Navigation Links
Anthem Blue Cross Announces Initiative Aimed at Preventing Serious Medical Errors; Company Committed to Protecting Members' Health and Finances by Not Reimbursing Major Preventable Adverse Events
Date:4/2/2008

WOODLAND HILLS, Calif., April 2, 2008 /PRNewswire/ -- Anthem Blue Cross announced today process changes for its hospital network to be implemented this year. The changes will include reimbursement modifications and are aimed at eliminating preventable adverse events as defined by the Centers for Medicare and Medicaid Services (CMS) and the National Quality Forum. They will help protect Anthem Blue Cross's eight million members from additional payments resulting from these errors.

"Anthem's primary focus will be to ensure that physicians and hospitals are using appropriate processes, technologies and strategies to address 'never events' and, ultimately, to enhance the quality of care delivered to hospitalized patients," said Dr. Zeinab Dabbah, Chief Medical Officer of Anthem Blue Cross. "We will continue to work collaboratively with physicians and hospitals to analyze why and how these events occur, and to proactively find ways to improve patient safety and clinical care."

Anthem's first phase of the initiative includes 11 preventable adverse events and will be modified and expanded in the future. Anthem recently communicated to its network hospitals about its policy intended to ensure that no one will be charged if any of the following three events occur:

-- Surgery performed on the wrong body part;

-- Surgery performed on the wrong patient; and

-- Wrong surgery performed on a patient.

In addition, Anthem's changes will help ensure that only the appropriate payment is made and no additional charges are incurred if any of these events occur:

-- Object left in the body during surgery;

-- Air embolism or blockage;

-- Blood incompatibility;

-- Catheter-associated urinary tract infection;

-- Decubitus (pressure) ulcers;

-- Vascular catheter-associated infection;

-- Mediastinitis (an infection inside the chest) after coronary artery

bypass graft (CABG) surgery; and

-- Hospital-acquired injuries such as fractures, dislocations,

intracranial injuries, crushing injuries and burns.

"We are listening to our members, business coalitions, and our key accounts who want to know their health plan is looking out for them," said Leslie Margolin, president of Anthem Blue Cross. "As a strong advocate for patient safety, Anthem firmly believes that putting processes in place that focus on preventing these events can have an immediate impact on health care safety and quality."

Anthem Blue Cross is in the early stages of implementation. This allows the company to work alongside hospitals to address the preventability of these events as soon as possible and continue to monitor the activities related to the list of events from the federal, state and private payers, and make adjustments as necessary and appropriate.

Anthem Blue Cross has long been committed to promoting patient safety including:

-- Inclusion of patient safety metrics in Anthem Blue Cross's Quality-in-

Sights Hospital Incentive Program as well as the Member Health Index

(MHI) program, the first program in the industry to track and compare

the collective health of all health plan members based on 20 clinical

areas and 40 separate component measures;

-- Support of the Institute for Healthcare Improvement's (IHI) 5 Million

Lives campaign, a voluntary initiative to protect patients from five

million incidents of medical harm through December 2008; and

-- Participation in Leapfrog's patient safety survey to reduce preventable

medical mistakes and improve the quality and affordability of health

care.

"Anthem Blue Cross's efforts to concentrate on patient safety and work toward eliminating avoidable hospital errors are commendable and commensurate with our goals for a safer health care system that must realign itself to pay on the basis of safety and quality," said Diane Pinakiewicz, president of the National Patient Safety Foundation. "It is important that our industry find ways to correct the systems issues that allow avoidable errors to occur, and Anthem Blue Cross's leadership in the field will help move us in this direction."

About Anthem Blue Cross:

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. (R) ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association.


'/>"/>
SOURCE Anthem Blue Cross
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. BlueCare(R) Family Plan, a HUSKY Health Plan from Anthem Blue Cross and Blue Shield in Connecticut, Raises Awareness, Funds and Diapers for New Haven Diaper Bank
2. Anthem Blue Cross and Blue Shield Partnership Plan Wins Nevada Immunization Award
3. Anthem Blue Cross and Blue Shield in Virginia Introduces New Generation of Consumer Driven Health Products
4. Anthem Blue Cross and Blue Shield in Kentucky Announces the Availability of New Health Plans for Medicare Beneficiaries
5. Anthem Introduces New Insurance Options for Small Business
6. American Idol Star Elliott Yamin and Music Legend Gloria Gaynor To Perform at AnthemLIVE!
7. Anthem Blue Cross and Blue Shield in Indiana Releases State Health Index
8. Anthem Blue Cross and Blue Shield in Kentucky Announces Release of State Health Index
9. Anthem Blue Cross and Blue Shield Foundation and Plan Associates Pledge More Than $880,000 to Community Organizations in 2008
10. Anthem Blue Cross and Blue Shield Foundation and Plan Associates Pledge $2.2 Million to Community Organizations in 2008
11. Anthem Blue Cross and Blue Shield Celebrates Local Moms-to-Be at Community Baby Shower
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... February 11, 2016 , ... The Commission for ... the Board of Commissioners. Individuals interested in volunteer board service are encouraged to ... clinical practice settings and across allied health to contribute to its mission and ...
(Date:2/11/2016)... ... ... Colorado spine surgeon, Donald Corenman, MD, DC has been selected by ... . The list consists of spine surgeons across the country nominated by their peers ... importance of clinical excellence; he has been awarded the Patient’s Choice Award, Compassionate Doctor ...
(Date:2/11/2016)... ... ... The annual list showcases the 20 Most Promising SharePoint Solution Providers in 2015. ... to the SharePoint ecosystem. A panel of experts and members of CIOReview’s editorial board ... promote technology entrepreneurship. , The survey was made at the end of the ...
(Date:2/11/2016)... ... February 11, 2016 , ... Husted Kicking has completed its Third ... February 6th & 7th, 2016 according to kicking coach Michael Husted. , “This event ... the NFL’s combine in Indianapolis,” says Husted. “The NFL uses a third party organization ...
(Date:2/10/2016)... ... February 10, 2016 , ... President Obama’s budget ... organizations to deliver medical services via telehealth, estimated to generate more than $160 ... such language for many years. Although there is more to be done, ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... , February 11, 2016 ... at Worldwide Clinical Trials, will present at this year,s Summit ... the Hyatt Regency in Miami, FL. ... partnerships to optimize study execution, supporting SCOPE,s "Improving Site Study ... take place on Thursday, Feb. 25 at 11:05 a.m. ...
(Date:2/11/2016)... Fla. , Feb. 11, 2016 ... ) company providing high-quality specialty pharmacy care for ... announced today it has achieved full Specialty Pharmacy ... accrediting organization dedicated to promoting health care quality ... --> --> The URAC accreditation ...
(Date:2/11/2016)... 11, 2016 SI-BONE, Inc., a medical ... iFuse Implant System, a minimally invasive surgical (MIS) ... the sacroiliac (SI) joint, announced the publication of ... MIS SI joint fusion for patients suffering from ... or SI joint disruption.  In the first article, ...
Breaking Medicine Technology: