A new report from the HHS Inspector General's being released today should send shock waves through the ranks of physician-owned specialty hospitals. The emergency capacity of specialty hospitals has been under fire for at least a year, since some nationally-publicized cases came to light where patients died in the care of physician-owned hospitals when the hospitals couldn't manage them in a crisis situation. The HHS IG's report, which looks at this issue, concludes that their capacity is dangerously limited.
Researchers, who looked at 109 physician-owned hospitals, found that only 55 percent had emergency departments--and that even among those, most had a token single ED bed. It found that less than one-third of the hospitals studied had doctors on site 24/7.
Some of the problems violate Medicare rules. For example, 22 percent didn't address how emergency cases should be handled in their written policies, a Medicare requirement. And worse, 34 percent relied on dialing 911 if patients had serious problems, something Medicare rules forbid.
Now that a report has confirmed legislators' worst fears, it's likely some legislators will move ahead with the crackdown [1] they've been considering for several months.
To learn more about the report:
- read this piece [2] from The Washington Post
Related Articles:
Congress considers specialty hospital regulation. Report [1]
Physician-owned hospitals: A conflict of interests? Report [3]
Texas specialty hospitals do lucrative business. Report [4]
Partnership building 10 doctor-owned hospitals. Report [5]
Links:
[1] http://www.fiercehealthcare.com/story/congress-considers-specialty-hospital-regulation/2007-02-12
[2] http://www.washingtonpost.com/wp-dyn/content/article/2008/01/09/AR2008010903140.html
[3] http://www.fiercehealthcare.com/story/physician-owned-hospitals-a-conflict-of-interests/2006-01-04
[4] http://www.fiercehealthcare.com/story/tx-specialty-hospitals-do-lucrative-business/2006-12-20
[5] http://www.fiercehealthcare.com/story/partnership-building-10-doctor-owned-hospitals/2006-12-04