Homeless people tend to have trust issues, but when Phil Costello approaches they typically greet him like family. That’s because Costello, the clinical director for homeless care at Cornell Scott-Hill Health Center in New Haven, puts effort into building relationships and trust so he can get people the medical care they need. Quentin Staggers, homeless for nearly a decade, credits Costello with saving his life. He awoke one day on a bench on the New Haven Green with a blinding headache. He saw Costello and asked for help.
Connecticut consumers were billed for more than $1 billion in facility fees for outpatient services in 2015 and 2016, documents filed with the state Office of Health Care Access (OHCA) show. Twenty-two of Connecticut’s 30 hospitals charged these fees, bringing in $600.7 million in 2015 and another $488.8 million in 2016, according to an analysis by Conn. Health I-Team. The state’s two largest hospital systems, Yale New Haven Health and Hartford HealthCare, accounted for almost half of the total facility fee revenue in 2016. Yale and its four hospitals billed $144.3 million; Hartford and its five hospitals, $80.9 million.
About half of Connecticut hospitals—15 out of 31—will lose part of their Medicare payments in 2018 as a penalty for having relatively high rates of patients who acquired preventable injuries and infections while hospitalized. The hospitals are among 751 nationwide that will lose 1 percent of their Medicare reimbursements in this fiscal year. The penalties are part of the Centers for Medicare and Medicaid Services’ (CMS) Hospital-Acquired Condition Reduction Program, which is part of the Affordable Care Act. The program penalizes hospitals with the highest rates of patients who got infections from hysterectomies, colon surgeries, urinary tract catheters and central line tubes. It also tallies those who suffered from blood clots, bed sores or falls while hospitalized.
An ever-increasing number of women in the state are drinking to excess, state and federal data show. Statewide, female admissions to acute hospital emergency departments for alcohol-related reasons rose by 4.8 percent between fiscal years 2012 and 2016, according to the Connecticut Hospital Association. The female-only Eden Hill Recovery Retreat in Canaan fills an average of 10 to 12 beds per month; earlier in the center’s eight-year history, rarely were there more than eight beds occupied at a time. Researchers at the Yale School of Medicine note an increase in the number of women enrolling in studies that examine the effectiveness of a medication to curb one’s desire to drink alcohol. The uptick in problem drinking among women in Connecticut mirrors a national trend.
The overall number of “adverse events” reported by Connecticut hospitals declined in 2016, but sexual assaults more than doubled, according to a new state report. The Department of Public Health (DPH) report shows that hospitals reported a total of 431 medical errors in 2016, down about 5 percent from 456 in 2015. But there were 24 reports of sexual abuse or assault on a patient or staff member within or on the grounds of a health care setting last year, up 140 percent from 10 cases in 2015, the report said. A majority—22 cases—happened at acute care hospitals. St.
Nearly half of Connecticut hospitals – 14 out of 31 – will lose a portion of their Medicare payments in 2017 as a penalty for having too many patients who acquired preventable infections and injuries while hospitalized. The hospitals are among 769 nationwide that will lose one percent of their Medicare reimbursements this year as part of the Centers for Medicare and Medicaid Services’ (CMS) Hospital-Acquired Condition Reduction Program. The CMS program, now in its third year, penalizes the lowest-performing hospitals where a relatively high number of patients got infections from hysterectomies, colon surgeries, urinary tract catheters and central line tubes. It also takes into account patients who suffered from blood clots, bed sores or falls while hospitalized. New this year, CMS also factored in the incidents where antibiotic-resistant bacteria – namely, methicillin-resistant staphylococcus aureus (MRSA) and Clostridium difficile (C.
Connecticut hospitals reported increases in patient deaths or serious injuries due to falls and medication errors in 2015 compared to 2014, but an overall drop in “adverse events,” according to a new state report. The report, by the Department of Public Health (DPH), shows that the total number of medical errors dipped by 3 percent – from 472 in 2014, to 456 in 2015. There were 90 instances when patients died or were seriously injured in falls, up from 78 in 2014. Seven falls that resulted in injury or death were reported at Yale New Haven Hospital, St. Vincent’s Medical Center and UConn’s John Dempsey Hospital.
The rates of asthma-related emergency room visits and hospitalizations dropped in many Connecticut communities, the latest data from the state Department of Public Health show. Overall, 58 percent of communities saw a decrease in the age-adjusted rate of emergency room visits, while 63 percent saw a decrease in the rate of hospitalizations for asthma, according to a C-HIT analysis of the data. Some 36 percent saw improvement in both areas. The data compares age-adjusted rates for each town for 2005-2009 and for 2010-2014 per 10,000 people. Meanwhile, the state’s overall rate for emergency room visits in 2014 was lower than recent years but still was higher than it was 10 years ago.
Health care organizations’ information technologies and workflows often don’t support each other, according to a patient care-focused nonprofit that flagged the problem as one of the top safety issues facing the industry. The ECRI Institute, which recently released its third annual ranking of the Top 10 Patient Safety Concerns for Healthcare Organizations, reported that patient identification errors and inadequate management of behavioral health issues in non-behavioral health settings were its No. 2 and No. 3 issues for health care organizations. When a health IT system is introduced, health care organizations should tailor it to their workflow, and vice versa, according to ECRI, which is based in Pennsylvania.
Patients billed for a facility fee for outpatient hospital services will get a clearer explanation of the charge, under legislation taking effect Friday. Connecticut has taken various steps to educate patients about the fees. The latest changes, passed this year as part of a broader health care bill, put further mandates on institutions that charge the fees. Patients have complained they were blindsided by the fees on their medical bills, and patient advocates say the fees are difficult to understand. A facility fee is charged by a hospital or health system for outpatient services provided in a hospital facility, intended specifically to compensate the facility for operational expenses.