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	<title>Comments on: More On Never Events</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: United &#8220;FraudCare&#8221; &#171; WhiteCoat&#8217;s Call Room</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-6198</link>
		<dc:creator>United &#8220;FraudCare&#8221; &#171; WhiteCoat&#8217;s Call Room</dc:creator>
		<pubDate>Wed, 14 Jan 2009 11:37:37 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-6198</guid>
		<description>[...] can&#8217;t think of a better example of a corporate &#8220;never event&#8221; - can [...]</description>
		<content:encoded><![CDATA[<p>[...] can&#8217;t think of a better example of a corporate &#8220;never event&#8221; &#8211; can [...]</p>
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		<title>By: The Happy Hospitalist</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-2681</link>
		<dc:creator>The Happy Hospitalist</dc:creator>
		<pubDate>Sun, 13 Apr 2008 04:03:23 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-2681</guid>
		<description>unintended consequences....  thinking ahead...

Hospital A creates a &quot;never event&quot; but doesn&#039;t have the resources to manage the treatment.  Hospital A transfered patient to Hospital B.

Does hospital B get paid from Medicare?  And if Hospital B gets paid,  why shouldn&#039;t hospital A get paid?

Does hospital B sue hospital A to get paid?

Does hospital B and C and E and F and... refuse to accept a patient that needs a higher level of care as a result of a never event?</description>
		<content:encoded><![CDATA[<p>unintended consequences&#8230;.  thinking ahead&#8230;</p>
<p>Hospital A creates a &#8220;never event&#8221; but doesn&#8217;t have the resources to manage the treatment.  Hospital A transfered patient to Hospital B.</p>
<p>Does hospital B get paid from Medicare?  And if Hospital B gets paid,  why shouldn&#8217;t hospital A get paid?</p>
<p>Does hospital B sue hospital A to get paid?</p>
<p>Does hospital B and C and E and F and&#8230; refuse to accept a patient that needs a higher level of care as a result of a never event?</p>
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		<title>By: SeaSpray</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-2680</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Tue, 08 Apr 2008 06:30:33 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-2680</guid>
		<description>I eventually left a comment.</description>
		<content:encoded><![CDATA[<p>I eventually left a comment.</p>
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		<title>By: Paul</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-2679</link>
		<dc:creator>Paul</dc:creator>
		<pubDate>Mon, 07 Apr 2008 22:01:55 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-2679</guid>
		<description>Some of the &quot;never events&quot; are easily preventable, but some are not. Typical bureaucratic thinking.</description>
		<content:encoded><![CDATA[<p>Some of the &#8220;never events&#8221; are easily preventable, but some are not. Typical bureaucratic thinking.</p>
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		<title>By: Ian Furst</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-2678</link>
		<dc:creator>Ian Furst</dc:creator>
		<pubDate>Mon, 07 Apr 2008 21:33:30 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-2678</guid>
		<description>Great post and scary as hell to think where it all could lead.

&lt;a href=&quot;http://www.waittimes.blogspot.com&quot; title=&quot;www.waittimes.blogspot.com&quot; rel=&quot;nofollow&quot;&gt;&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Great post and scary as hell to think where it all could lead.</p>
<p><a href="http://www.waittimes.blogspot.com" title="www.waittimes.blogspot.com" rel="nofollow"></a></p>
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		<title>By: SeaSpray</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-2677</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Mon, 07 Apr 2008 17:24:57 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-2677</guid>
		<description>Excellent post!

I just left a comment over there and blogger wouldn&#039;t cooperate and it disappeared!</description>
		<content:encoded><![CDATA[<p>Excellent post!</p>
<p>I just left a comment over there and blogger wouldn&#8217;t cooperate and it disappeared!</p>
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		<title>By: Angela</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-2676</link>
		<dc:creator>Angela</dc:creator>
		<pubDate>Mon, 07 Apr 2008 14:39:53 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-2676</guid>
		<description>What if the pt acquired the event outside of the hospital and then was treated for it at the hospital?

Sometimes pressure sores, fractured bones, UTIs aren&#039;t diagnosed until a person actually seeks care. Shouldn&#039;t hospitals be reimbursed for treating those people?
&lt;em&gt;
&lt;strong&gt;That&#039;s one of the other silly things about this proposal. If these events happen outside of the hospital, they aren&#039;t considered &quot;never events&quot; and will be reimbursed. The &quot;never event&quot; status only applies if these events occur inside the hospital.
That will drive up the cost of care by forcing hospitals to prove that a patient had a condition before being admitted in order to get reimbursed. For example, mandatory urine testing and x-ray surveys before any patient can be admitted to the hospital. &lt;/strong&gt;&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>What if the pt acquired the event outside of the hospital and then was treated for it at the hospital?</p>
<p>Sometimes pressure sores, fractured bones, UTIs aren&#8217;t diagnosed until a person actually seeks care. Shouldn&#8217;t hospitals be reimbursed for treating those people?<br />
<em><br />
<strong>That&#8217;s one of the other silly things about this proposal. If these events happen outside of the hospital, they aren&#8217;t considered &#8220;never events&#8221; and will be reimbursed. The &#8220;never event&#8221; status only applies if these events occur inside the hospital.<br />
That will drive up the cost of care by forcing hospitals to prove that a patient had a condition before being admitted in order to get reimbursed. For example, mandatory urine testing and x-ray surveys before any patient can be admitted to the hospital. </strong></em></p>
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		<title>By: rlbates</title>
		<link>http://www.epmonthly.com/whitecoat/2008/04/more-on-never-events/#comment-2675</link>
		<dc:creator>rlbates</dc:creator>
		<pubDate>Mon, 07 Apr 2008 13:28:03 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=384#comment-2675</guid>
		<description>Enjoyed your piece.  I agree with you.</description>
		<content:encoded><![CDATA[<p>Enjoyed your piece.  I agree with you.</p>
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