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Public reporting of HAI is a major initiative of Health Watch USA. Information regarding Hospital Acquired Infections and Healthcare Acquired Conditions can be found at: www.neverevents.org Email from Dr Donald Wright, MD, MPH, Deputy Assistant Secretary for Healthcare Quality, Office of the Assistant Secretary for Health, U.S. Dept. of Health and Human Services, on the importance of state initiatives on public reporting in preventing healthcare-associated infections - Oct. 2010 : View Document HW USA Legislative Testimony on this policy can
be view at: Below are the most recent legislative initiatives to pass public reporting of HAI.
Senator McConnell's Letter in Response to Lexington Herald Leader Op Ed: View Letter View Op-Ed Congressional Inquiry by Senator McConnell to obtain the results of the Veterans Administration Protocol to control MRSA. View Letter Results of Congressional Inquiry which obtained the National Veterans Administration protocol results for control of MRSA. View Document
A comments and analysis of underpowered studies where intervention groups have effective intervention less than 50% of the time. Commentary on Swiss/Geneva MRSA Study Published
in JAMA (Harbarth,
Fankhauser, Schrenzel, et.al, 2008). Kavanagh K, Abusalem S. Mounting evidence supports universal
surveillance for MRSA in preoperative patients. J Am Coll Surg.
2011 Aug;213(2):335-6.
PMID: 21787990.
1) Call for Repeal of the Provision in the Social Security Act Which Prevents the U. S. Dept of Health and Human Services from making public hospital accreditation surveys.
2) Healthcare Integration: Its causes and the
effects of the loss of the independent medical staff on healthcare
quality: See Article in the Bulletin of the American
College of Surgeons - Jun. 2011. 3) Governance and Quality Assurance of Accountable Care Organizations (ACO): Comment on the 2011 Accountable Care Organization Proposed Regulation - Apr. 2011:
4) Prohibition Against Physician Gag Clauses which
Involve Discussion of Cost and Quality with the Patient or Patient's
Medical Decision Makers.
View KMA Adopted Resolution 5) Accreditation (Survey Visits) and Self Reporting of Faculties
Health Watch USA was one of the main initiators of the national CMS policy of Medicaid adopting Medicare's policy on the non-payment of never events. HW USA was an initiator and facilitator of this initiative on a national level with activities involving conference presentations, forming partnerships with patient advocacy organizations, and advocacy on Capital Hill. This effort started in the Spring of 2008 and was promoted in the 2008 Health Watch USA fall conference. Ken Conner, JD, presented on Medicare and Medicaid non-payment of never events. Lisa McGiffert from Consumer Union also presented and after the conference joined with Health Watch USA and advanced on Capitol Hill the policy of Medicaid Adopting Medicare Regulations regarding Non-payment of Never Events. This provision was signed into Federal law in the 2010 Healthcare Reform Bill by President Barack Obama on Tuesday, March 23, 2010. Consumer Union played a major role in advancing and advocating for this legislation. On July 1, 2010 Kentucky Medicaid adopted regulators for the non-payment of never events and hospital acquired conditions. Clarification of the National Quality Forum Serious Reportable Events, regarding medical devices. "2B. Patient death or serious injury associated with the use or function of a device in patient care, in which the device is used or functions other than as intended." In response, the NQF performed the following modification in the Serious Event (2B): "Definition of device added to glossary. Suggested addition significantly expands the event and will be considered at next update." View Document The definition of the term, device, was clarified so endotracheal tubes and NG Tubes will be included. Thus, insertion of an NG tube into the lungs and feeding the patient and the placement of an endotracheal tube into the esophagus and ventilating the patient are now clearly reportable events. Related publications regarding value purchasing:
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