Never events and perfection

October 23, 2008

Medicare is considering expanding their no-pay list to include partially preventable conditions like delirium and falls.

By doing this, it is holding doctors and hospitals to an impossible standard, that ironically may lead to the detriment of the patient:

Regulators are implementing a “pay for perfection” system that isn’t supported by science and ultimately may result in certain procedures not being done on high-risk patients.



Related posts:

  1. Expecting perfection in medicine
  2. Is perfection in medicine really the best thing?
  3. Perfection is expensive
  4. Never events
  5. Poll: Which events of 2008 most affected and will continue to affect practicing physicians?
  6. "The public’s perception and appreciation of medicine has declined"
  7. Can watching the Super Bowl cause you to die?


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{ 3 comments }

1 NurseExec October 23, 2008 at 8:14 am

No pay for delirium?! Before you know it, everything out of the ordinary will be a no-pay event. CMS is really going too far…

2 Anonymous October 23, 2008 at 10:40 am

This whole line of reasoning is silly. Who says you have to be perfect? Nobody expects that the “never” events will never happen. What we’d all like to see is a decrease in their frequency. If you think there’s too much money tied to this particular set of incentives, fine…talk about the money. But to attack these incentives based on some notion that perfection is expected is a specious argument.

3 Supremacy Claus October 23, 2008 at 10:58 pm

Anonymous: I hope you are a government worker. Any government never event, and I deduct from the taxes I send in. It will have to come out of your paycheck. For example, by total incompetence, and terrorist lover forbearance of government lawyers, the incompetent government worker allowed 9/11 to destroy $7 trillions of economic value. That has to come from the pay of government workers.

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