Corporate Compliance

OIG concerned about adverse events case study results

Healthcare Auditing Weekly, December 23, 2008

In a case study of adverse incidents among Medicare beneficiaries, the OIG found that 15% of a random sample of hospitalized Medicare beneficiaries in two select counties experienced an adverse event during their stay.

The OIG reviewed a random sample of 278 hospitalized Medicare beneficiaries in the two counties. With the help of physician reviewers, OIG auditors also determined whether the occurrences were on the National Quality Forum’s list of never events, CMS’ list of hospital-acquired conditions (HACs), or both. Fewer than 1% experienced a never event, while 4% experienced a HAC.

Although the OIG acknowledged in its report that the results are not nationally representative, it expressed concern about the “extent of adverse events and temporary harm found in this case study . . .” The Tax Relief and Health Care Act of 2006 mandates such reports from the OIG.


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