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Lack of federal-level hospital oversight leaves patients suffering

By Anne Zieger

Patients around the country may be suffering with expensive, inadequate care due to the lack of a federal agency charged with hospital oversight.

Instead of one centralized agency for oversight, the U.S. relies on a hodge-podge of state health departments, combined with the Joint Commission. And often, even when hospitals have been found not to meet minimum quality standards, the agency overlooking them doesn't have the power to actually close the hospitals or even slap them with significant financial penalties.

Part of the problem is that even though a hospital may not be very good, it is generally still a major employer in its area. So if it is threatened with closure or cuts, the community rallies around it to save jobs.

Often, the only agencies actively trying to ensure that national standards are met are the Joint Commission and Medicare. But a non-profit can only do so much, and Medicare's intent was to provide healthcare for the elderly, not to police quality infractions. Medicare can, and does, leverage its spending to encourage quality improvement, but it doesn't have strong enough enforcement powers to forcibly take the lead.


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Becoming a More Empowered Patient

First, we have chosen to share a video by Consumer Health Choices: Talking With Your Doctor. In it you will see how preparing for you appointment can make a difference.

We have chosen a second video by the National Patient Safety Foundation: AskMe3, to share with you. Here, you learn that there are three important questions to ask your doctor whenever you see him or her.

Finally, we are sharing a series of videos by Dartmouth-Hitchcock:
Self-Advocacy: The Empowered Patient,
Self-Advocacy: Preparing for your Visit,
Self-Advocacy: Why It's Important To Share and
Self-Advocacy: Doing Research.

For the complete story, please click here

5 Things to Know

  1. What you need to know in the Hospital
  2. 15 Steps You Can Take To Reduce Your Risk of a Hospital Infection
  3. Selecting Doctors & Hospitals
  4. What to do to avoid medication error
  5. AHRQ Director Helps Consumers Navigate the Health Care System in a New Advice Column on the Web

You've Suffered Medical Harm - Now What Do You Do?

According to a recent article published by ProPublica titled: So You’ve Become a Patient Safety Statistic – Now What? by Marshall Allen there are six things to do….

  1. Get a copy of medical records.
  2. Make sure the incident is reported internally.
  3. If the patient has died, order a forensic autopsy.
  4. Consider calling an attorney.
  5. Meet with the doctor and hospital officials.
  6. Report the incident to regulators, who can investigate.

For greater detail and more important information, please read the full article.