A contaminated anticancer drug made by one of China's largest pharmaceutical companies underscores how quality-control problems continue to plague the Chinese drug industry. There is no sign the tainted leukemia drug was exported. But the case provides a cautionary tale as Western pharmaceutical companies start outsourcing some manufacturing to China.
For Americans who listened to President George W. Bush give his final State of the Union speech Monday night, it was the same old story when it comes to healthcare.
Our president told us he wants to see more affordable and accessible healthcare, tax breaks for those without health insurance and an end to junk medical lawsuits. Nothing new there. The president has touted these changes in each of his annual addresses since he first took office in 2001. Hearing the same things year after year, it's easy to believe that the president has achieved little in healthcare during his seven years in office.
That isn't to say that things are just as they were in 2001. The cost of healthcare continues to skyrocket. Frivolous medical malpractice suits continue. Emergency rooms are overburdened. The number of uninsured Americans continues to grow. Hospitals continue to make high profile errors, putting patient lives at risk.
Perhaps the thing that President Bush has made the most progress on is something that he didn't specifically mention during Monday's address: Electronic medical records. First mentioned in his 2004 State of the Union speech, President Bush put forth an effort to have electronic records available to most health consumers by 2014 to improve the quality of healthcare that Americans receive. His idea was to make sure that no matter where a patient sought care, caregivers would have complete access to the patient's medical history and information. Doctors would know what medications the patients were taking, what they were allergic to, and what ailments they've experienced before. There would be no more duplicate tests, no medication interactions, no allergic reactions. Preventing these three things alone could not only make patient care better, but save hospitals and insurance companies money in the long run.
So where are we on this effort? In 2006, the U.S. Department of Health and Human Services put out a report about the Health Information Technology Initiative, outlining its progress on gathering information and creating uniform standards for electronic record use. The first national coordinator for health IT, an advisor to the secretary of HHS, was appointed to give advice on the actions needed to make electronic records a reality. Committees were formed to examine health IT products, security, anti-fraud activities, standardized adoption methods, best practice guidelines and more. One of these committees, the Certification Commission for Healthcare Information Technology, certified 37 electronic health record products for use in clinician offices in 2006.
Despite these efforts, though, Congress hasn't passed health IT legislation during the last two years and funding has been scant. A report released January 18 by the California HealthCare Foundation questions the effectiveness of the Nationwide Health Information Network initiative. CHF calls the goal "worthy," but "impractical" and says it "cannot be implemented."
CHF makes sure to point out that it believes the president's goal of health IT adoption by 2014 is still possible, and has been successful in laying the foundation for health IT and electronic health record adoption. "Yet, it cannot be said that the nation is substantially closer to a ubiquitous, interconnected, interoperable HIT system now than when the president called for action in April 2004," the report says.
So, what do you, a Quality Leader, think? Are we any closer to having electronic health records connect our doctors' offices, hospitals and clinics? Will we see a day where we'll know everything about a patient's medical history the second they walk in the door? If we do, will it improve the quality of American healthcare, as the president proclaimed during his 2004 speech? Will these efforts be interrupted by the change in power that our country will see this time next year?
It remains to be seen who will lead us to the year 2014, or the commitment that leader will have to seeing the health IT initiative through. I'm interested to hear what you think about our health IT progress and whether technology is truly the solution to improving quality and solving America's healthcare problems.
The hospital-specific HCAHPS reports posted at QualityNet Exchange for preview contain an error in four of the composite scores. According to the Centers for Medicare & Medicaid Services, a mathematical error dramatically reduces the proportion of patients who rate hospitals as "always" doing the right thing and inflates the proportion who rate hospitals as "usually" doing the right thing. The error affects composite scores 3-6, which deal with responsiveness of staff, pain management, communication about medications and discharge information.
Florida's Healthy Start program has opened a prenatal outreach center in Martin County, helping more than 75 pregnant women get the medical care they need. The staff helps the women get temporary Medicaid, schedules their first doctor appointments, answers questions and enrolls them in pregnancy classes. Martin County lags behind the state's record in prenatal care, according to statistics from the county Healthy Start Coalition. In Florida, 76.8 percent of pregnant women begin prenatal care in the first trimester, but in Martin County, that number is 56.8 percent.
A new study has shown that doctors and nurses that often skip soap and water in favor of an alcohol-based hand gel, had no bearing on the rate of infections among patients. The doctor who studied the problem pointed to many villains: Rings and fingernails that are too long and hard to clean, poor handling of catheters and treatment areas that aren't sanitized. The study appears in the January issue of Infection Control and Hospital Epidemiology.
Substandard care at a southern Illinois Veterans Affairs hospital may have contributed to 19 deaths over the past two years. The hospital in Marion, IL, initially drew scrutiny over deaths connected to a single surgeon, but two federal reports found fault with five other doctors. The hospital undertook many surgeries that its staffing or lack of proper surgical expertise made it ill-equipped to handle, and hospital administrators were too slow to respond once problems surfaced.