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Malpractice Claims Drop 39% Under Perinatal Safety Initiative

Cheryl Clark, for HealthLeaders Media, December 6, 2012

The project, called the Premier Perinatal Safety Initiative or PPSI, also reduced annual liability claims by 39% in these 14 hospitals, compared to a 10% reduction in hospitals in the same healthcare systems as the participants, but which did not participate in the PPSI. Premier officials believe that the recession and other economic factors may have led to a reduction in pregnancies in women who would have been at higher risk, and that may explain the decrease in non-participating hospitals claims.

Premier officials said they could not give the actual dollar amounts of claim reductions because a few claims are pending, but will publish final loss data next summer. 

The claims information was available to Premier through a company that provides malpractice insurance to some of its hospital members, American Excess Insurance Exchange. AEIX is a Premier affiliate.

But, DeVore said, "that's a significant difference and a higher reduction in liability claims with these participants."

"This evidence suggests we have prevented approximately 110 additional harms to mothers and babies, and 106,000 mothers and their babies have gotten all the evidence-based quality measures," DeVore said.

Each of the three bundles used an "all or nothing" scoring system, in which failure to adhere to one part of the bundle resulted in a failure to adhere to any of it. For example, one of the bundles focuses on reducing labor augmentation which involves the use of oxytocin, a drug intended to slow labor.

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