February 6, 2017
Is Your Hospital Safe?
This is a very alarming article and some of the information I was not aware of, especially how often hospitals avoid reporting information. It appears that I need to work with my federal and state legislators to develop laws mandating reporting adverse events and assessing fines when they don't report them.
I would say that the hospital actions are in the criminal level. It is a shame that we have to rely on a newspaper originating outside the United States for information like this. Yes, a recent report by Reuters details how hospitals around the country are negligent when it comes to reporting outbreaks of antibiotic-resistant infections, and it's costing lives.
Between 2008 and 2011, twenty-one patients were infected with a deadly, drug-resistant bug at St. Anthony’s Medical Center in St. Louis, Missouri. The hospital didn’t think the number of cases warranted reporting to state health authorities. In 2009, a patient named Richard Armbruster, who was in St. Anthony’s for a hip replacement, died two days after contracting the infection. His daughter told Reuters, “Had [the outbreak] been reported to the authorities and the story picked up by the media, there is NO WAY we would’ve allowed by Dad to have his surgery there.”
Twenty-two patients were infected with a drug-resistant “superbug” in Ohio, causing seven deaths. The outbreak was able to spread through a hospital and seven long-term care facilities because they did not warn each other when infected patients were transferred.
Generally, states require hospitals to report an outbreak within twenty-four hours, but hospitals are given lots of leeway in determining what constitutes an “outbreak.” This leaves room for hospital administrators to downplay the seriousness of an outbreak to keep the patients—and the dollars—rolling in.
Hospitals are rarely held accountable, and when they are, states rarely dole out any punishment. Reuters reports that thirty-six states are able to impose civil or criminal penalties—yet none of those states did so in the last five years. When states release reports on outbreaks, they lack basic information: in sixteen states, the name of the facility must be removed.
Meanwhile, Medicare favoritism toward hospitals (the government pays far more for the same procedure if the doctor works for a hospital) has driven most private practices out of business. They have been forced to sell out to —who else? —hospitals!
This is our crony medical system: a system that cares about and looks after hospitals (and pharmaceutical companies) rather than patients.
Yes, I will be attaching a copy of this article and sending an accompanying letter to my federal and state legislators recommending investigation and action to reign this from happening more often and if necessary imposing penalties for violations. Because hospitals are needed, I would recommend the penalties be imposed on the hospital administrators.