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Re: Medicare Says It Won't Cover Hospital ErrorsFrom: Marilyn Ringstaff (marilyn.ringstaff@OBGYN.net)Sun Aug 26 22:40:57 2007
At Sun, 26 Aug 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >>From those guidelines. > >Maternal death or serious disability associated with labor or delivery >on a low-risk pregnancy while being cared for in a healthcare facility > >Anyone who has done any OB would know that half of maternal deaths had >no risk factors prior to going into labour. Pulmonary embolus, amniotic >fluid embolus, peripartem cardiomyopathy, Acute fatty liver of pregnancy >are just a few causes of death which are unpredicatable; and half of the >cases of Pre-eclampsia and post-partem hemmorraghe would be >unpredictable. CRITERIA FOR INCLUSION ON THE NEVER EVENT LIST John-They give more inclusion criteria: to be included on NQF’s list of “never events”, an event had to have been characterized as: Unambiguous—clearly identifiable and measurable, and thus feasible to include in a reporting system; Usually preventable—recognizing that some events are not always avoidable, given the complexity of health care; Serious—resulting in death or loss of a body part, disability, or more than transient loss of a body function; and Any of the following: Adverse and/or, Indicative of a problem in a health care facility’s safety systems and/or, Important for public credibility or public accountability. The case I posted yesterday was that same neuro's 2nd wrong side surgery- the units third in 6 yrs... so how long should we keep reimbursig that kind of care?
-- Marilyn Ringstaff, CNM, JD Rome, Georgia
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