Navigation Links
Physician Patient Alliance for Health & Safety: CMS Quality Measures Should Include Continuous Electronic Monitoring of Patients Using Patient-Controlled Analgesia
Date:12/13/2012

CHICAGO, Dec. 13, 2012 /PRNewswire/ -- The Centers for Medicare & Medicaid Services (CMS) recently released the quality measures it is considering for adoption through rulemaking for the Medicare program. One of the measures under consideration (proposed quality measure #3040) calls for "appropriate monitoring of patients receiving PCA [patient-controlled analgesia]".

CMS defines "quality measures" as

"tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care."

More specifically, CMS is proposing that for "All patient admissions with initiation of an opioid via an IV PCA device that is active for more than 2.5 continuous hours" that these patients be monitored for "respiratory rate, sedation score and pulse oximetry".

Patient safety will be improved by monitoring patients. A tragic example is that of Amanda Abbiehl, an 18-year old college bound high school student. As her parents, Brian and Cindy Abbiehl explain,"Our 18-year old daughter, Amanda, died when connected with to a patient-controlled analgesia pump. Had she been monitored for adequacy of ventilation with capnography and oxygenation with pulse oximetry perhaps one of her nurses might have noticed her declining state and she would still be alive today."

However, the CMS proposed quality measure in requiring monitoring for "respiratory rate, sedation score and pulse oximetry" does not go far enough.

Michael Wong, Executive Director for the Physician-Patient Alliance for Health & Safety (PPAHS), explains, "To make sure that there are no other Amandas, whether that be someone's sister, father, grandmother, friend, or neighbor, it is essential to include continuous electronic monitoring for the adequacy of ventilation with capnography and oxygenation with pulse oximetry, as recommended by the Anesthesia Patient Safety Foundation.  This would ensure that there is an electronic safety net for all patients using patient-controlled analgesia pumps, so that they can receive there prescribed pain medication without the risk of adverse event."

PPAHS encourages people to contact CMS to express their support for proposed measure #3040 to adequately monitor patients using PCA:

  • Email: measureapplications@qualityforum.org
  • Subject line: CMS Proposed Quality Measure #3040
  • Message suggestion: "Please adopt measure #3040 to ensure the safety of patients using patient-controlled analgesia by ensuring that all patients are continuously electronically monitored for ventilation with capnography and oxygenation with oximetry, as recommended by the Anesthesia Patient Safety Foundation."

Or, send a message to PPAHS by clicking here.

About PPAHS

The Physician-Patient Alliance for Health & Safety (PPAHS) is an advocacy group devoted to improving patient health and safety. PPAHS supporters include physicians, patients, individuals, and organizations.

PPAHS recently released a concise checklist that reminds caregivers of the essential steps needed to be taken to initiate Patient-Controlled Analgesia (PCA) with a patient and to continue to assess that patient's use of PCA. For more information and to download the PCA safety checklist, please visit http://www.ppahs.org.

Michael Wong
Executive Director
mwong@ppahs.org


'/>"/>
SOURCE Physician-Patient Alliance for Health & Safety
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. Kerry R. Hicks Joins Physicians Capital Investments as Vice-Chairman of Board
2. Harrington Discovery Institute at University Hospitals Case Medical Center Announces Grant Funding to Physician-Scientists at Major Academic Medical Centers to Support New Drug Development
3. Denver Physician Breaks New Ground in Cochlear Implants
4. Physician-Patient Alliance for Health & Safety: Addressing The Joint Commission Opioid Warnings Can Reduce Respiratory Depression and Improve Patient Safety in Hospitals
5. Physician-Patient Alliance for Health & Safety: Four Technology Recommendations to Reduce Alarm Fatigue
6. Survey of Oncologists Reveals 98.9% of Physicians Experienced Cancer Drug Shortages in Last 12 Months
7. What Can Healthcare Professionals Learn from Art? A Columbia University Physician Finds Answers at the Met
8. Free Webinar Helps Physicians and Pharmacists Learn How to ePrescribe Controlled Substances
9. PhysiciansNews.com and UBM Medica US Announce Comprehensive Marketing and Distribution Partnership
10. South Korean lawmakers one step from rigorous new system for stem cell Advancement: scientists, physicians and patients applaud, urge lawmakers to complete The Job
11. PRN Physician Recommended Nutriceuticals announces partnership with Dr. Eric Donnenfeld and expansion in the New York City metropolitan area
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/23/2017)... 2017  Genesis Healthcare Services has merged with Hospice ... by Bill Monast , President and CEO of ... Nathan Feltman , executives with Home Health Depot, Inc., ... This acquisition helps Hospice Cloud maintain its ... durable medical equipment (DME) solutions for the hospice industry. ...
(Date:2/23/2017)...  Cogentix Medical, Inc. (NASDAQ: CGNT), a medical device ... for the urology market, will release financial results for ... 2016 before the market open on Thursday, March 9, ... conference call and webcast to discuss its financial results ... 11:00 a.m. Eastern Time (10:00 a.m. Central Time). ...
(Date:2/23/2017)... Nevro Corp. (NYSE: NVRO), a global medical device ... of chronic pain, today reported financial results for the three ... 2016 Accomplishment & Highlights: Achieved revenue ... of 228% as reported, over the prior year ... 612% over the prior year International revenue ...
Breaking Medicine Technology:
(Date:2/24/2017)... (PRWEB) , ... February 24, 2017 , ... In the ... to be a top priority because it’s not if you will be attacked, but ... especially when it comes to digital health care. , Improvements in auditing and monitoring ...
(Date:2/24/2017)... ... February 24, 2017 , ... Healthcare Associates of McKinney ... Craig Ranch building at 8080 State Highway 121, Suite 210, McKinney, Texas 75070. ... to Highway 121. , As the practice has grown, the need for more space ...
(Date:2/24/2017)... ... February 24, 2017 , ... With ProGlass Prism users ... X . Users have total control over position, rotation, distortion, edge softness, edge blur, ... Final Cut Pro X. , With ProGlass Prism users are given the tools ...
(Date:2/24/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has published a ... an astounding statement when he says that the entire Bible was written for the ... times so plainly that anyone should be able to see the time period. He ...
(Date:2/24/2017)... ... 24, 2017 , ... Indiana Fiber Network (IFN) President and CEO Kelly C. ... Dyer started as the Chairman of the Management Committee when IFN was originally formed ... the recruitment of investor/owners and development of the business plan. He became the ...
Breaking Medicine News(10 mins):