Monday, June 10, 2013
Published: May 30, 2013
In his May 26 column, “Obamacare’s Other Surprise,” Thomas L. Friedman discusses how data that support medical decision-making and collaboration, dovetailing with new tools in the Affordable Care Act, are spurring the innovation necessary to deliver improved health care for more people at affordable prices.
This is just another example of how public policy is driving a smarter health care system focused on the quality of care, not the quantity of care delivered. That means increasing transparency and accountability, avoiding costly mistakes and readmissions, keeping patients healthy, and enabling new payment and care delivery models, like accountable care organizations, to work.
Last week, we reached an important milestone in the adoption of health information technology, which is a critical underpinning to this larger strategy.
More than half of all doctors and other eligible providers and nearly 80 percent of hospitals are using electronic health records to improve patient care — an increase of at least 200 percent since 2008.
There is much work yet to be done to change the habits of health care, and to continue the push toward secure information sharing, but by using policy to leverage market-based innovation, we are playing to America’s greatest strength to solve our most pressing problems.
Washington, May 28, 2013
Washington, May 28, 2013
The writer is national coordinator for health information technology for the Health and Human Services Department.
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Manipal Hospital ordered to pay 5 lakh for negligence | The Hindu
The Manipal Hospital in Bangalore and its four doctors have been directed by the apex consumer forum to pay Rs. 5.1 lakh towards rehabilitation of a child whose gangrenous right forearm was amputated due to their negligence.
The National Consumer Disputes Redressal Commission (NCDRC) observed that due to the medical negligence of the hospital and its doctors — paediatrician Meera Ramakrishnan, vascular surgeon Vasudeva Rao, consultant paediatric Arvind Shenoy and paediatric surgeon Jayanth Iyengar — “the child has to spend the entire life without her right forearm”. “Doctors have not been able to explain how the gangrene occurred. Therefore … medical negligence is clearly established.”
A bench presided by Justice Ashok Bhan directed the hospital and doctors to jointly pay Rs. 5 lakh to the parents “for the rehabilitation of baby Sandria by providing artificial limb and proper education and care” and also ordered Manipal Hospital to pay Rs. 10,000 as cost.
The order came on the appeals filed by the parents, Alfred and Rani Benedict, and the hospital and doctors, both sides challenging the order of the State commission which had directed the hospital and doctors to pay Rs. 5.1 lakh as compensation.
The parents, in their complaint before the Karnataka State Consumer Disputes Redressal Commission had submitted that in August 2002 they had taken their then two-year-old daughter, who was suffering from cold and cough, to Dr. Shenoy who had advised them to admit the child in Manipal Hospital, Bangalore.
Thereafter, she was diagnosed as suffering from pneumonia and was given intravenous fluids through a needle in her right arm. The parents alleged the needle blocked the blood supply, turning the forearm gangrenous, resulting in amputation.
While the parents had sought enhancement of compensation from the NCDRC, the opposite party contended they had not been negligent and the unfortunate complication occurred as the patient, who had pneumonia, had gone into septic shock.
The NCDRC rejected the hospital’s contention, saying “it appears they (doctors) have not followed the standards of medical practice”.