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White House targets medical errors

The Obama administration partners with hospitals, private insurers and others in a broad new initiative to reduce infections and other preventable conditions in patients.

April 13, 2011|By Noam N. Levey, Washington Bureau
  • Ambulances line up at the Bellflower Medical Center in Bellflower, Calif. The Obama administration announced Tuesday an initiative aimed at reducing the number of medical errors that occur in U.S. hospitals.
Ambulances line up at the Bellflower Medical Center in Bellflower, Calif.… (Allen J. Schaben / Los Angeles…)

Reporting from Washington — The Obama administration announced a broad new initiative Tuesday to reduce medical errors, partnering with private insurers, business leaders, hospitals and patient advocates to tackle a problem that kills thousands of Americans every year.

The campaign, funded by the healthcare overhaul the president signed last year, aims to cut by 40% over the next three years the number of harmful preventable conditions such as infections that patients acquire in the hospital.

And it seeks to cut readmissions to hospitals 20% by encouraging better care for patients after they leave.

"Those are big goals," said Dr. Don Berwick, a leading national advocate for patient safety who oversees the federal Medicare and Medicaid programs. "But the results for patients and families will be dramatic — millions of people … suffering less, tens of thousands of deaths averted, and anguish and worry decreased beyond measure."

Concern about medical errors and the danger of hospital-acquired infections has been building for more than a decade amid evidence that the nation's hospitals are not as safe as commonly believed.

One recent study published in the journal Health Affairs estimated that 1 in 3 hospital patients experienced an "adverse event" such as being given the wrong medication, acquiring an infection or receiving the wrong surgical procedure.

Though top-performing institutions across the country have made dramatic improvements in reducing errors, many healthcare experts and patient advocates think progress has been slow.

"We can't keep going at the pace we are going," said Sorrel King, a patient advocate whose 18-month-old daughter, Josie, died in 2001 when she was given the wrong medication at Johns Hopkins Medical Center, where she was being treated for burns.

The new healthcare law provides billions of dollars to improve care by rewarding hospitals and physicians that meet higher standards, such as lowering readmissions that result from poor care.

In coming months, the Obama administration plans to hand out $500 million in grants to community-based organizations that partner with hospitals to develop programs targeting patients immediately after they are discharged. Research has shown this is a crucial time for patients, a period in which the right follow-up care can prevent complications that result in costly and potentially dangerous readmissions.

The administration also plans to spend $500 million to test models for reducing nine types of medical errors, including surgical site infections, pressure ulcers and complications from childbirth.

Administration officials have been working to build a coalition of healthcare providers to support the quality initiative, which many think will ultimately save billions of dollars.

"As business has demonstrated in various industries over the last three decades, quality costs less, not more," said David Cote, chief executive of manufacturing giant Honeywell, who joined Health and Human Services Secretary Kathleen Sebelius as she announced the Partnership for Patients initiative.

The campaign has won the backing of hospital groups, leading insurers, physician groups such as the American Medical Assn. and consumer groups such as Consumers Union.

Debra Ness, president of the National Partnership for Women and Families, a leading patient advocacy group, said that the quality initiative was particularly important at a time when some in Congress are pushing to slash billions of dollars in federal support for healthcare programs like Medicare and Medicaid.

"It's initiatives like this that get to the root of the problem … not cutting services," Ness said.

noam.levey@latimes.com

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