Leah Binder Wants Your Hospital Data

Cheryl Clark, for HealthLeaders Media , July 18, 2013

Binder notes that the AHA makes many of these arguments in its 58-page comment letter to CMS' proposed rules for paying hospitals for care of Medicare patients to take effect Oct. 1.

In one of the AHA passages I read, the industry group wants CMS to reconsider implementing a provision specified in the Patient Protection and Affordable Care Act that requires imposition of a 1% Medicare penalty or pay cut for hospitals with hospital-acquired condition rates that are the highest 25% bracket, starting Oct. 1, 2014.

"The selected measures (in the HAC rule) were selected using a flawed process and have significant methodological problems," the AHA wrote. And, it said, "the proposed scoring methodology would not meaningfully differentiate hospital performance," and would "disproportionately harm teaching hospitals and large hospitals [400 beds and over] that tend to care for sicker patients."

Binder seems to suggest that the hospital group is being disingenuous. In one letter to CMS, the AHA argues for delaying finalizing measures requiring public reporting and penalties for hospital-acquired surgical site, methicillin-resistant staphylococcus aureus, and C. difficile infections, "until performance on these measures has improved."  

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2 comments on "Leah Binder Wants Your Hospital Data"

Leah Binder (7/19/2013 at 10:32 AM)
Ms. Dyster, Thank you for participating in Leapfrog. And congratulations on making Truven's Top 100 list. It is very encouraging to all of us at Leapfrog to hear from leaders like you committed to transparency and making clear progress. With regard to medication errors, we use a proxy measure on the Leapfrog Survey[INVALID]CPOE adoption coupled with the evaluation tool on its effectiveness. The research is strong that this standard gives consumers critical information about a hospital's likelihood of medication errors (and gives hospitals information available nowhere else about the performance of their CPOE systems). Of course, best would be a measure of the prevalence of medication errors in each hospital. We're always looking for advances in measurement science that would allow us to add that to the survey.We await the scientists.

Ruth Dyster (7/18/2013 at 5:01 PM)
Ms. Binder, I have long been an advocate for this hospital reporting to Leapfrog. This year, for the first time we submitted data. We are a good hospital, Truven Top 100, but not a perfect hospital. I think you answered your own question and desire. Until a measure is defined for Medication Errors, how can they be reported. I suppose you are very much involved with others in the quality arena in devising such a definition - I hope so and applaud your efforts




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