Becker's Hospital Review

57 FINANCE CMO / CARE DELIVERY CMS cites Baltimore hospital for patient safety violations: 5 things to know By Ayla Ellison C MS cited Baltimore-based Universi- ty of Maryland Medical Center Mid- town for violating several patient safety and patient rights regulations related to an incident in January, according to e Baltimore Sun. Here are five things to know. 1. In January, a UMMC Midtown patient was discharged from the hospital wearing a hos- pital gown. e patient, who has only been identified as Rebecca, was found outside the facility by a local psychotherapist, Imamu Baraka, MD. He posted a video to Facebook, noting it was only 30 degrees when hospi- tal security guards le Rebecca outside. He called an ambulance and Rebecca was taken back to the hospital's ED. 2. Rebecca arrived at the hospital for treat- ment for a head wound she sustained when she fell off of a motor bike. Aer receiving treatment, Rebecca reportedly became resis- tant when she was being discharged. UMMC Midtown nurses asked hospital security to help, and Rebecca was removed from the hospital. 3. A CMS investigation found several defi- ciencies related to the incident. CMS deter- mined UMMC Midtown enacted barriers to patients receiving emergency care, failed to discharge a patient in a safe manner, failed to protect a patient's right to be free from all forms of abuse or harassment, and violated the patient's right to receive care in a safe set- ting, according to e Baltimore Sun. 4. CMS also determined the hospital's staff failed to record when the patient returned to the ED within a couple of hours, which re- sulted in Rebecca not being recorded in the hospital's log. 5. UMMC has put a corrective action plan into place in response to the violations, ac- cording to the report. n Inpatient HAI risk increases 5-fold with infected roommates, former bed occupants By Anuja Vaidya A study published in Infection Control & Hospital Epidemi- ology examined the link be- tween having a prior bed occupant or roommate with a healthcare-as- sociated infection and a subsequent infection with the same organism. Researchers conducted the study at four New York City-based hospitals. They studied 761,426 inpatients dis- charged from 2006 to 2012 to identi- fy cases of patients who developed a healthcare-associated infection with: • Staphylococcus aureus • Acinetobacter baumannii • Streptococcus pneumoniae • Pseudomonas aeruginosa • Klebsiella pneumoniae • Enterococcus faecalis • Enterococcus faecium They matched infected patients to controls by fiscal quarter, hospital and length of stay. For beds with an infected study participant, they col- lected microbiology results for as- signed roommates and the patient who occupied the bed immediately prior. In all, researchers identified 10,289 HAIs. A multivariable analysis showed the odds of infected patients having been exposed to a prior bed occu- pant with the same organism were 5.83 times that of controls. Addition- ally, the odds of infected patients having been exposed to a roommate with the same organism were 4.82 times that of controls. "Infected or colonized roommates and prior occupants do pose a risk, which may warrant enhanced termi- nal and intermittent cleaning mea- sures," study authors concluded. n 10 nonclinical career pursuits for physicians By Alyssa Rege R oughly 13.5 percent of physi- cians said they planned to look for nonclinical jobs in health- care within the next one to three years, according to a 2016 survey by the Physicians Foundation. The survey, conducted by physician search and consulting firm Merritt Haw- kins, gathered online responses from April 2016 through mid-June 2016 from 17,236 physicians nationwide. According to the survey, the majority of physicians who identified as plan- ning to search for nonclinical jobs planned to do so because they were burned out and dissatisfied with the current state of medical practice. To aid physicians searching for non- clinical roles, Medscape curated a list of 20 nonclinical positions for health- care professionals who no longer de- sire to work with patients. Here are 10 nonclinical career pur- suits physicians may consider, ac- cording to Medscape. 1. Physician career coaching 2. Financial planning for healthcare organizations 3. Applied digital healthcare technol- ogy 4. Healthcare practice management consulting 5. Healthcare executive management consulting 6. Venture capitalism 7. Research and development for pharmaceutical companies 8. Physician recruiting 9. Hospital administration 10. Clinical or healthcare journalism n

• Cover