You also learn that the ACA will affect hospital payment in another
way: trimming reimbursements for potentially avoidable hospital
readmissions. Your hospital serves an older population, and many
patients currently have multiple admissions for acute
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