Navigation Links
Empire Blue Cross Blue Shield Announces Initiative to Protect Members' Health Aimed at Preventing Serious Medical Errors

NEW YORK, April 2, 2008 /PRNewswire/ -- Empire Blue Cross Blue Shield (Empire) announced today that collaborative efforts are currently underway with its hospital network that are aimed at helping to eliminate preventable adverse events as defined by the Centers for Medicare and Medicaid Services (CMS) and the National Quality Forum. In a letter released in March, as well as conversations that have occurred throughout this year, Empire has expressed its philosophy that while there are inherent risks in the delivery of health care, the occurrence of preventable adverse events should be tracked, reduced and ultimately eliminated, and that Empire customers and members should not be obligated to pay for services related to certain clearly preventable adverse events. Working with our providers on these initiatives will help protect Empire's more than five million members from both the care and cost impact of these avoidable events.

"As we work to finalize and implement our supporting policy and process surrounding adverse events, we will seek input from the New York hospital community in our efforts to align the interests and incentives of all concerned parties," said John Whitney, M.D., regional vice president, Medical Affairs and Pharmacy for Empire. "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."

Empire's first phase of the initiative includes a request that hospitals not bill, or otherwise seek reimbursement from any party, if any of the following three adverse events occur:

-- Surgery performed on the wrong body part;

-- Surgery performed on the wrong patient; and

-- Wrong surgical procedure performed on a patient.

Empire will also work collaboratively with its participating hospitals and physicians to ensure that only the appropriate payment is made, and its customers and members incur no additional costs, associated with the occurrence of any of these adverse events or hospital acquired conditions occurs:

-- 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.

"This is an opportunity for us to work together with the New York hospital community to proactively address commercial reimbursement for major preventable adverse events in a way that communicates to employers and members our joint commitment to eliminate these occurrences," said Dr. Whitney. "As a strong advocate for patient safety, Empire firmly believes that putting processes in place that focus on preventing these events can have an immediate impact on health care safety and quality."

Empire 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.
Empire has long been committed to promoting patient safety including:

-- Inclusion of patient safety metrics in Empire's quality programs as

well as the Member Health Index (MHI) program, the first program in the

industry to track and compare the collective health of 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 help reduce

preventable medical mistakes and improve the quality and affordability

of health care.

"Empire'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 Empire's leadership in the field will help move us in this direction."

About Empire Blue Cross Blue Shield

Empire Blue Cross Blue Shield (Empire) is the trade name of Empire HealthChoice Assurance, Inc., and Empire Blue Cross Blue Shield HMO is the trade name of Empire HealthChoice HMO, Inc., independent licensees of the Blue Cross Blue Shield Association, serving residents and businesses in the 28 eastern and southeastern counties of New York State. Additional information about Empire is available at

SOURCE Empire Blue Cross Blue Shield
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. Assured Pharmacy Retains Empire Financial Group
2. New Empire BlueCross BlueShield Prism Plans Offer Better Choice and Affordability for New York Small Group Market
3. Empire BlueCross BlueShield Announces Release of State Health Index Data
4. Empire BlueCross BlueShield and New York Attorney General Reach Agreement on Guidelines for State Doctor Ranking Programs
5. Loma Linda University Medical Center Celebrates Groundbreaking on Inland Empires Most Comprehensive Rehabilitation Center
6. Empire Blue Cross Blue Shield Statement in Response to New York Attorney Generals Recent Subpoenas
7. Breast cancer prevention practices vary across Canada
8. S.C. BlueCross Creates Corporate Planning Unit, Promotes Davis to Vice President
9. S.C. BlueCross to Integrate Care Management with Personal Health Record in Real Time
10. 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
11. Blue Cross Blue Shield of Michigan Corrects News Story about Drug Coverage Announcement
Post Your Comments:
(Date:6/26/2016)... Carolina (PRWEB) , ... June 26, 2016 , ... ... of a new product that was developed to enhance the health of felines. The ... centuries. , The two main herbs in the PawPaws Cat Kidney Support ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, can ... Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey ... cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under ...
(Date:6/25/2016)... , ... June 25, 2016 , ... As a lifelong ... Cum Laude and his M.D from the David Geffen School of Medicine at UCLA. ... to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai ...
(Date:6/24/2016)... ... 24, 2016 , ... A recent article published June 14 on ... article goes on to state that individuals are now more comfortable seeking to undergo ... such as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... and Scientific Sessions in Dallas that it will receive two significant new grants ... grants came as PHA marked its 25th anniversary by recognizing patients, medical professionals ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 2016 Capricor Therapeutics, Inc. ... biotechnology company focused on the discovery, development and ... enrollment in its ongoing randomized HOPE-Duchenne clinical trial ... of its 24-patient target. Capricor expects the trial ... of 2016, and to report top line data ...
(Date:6/23/2016)... BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of Astellas Farma Colombia (AFC), a ... second affiliate in Latin America . ... ... ... ...
(Date:6/23/2016)... 23, 2016  Experian Health, the healthcare ... the patient payment and care experience, today ... products and services that will enhance the ... offerings. These award-winning solutions will enable healthcare ... compliant in an ever-changing environment and redefine ...
Breaking Medicine Technology: