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Hospital risk managers need to think about how the Affordable Care Act (ACA) is changing the laws governing fraud and abuse, says Kathy Tayon, JD, shareholder with the law firm of Fowler White Boggs in Fort Lauderdale, FL.
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News: A 59-year-old woman was discharged from a hospital after undergoing treatment for a clogged dialysis port.
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As provisions of the Affordable Care Act (ACA) come into play this year and for the next several years, the way healthcare is provided could change drastically, and that change has the potential for new or increased risks. At the same time, healthcare providers are taking on more risk through readmission penalties, bundled payments, and population health payments.
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News: A 43-year-old man presented to the emergency department with complaints of chest pain.
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After an analysis of national malpractice claims, patient safety researchers from Johns Hopkins University in Baltimore, MD, estimate that a surgeon in the United States leaves a foreign object such as a sponge or a towel inside a patients body after an operation 39 times a week, performs the wrong procedure on a patient 20 times a week, and operates on the wrong body site 20 times a week.
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For traditional risk management concerns, the Affordable Care Act (ACA) actually might offer hope, says Ruselle Robinson, JD, an attorney at Boston-based Posternak Blankstein & Lund. A goal of the ACA is to improve quality of care and make it more patient-centered while reducing costs, so success in those areas should result in lower risk and liability for providers, he says.
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A federally funded study by Weill Cornell Medical College in New York City demonstrates ways in which quality measurement from electronic health records (EHRs) can be improved.
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The average physician spends 50.7 months, or roughly 11% of a 40-year career with an unresolved and open malpractice claim, according to a new study from Health Affairs.
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The growing prominence of the accountable care organization (ACO) model offers many potential benefits, but it also comes with many potential hazards, according to a recent report from Marsh Risk Consulting, based in New York City.