The Centers for Medicare & Medicaid Services (CMS) announced this month that 758 of the nation’s hospitals – about 23 percent of all eligible hospitals — would be penalized for patient safety lapses in the second year of the Hospital-Acquired Condition Reduction Program, which was mandated by federal health care reform. The penalties are based on rates of infections and other complications that occurred in hospitals between 2012 and 2014.
The 18 hospitals in Connecticut include larger urban institutions, such as Yale-New Haven, Hartford and Bridgeport hospitals, and smaller hospitals, such as Manchester Memorial and Windham. They are among hospitals in the worst performing quartile nationally on patient-safety measures including the frequency of central-line and catheter-related infections, post-operative sepsis and accidental laceration.
Twelve of the 18 Connecticut hospitals are being penalized for the second year in a row. They are: Bridgeport, Danbury, John Dempsey, Hartford, Manchester Memorial, Hospital of Central Connecticut, Yale-New Haven, Norwalk, Stamford, Waterbury, Windham and Connecticut Hospice. The six hospitals penalized for the first time are: Greenwich, St. Francis Hospital & Medical Center, Middlesex, Lawrence + Memorial, Charlotte Hungerford and Saint Mary’s.
While nearly a quarter of all eligible hospitals nationally are subject to penalties, a higher proportion – close to 60 percent — of Connecticut’s hospitals are facing penalties.
In total, Medicare expects the penalties will cost hospitals $364 million in fiscal year 2016. About half of the hospitals cited this year were also penalized in 2015.
In releasing the 2016 penalties, Medicare said that the average hospital performance improved for central line-associated blood stream infections and composite safety measures since 2015. Rates of catheter-associated urinary tract infections increased slightly.
The patient safety sanctions are among several programs that Medicare uses to penalize underperforming hospitals. Hospitals also are penalized for high rates of readmitting discharged patients, and for poor performance on certain clinical and mortality-rate measures.
In Connecticut, 28 hospitals will lose Medicare reimbursement in 2016 for relatively high 30-day readmissions of patients with heart failure and other conditions.
Lisa Freeman, director of the Connecticut Center for Patient Safety, said that while the state’s hospitals have made progress through a statewide initiative to eliminate preventable harm, they “need to be doing much better in terms of advancing their cultures of patient safety . . .
“Each avoidable complication leading to patient harm is happening to a person – a mother or a father, sister, brother or a child,” she added. “It is not only a statistic.”
Dr. Mary Cooper, vice president and chief quality officer of the Connecticut Hospital Association (CHA) – noting that the data for the 2016 penalties date back to 2013 and 2014 — said hospitals have made progress in the last several years in reducing blood stream and catheter-related infections.
“We do see a fairly significant reduction in preventable infections, blood clots and pressure ulcers in the last few years,” she said. “Everyone is improving, everyone is working hard, but we have to do better . . . One preventable complication is one too many.”
Some hospital officials have criticized the penalty program as misguided, noting that Medicare is required to punish a quarter of hospitals nationwide each year, regardless of whether individual hospitals have shown significant improvements over time.
Cooper said that hospital leaders in Connecticut are committed to moving towards “zero harm” to patients. Connecticut hospitals have been recognized nationally for 100 percent participation in a statewide initiative to become “high reliability organizations,” a program focused on patient safety that has trained more than 10,000 staff and physicians.
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