Wednesday, December 23, 2015
Stupid hospital tricks
How? They make their readmission numbers look good by putting patients who return with problems after a procedure in a special observation area instead of showing them as readmissions. A report from the Agency for Healtcare Research and Quality shows a reduction in complications--but it is because of the way hospitals "code" those ailments.
Sure, there have been improvements in health care--but this is not really tracked. Patients get a new heart, but this isn't followed once they go home--that sort of thing. Or we try to determine the success of knee surgery by readmission rates--not how the patient is walking in three months.
Only about 1% of medical care is tracked, according to Makary.
He also decries the medical culture--it's see something, DON'T say something.
He recommends doctor groups and others deciding on ways to measure outcomes.
Who would benefit? Maybe you!