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NY Medicaid to stop paying for 14 ’never events’

Patient Safety Monitor Alert, June 11, 2008

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New York State’s Medicaid program last week announced that beginning in October, it will no longer pay for 14 “never events.”

Hospitals receiving payment under New York Medicaid will be required to provide information on each admission that will designate which complications were present on admission, and which ones occurred during or as a result of hospital care, according to a press release. The 14 avoidable hospital conditions that New York State Medicaid has identified as non-reimbursable are:

• Surgery performed on the wrong body part
• Surgery performed on the wrong patient
• Wrong surgical procedure on a patient
• Foreign object inadvertently left in patient after surgery
• Medication error
• Air embolism
• Blood incompatibility
• Patient disability from electric shock
• Patient disability from use of contaminated drugs
• Patient disability from wrong function of a device
• Incidents whereby a line designated for oxygen intended for patient is wrong item or contaminated
• Patient disability from burns
• Patient disability from use of restraints or bedrails
• Patient disability from failure to identify and treat hyperbilirubinemia (bilirubin in blood) in newborns

The Department of Health will continually review this list, which will be modified and expanded over time.

For more information, click here.

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