SDW news brief: Medicare rule may discourage brain CTs in ED
Staff Development Weekly: Insight on Evidence-Based Practice in Education, October 28, 2011
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Headache patients who come to the ED could die or become permanently disabled for lack of a brain CT to detect hemorrhage or tumors, all because of a new Medicare quality rule poised to take effect Jan. 1.
That may sound overly dramatic. But anger over the coming rule echoed through many sessions of the American College of Emergency Physicians scientific assembly in San Francisco this week.
Robert C. Solomon, MD, a member of ACEP's board and a member of the faculty in the emergency medicine residency program at Allegheny General Hospital in Pittsburgh, is one doctor who insists that death and permanent disability are exactly what will happen if the proposed rule takes effect.
Without a CT, aneurysms that should be surgically repaired will go unseen, he says. Subtle bleeds will go undetected. "Patients are going to suffer harm as a result of this," he told me in an interview.
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Source: HealthLeaders Media
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