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Top 10 Quality Issues for 2013

Cheryl Clark, for HealthLeaders Media, January 7, 2013

4. Compounding conundrum
With 39 people dead and 656 patients sickened so far from meningitis due to fungus-infected steroid injections supplied by the New England Compounding Center in Framingham, MA, hospitals and physicians that have relied on compounding sources should be giving their supply chain a very tough look.

In addition to double-checking the credentials and safety ratings of their sources, the Centers for Disease Control and Prevention in December advised clinicians to be on the lookout for patients with any symptoms near the site of their injection.

5. Patient experience survey expanding
Don't look now, but CMS is proposing to add five questions to its 27- Hospital Consumer Assessment of Healthcare Providers and Systems survey.

Three are designed to get a better idea whether hospitals are giving patients appropriate help as they're discharged home or to another facility.

They are:

  1. During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my healthcare needs would be when I left.
  2. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.
  3. When I left the hospital, I clearly understood the purpose for taking each of my medications.

Two other questions are intended to determine the patient's mental status and urgency in seeking care.

  • During this hospital stay, were you admitted to this hospital through the Emergency Room?
  • In general, how would you rate your overall mental or emotional health?

These questions for now are being added just to the inpatient quality reporting lineup, and not to be used for evaluating whether hospitals receive value based purchasing incentive payments. That may be just a matter of time.

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2 comments on "Top 10 Quality Issues for 2013"


Jim Blair (1/9/2013 at 6:11 AM)
I see little concern about the physical safety and security of the locus of care. You can't cure them if you can't keep them safe from all hazards.JB

Betty Noyes (1/8/2013 at 3:11 PM)
I really understand the frustrations, efforts and costs that are required in compliance with new regulations... But please in your articles, do NOT loose site of the GOAL.. Better Patient Care .. higher quality, more safety.. and ultimately less cost.. It is the intrinsic Values we hold in health care that need to be acknowledged and serve as a vision for our future. The purpose and goals of ACO is not to make life more miserable.. but rather to achieve the mutual goals of higher quality/safety and less cost.. Lets try to reach those goals.. We are good.. but we can be Better!!