Thursday, October 02, 2008

Bill of Rights: Mental Hlth "Reasonably Preventable' condition: as w/ medical illnesses, so should Medicare/ Medicaid respond to mental health issues

What might be the mental health 'reasonably preventable' conditions on a list associated w/ non-payment by Medicare and Medicaid?

1. too many violations and the hospital should be shut to CMS e.g., Cherry Hospital & Broughton Hospital (Medicare and Medicaid paying patients; problem is, the NC tax-payers then picked up the tab when somehow it should come out of the hide if the hospital administrators)

2. beating or physical abuse of the patients should cause Medicare/ medicaid not to pay the hospital bill

3. there are no invasive procedures as associated w/ mental health treatment save for ECT but medication mistakes and/ or ignoring somnolent patients who have been administered psychotropic meds, as was Steven Sako at Cherry Hospital, should cause the hospital to eat the hospital bill----and by that I do not mean that the tax-payers should pay it. Again, the administration should be responsible for turning up the money.

Medicare Won’t Pay for Medical Errors (cut and paste)

by Kevin Sack

ST. PAUL — If an auto mechanic accidentally breaks your windshield while trying to repair the engine, he would never get away with billing you for fixing his mistake. On Wednesday, Medicare will start applying that logic to American medicine on a broad scale when it stops paying hospitals for the added cost of treating patients who are injured in their care.

Dr. Peter Cole with Cynthia Kehborn prior to her surgery at Regions Hospital in St. Paul, Minn. Mr. Cole's initials are written on Ms. Kehborn's leg to indicate which ankle to operate on.

Medicare, which provides coverage for the elderly and disabled, has put 10 “reasonably preventable” conditions on its initial list, saying it will not pay when patients receive incompatible blood transfusions, develop infections after certain surgeries or must undergo a second operation to retrieve a sponge left behind from the first. Serious bed sores, injuries from falls and urinary tract infections caused by catheters are also on the list.

Officials believe that the regulations could apply to several hundred thousand hospital stays of the 12.5 million covered annually by Medicare. The policy will also prevent hospitals from billing patients directly for costs generated by medical errors.


Blogger R Jackson said...

Again, I think your blog for the most part is accurate. However, your approach is not condusive to getting anything done and makes you appear aggresive and cynical.

If you want to point out the inefficiences of our government (which I agree with you on)you're not going to get anywhere by being sarcastic and bombastic.

Your name and blog has been mentioned by providers and others and typically it's with a laugh. This is not the type of credibility we want to garner to bring attention to the issues and joke that is mental health reform.

11:52 PM  

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