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

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


"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:
(Date:11/25/2015)... ... November 25, 2015 , ... The holiday season is ... pleasing the palates of attendees is of the utmost importance. Whether you are ... get-together, give these recipes a try this holiday season. , Turkey Croquettes , ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... factory direct sauna parts and accessories. , Sauna accessories help improve the bather ... style and personality. From basic styles for the purist looking for simplicity in ...
(Date:11/25/2015)... ... 2015 , ... On November 10, 2015, Bohrer Brady, LLC filed a class ... of a home health care worker who provided companionship services for the elderly, ill ... employed by Humana, Inc., Humana at Home, Inc., and SeniorBridge Family Companies (CT), Inc. ...
(Date:11/25/2015)... Jacksonville, FL (PRWEB) , ... November 25, 2015 ... ... treatment center, is encouraging people across the country to celebrate their sobriety and ... invites people to post “before and after” photos this Thanksgiving with the hashtag ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... and athletic programs, launches new Wimbledon Athletics Facebook page to educate ... athletes for unsuspected cardiac abnormalities. About 2,000 people under the age of 25 ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... -- On Tuesday, November 24, 2015, the jury ... Medical Technology, Inc. for product liability and misrepresentation ... device, awarded $11 million in favor of Plaintiff ... three days of deliberations, the jury found that ... and unreasonably dangerous, and that Wright Medical made ...
(Date:11/25/2015)... SAN DIEGO , Nov. 25, 2015  Trovagene, ... molecular diagnostics, today announced that Chief Executive Officer Antonius ... at the 27 th Annual Piper Jaffray Healthcare ... Conference at the New York Palace Hotel in ... 2015 at 1:30 p.m. EST. Mr. Schuh will be ...
(Date:11/25/2015)... 25, 2015 --> ... glucose devices was valued at $11,171.1 million in 2014, ... of 5.7% during 2015 - 2022. The global market ... prevalence of diabetes. In addition, the increase in obese ... contributing to the growth of the market. Furthermore, technological ...
Breaking Medicine Technology: