Most Connecticut hospitals will lose some of their Medicare reimbursement payments over the next year as penalties for having too many readmitted patients, according to new data from the Centers for Medicare and Medicaid Services (CMS). Statewide, 25 of the hospitals evaluated – or 89% – will have reimbursements reduced, to varying degrees, in the 2021 fiscal year that started Oct. 1, according to a Kaiser Health News analysis of CMS data. Nationwide, almost half of hospitals, or 2,545 of them, will have their Medicare reimbursements cut, according to Kaiser Health News. The latest penalties were calculated using data from June 2016 through June 2019, meaning the influx of patients to hospitals seen amid the pandemic didn’t factor in.
In Connecticut nine hospitals, including Yale New Haven Hospital, Greenwich Hospital, Lawrence + Memorial Hospital and Sharon Hospital, received an overall 4-star rating, new data from the Centers for Medicare & Medicaid Services (CMS) show. But six hospitals – Bridgeport Hospital, Griffin Hospital, St. Vincent’s Hospital in Bridgeport, Manchester Memorial Hospital, Waterbury Hospital and Charlotte Hungerford Hospital – received the lowest overall rating of 1 star. The overall ratings summarize a variety of care measures that hospitals treat patients for, such as heart attacks, pneumonia and infections, and show how well each hospital performs on average compared to other hospitals in the country, according to CMS’ website. None of the state’s 28 hospitals received CMS’ highest rating of 5 stars.
Fifteen Connecticut hospitals will lose 1 percent of their Medicare reimbursements this fiscal year as penalties for having relatively high rates of hospital-acquired conditions, data from the Centers for Medicare & Medicaid Services (CMS) show. The hospitals are among 800 nationwide being penalized – the highest number since the federal Hospital Acquired Conditions Reduction Program started five years ago, according to a Kaiser Health News (KHN) analysis of the CMS data. The penalties will be levied during the current fiscal year, which began in October 2018 and runs through September. Under the program, which was created by the Affordable Care Act, the government levies penalties based on hospitals’ rates of infection related to colon surgeries, hysterectomies, urinary tract catheters and central lines inserted into veins. It also reviews infection rates for Methicillin-resistant Staphylococcus aureus, or MRSA, and Clostridium difficile, known as C. diff, as well as rates of blood clots, sepsis, post-surgery wounds, bedsores and hip fractures, among other injuries.
Cancers linked to the human papillomavirus (HPV) rose dramatically in a 15-year period, even as the rates of young people being vaccinated climbed, the Centers for Disease Control and Prevention (CDC) reported. The 43,371 new cases of HPV-associated cancers reported nationwide in 2015 marked a 44 percent jump from the 30,115 cases reported in 1999, according to a CDC analysis. HPV vaccination rates have improved over the years, but not fast enough to stem the rise in cancers, the CDC said. Oropharyngeal (throat) cancer was the most common HPV-associated cancer in 2015; accounting for 15,479 cases among males and 3,438 among females, the CDC data show. HPV infects about 14 million people each year and between 1999 and 2015 rates of oropharyngeal (throat) and vulvar cancer increased, vaginal and cervical cancer rates declined, and penile cancer rates were stable, according to the CDC.
The state Medical Examining Board Tuesday disciplined five doctors, including fining a Danbury obstetrician $5,000 for her lapses in care in connection with a baby girl’s death during delivery at Greenwich Hospital in June 2015. The board also reprimanded Dr. Marjan Hedayatzadeh and found that she failed to make an adequate assessment of the baby’s well-being and failed to order an ultrasound of the baby and her twin brother, a consent order that Hedayatzadeh agreed to with the board said. The order also said that Hedayatzadeh failed to accurately monitor the baby girl’s heart rate during three hours of labor and delivery, the consent order said. In signing the order, Hedayatzadeh did not contest the allegations or admit wrongdoing, the order said. The doctor has completed courses in fetal heart monitoring in the case of twin pregnancies and is now working under a protocol that requires an ultrasound in the case of all labor and deliveries, the order said.
There’s no denying it: most of us are stressed. Stress levels in the country are at their highest in at least a decade, research shows, and a recent American Psychological Association (APA) study found two-thirds of respondents feel stressed about the future. To learn about the leading sources of stress, how stress affects your health and how to reduce stress, the Connecticut Health I-Team will host a community forum, “Getting Ahead of Stress: A Primer on Medicine, Mental Health and Mindfulness,’’ from 5 to 7:30 p.m. on Oct. 5, at the Frank H. Netter MD School of Medicine at Quinnipiac University, 370 Bassett Road in North Haven. The free event is open to the public and you can register here.
A growing number of women are getting hurt by falling, and they are much more likely to suffer fall-related injuries than men, data show. From 2011 to 2014, 51 women per 1,000 population were hurt in falls, up from 47 per 1,000 from 2005 to 2008, according to recent data from the National Center for Health Statistics and the Centers for Disease Control and Prevention (CDC). Falls were the most common cause of nonfatal injuries to women, the report found, and significantly outpaced injuries from overexertion, the second leading cause of injury that afflicted just 14 per 1,000.
Hormone-related changes associated with menopause are the main reasons women are so prone to falling, especially as they age, said Dr. Karen Sutton, an orthopaedic surgeon, director of Women’s Sports Medicine at Yale New Haven Hospital, and associate professor of orthopaedics and rehabilitation at the Yale School of Medicine. “Their muscles are weaker, their bones are weaker,” she said, since hormone changes lead to reduced bone mass and the onset of osteoporosis in many women.
Clattering carts, overly bright lights and frequent disruptions make hospitals a tough place to get a good night’s sleep. But now, hospitals across Connecticut are launching efforts to help patients sleep longer and better. At Yale-New Haven Hospital, researchers are expanding a pilot program that successfully reduced noise in the medical ICU and kept staff out of patient rooms overnight. At Hartford Hospital, where noise levels sometimes resembled airport runways, they’ve eliminated overhead paging on patient floors except in true emergencies. And Stamford Health’s new hospital building, slated to open in September, is designed with sleep in mind.
Nationally, at least one in five military veterans who experience trauma are at a heightened risk for depression, suicide or substance abuse but are often overlooked in clinical settings because they don’t fit the criteria for post-traumatic stress disorder (PTSD), according to a Yale University-led study. The research, published June 1 in the World Psychiatry journal, examined sub-threshold PTSD, which occurs when someone experiences trauma-related symptoms that aren’t severe or long-lasting enough to warrant a PTSD diagnosis. The study, which included 1,484 veterans nationwide, found 8 percent were diagnosed with PTSD but more than 22 percent met criteria for sub-threshold PTSD. Also, in addition to 4.5 percent of veterans diagnosed with PTSD within the last month, 13 percent had sub-threshold symptoms, the study reported. Veterans with sub-threshold PTSD had a 20 percent chance of suffering from major depression in their lifetimes, compared with about 4 percent of veterans without sub-threshold symptoms, the study found.
The high cost of insulin, which has risen by triple-digit percentages in the last five years, is endangering the lives of many diabetics who can’t afford the price tag, say Connecticut physicians who treat diabetics. The doctors say that the out-of-pocket costs for insulin, ranging from $25 to upwards of $600 a month, depending on insurance coverage, are forcing many of their low-income patients to choose between treatment and paying their bills. “Some of my patients have to make the choice between rent or insulin,” said Dr. Bismruta Misra, an endocrinologist with the Stamford Health Medical Group. “So they spread out taking insulin [injecting it less frequently than a doctor has prescribed] or don’t take it.”
Experts and recent studies point to drug companies’ long-standing patents and the lack of generic or “biosimilar” insulin as key reasons why the drug is so expensive. A study by Philip Clarke, a professor of health economics at the University of Melbourne in Australia, reported that the price of insulin has tripled from 2002-2013.