Medicare penalizes 50 Texas hospitals for quality of care concerns

 

For 2017-2018, Medicare will cut reimbursements to these hospitals by one percent, to create a financial incentive to improve care

 
December 26, 2017

As a Houston, Texas medical malpractice attorney, I continuously review quality of care and adverse incident information that comes available for Texas hospitals. 

One of the most comprehensive sources is released annually as a part of the federal Hospital-Acquired Condition Reduction Program. The program began in 2014, and aims to give hospitals financial incentives to improve care.

The program reviews and considers:

Infection rates from a number of procedures including colon surgeries, hysterectomies, urinary tract catheters, and central line tubes. 

Infection rates of certain bacteria including methicillin-resistant Staphylococcus aureus (MRSA) and Clostridium difficile (C-diff). 

Rates of 10 hospital-acquired injuries including blood clots (perioperative pulmonary embolism or deep vein thrombosis), sepsis, post-surgical wound ruptures (wound dehiscence), bed sores (pressure or decubitus ulcers), hip fractures, iatrogenic pneumothorax, perioperative hemorrhage or hematoma, postoperative acute kidney injury requiring dialysis, postoperative respiratory failure, unrecognized accidental punctures or lacerations of the abdomen/pelvic area.

Under the program, general hospitals ranking in the bottom 25% nationwide for these factors are penalized with a one percent reduction in Medicare payments for each patient’s stay. Psychiatric, veterans, children’s, and critical access (the only hospital in an area) hospitals are excluded from the program.

The Centers for Medicare and Medicaid Services recently announced penalties for 751 hospitals. Of that number, 425 hospitals were also penalized last year. The Texas hospitals subject to the one percent Medicare penalty for 2017-2018 include:

Ad Hospital East, LLC
Houston, Texas
Also penalized in 2016-2017.

Altus Baytown Hospital
Baytown, Texas

Aspire Behavioral Health of Conroe, LLC
Conroe, Texas
Also penalized in 2016-2017.

Baylor Heart and Vascular Hospital
Dallas, Texas
Also penalized in 2016-2017.

Baylor Regional Medical Center at Plano
Plano, Texas
Also penalized in 2016-2017.

Baylor Scott & White Medical Center Grapevine
Grapevine, Texas
Also penalized in 2016-2017.

Christus Santa Rosa Hospital
San Antonio, Texas
Also penalized in 2016-2017.

Cleveland Emergency Hospital
Cleveland, Texas

Connally Memorial Medical Center
Floresville, Texas
Also penalized in 2016-2017.

Cook Children’s Northeast Hospital, LLC
Hurst, Texas

The Corpus Christi Medical Center
Corpus Christi, Texas
Also penalized in 2016-2017.

Covenant Hospital Levelland
Levelland, Texas
Also penalized in 2016-2017.

Cuero Community Hospital
Cuero, Texas
Also penalized in 2016-2017.

El Campo Memorial Hospital
El Campo, Texas
Also penalized in 2016-2017.

Emil J Freireich Cancer Center
Shenandoah, Texas
Also penalized in 2016-2017.

Faith Community Hospital
Jacksboro, Texas

Grace Medical Center
Lubbock, Texas

Harris Health System (includes Ben Taub, Lyndon B. Johnson, and Quentin Mease hospitals)
Houston, Texas

Huntsville Memorial Hospital
Huntsville, Texas

Longview Regional Medical Center
Longview, Texas

Lubbock Heart Hospital LP
Lubbock, Texas
Also penalized in 2016-2017.

Medical City Arlington
Arlington, Texas

Methodist Mansfield Medical Center
Mansfield, Texas

North Texas Medical Center
Gainesville, Texas

Northwest Texas Hospital
Amarillo, Texas

Paris Regional Medical Center
Paris, Texas

Parkland Health and Hospital System
Dallas, Texas
Also penalized in 2016-2017.

Pearland Medical Center
Pearland, Texas

The Physicians Centre
Bryan, Texas
Also penalized in 2016-2017.

Plaza Medical Center of Fort Worth
Fort Worth, Texas
Also penalized in 2016-2017.

Scott & White Hospital Brenham
Brenham, Texas

Seton Medical Center Harker Heights
Harker Heights, Texas

Seton Medical Center Hays
Kyle, Texas

South Texas Regional Medical Center
Jourdanton, Texas

Southwest General Hospital
San Antonio, Texas
Also penalized in 2016-2017.

St. Joseph Medical Center
Houston, Texas

St Luke's Sugar Land Hospital
Sugar Land, Texas

St Luke's The Woodlands Hospital
The Woodlands, Texas
Also penalized in 2016-2017.

Stephens Memorial Hospital
Breckenridge, Texas

Texas Health Arlington Memorial Hospital
Arlington, Texas
Also penalized in 2016-2017.

Texas Health Presbyterian Hospital Allen
Allen, Texas

Texoma Medical Center
Denison, Texas

The Heart Hospital Baylor Plano
Plano, Texas

Titus Regional Medical Center
Mount Pleasant, Texas

United Memorial Medical Center
Houston, Texas
Also penalized in 2016-2017.

University Health System
San Antonio, Texas
Also penalized in 2016-2017.

University Medical Center of El Paso
El Paso, Texas
Also penalized in 2016-2017.

Valley Regional Medical Center
Brownsville, Texas
Also penalized in 2016-2017.

Wilson N. Jones Regional Medical Center
Sherman, Texas

Wise Regional Health System
Decatur, Texas

Robert Painter

Robert Painter is a medical malpractice lawyer at Painter Law Firm PLLC.

related

New lawsuit alleges Tomball Regional Medical Center OR nurses leave surgical gauze in patient's belly

Patient is left with a massive infection that spread to vital organs [...]

read more

Copyright ©2018 Painter Law Firm. All rights reserved.