Republican lawmakers on Monday told the CMS they are concerned the agency may not be doing enough to prevent patient abuse in skilled-nursing facilities.
In a letter to CMS Administrator Seema Verma, members of the House Energy and Commerce Committee highlighted recent media reports describing instances of abuse, neglect and patient harm occurring at nursing facilities across the country.
“These reports raise serious questions about the degree to which the CMS is fulfilling its responsibility to ensure federal quality of care standards are being met, as well as its duty to protect vulnerable seniors from elder abuse and harm in facilities participating in the Medicare and Medicaid programs,” the letter stated.
A group of Johns Hopkins physicians and researchers has published an article in the Journal of Hospital Medicine suggesting that data on mortality and hospital readmission used by the United States Centers for Medicare and Medicaid (CMS) suggest a potentially problematic relationship.
Daniel J. Brotman, M.D., and his colleagues examined three years of CMS’s publicly available data from hospitals across the US. They looked at nearly 4,500 acute-care facilities’ hospital-wide readmission rates and compared them with those facilities’ mortality rates in six areas used by CMS: heart attack, pneumonia, heart failure, stroke, chronic obstructive pulmonary disease (COPD) and coronary artery bypass.
The researchers found that hospitals with the highest rates of readmission were actually more likely to show better mortality scores in patients treated for heart failure, COPD and stroke.
Hospital readmission, an important measure of quality care, costs the United States an estimated $17 billion each year. And according to the Centers for Medicare and Medicaid Services (CMS), about half of those readmissions could be avoided.
Therefore, there is significant interest in identifying factors that influence readmission rates, especially those that can be identified prior to discharge. To pinpoint which stroke patients are most at risk, researchers at Wake Forest Baptist Medical Center undertook a retrospective case-control study to determine factors associated with readmission within 30 days. The study is published in the June 11 online edition of the American Journal of Medical Quality.