Monday, November 26, 2018

earlier i posted an article by deninger which i found interesting, and then i found this reply to his thoughts and think it also is worthy of your consideration;

Deninger, as usual when he gets outside his lane, is an idiot.

Nosocomial (hospital-acquired) infections are not billable to the patient nor the insurer, they are a liability assumed by the hospital/provider that caused them. Any other approach goes by the quaint legal term "fraud".

They've only beaten this into providers' heads for something like a decade or two, which is why doctors and hospitals are death on things like ordering indwelling urinary catheters, which are virtually guaranteed to cause the patient a UTI if left in long enough. It's the same reason leaving sponges or instruments inside people in surgery is an own goal: the doctor and hospital eat the cost of all subsequent care for the sequellae of that little foul-up.

And surgery centers are rightfully regarded both within the biz and outside it as the bounty hunters of the medical world, because they cut costs by cutting corners on patient safety, and hiring itinerant staff moonlighting from other jobs. If anything goes dreadfully wrong, they ship their mistakes to real hospitals to fix. No wonder they can undercut costs, because they've outsourced everything but the procedure itself; God help you if anything goes sideways, because they can't handle that, by design. Accidentally punctured a lung while doing a boob job? Ship 'em to the ER, then the real hospital OR, to sew up that "Oopsie". And no, they don't include that in their annual statement of average procedure costs. Ask me how I know.

Go into a pissy-smelling elder-care lash-up, and realize that's the business model for the surgical center......

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