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Malpractice Prone: Do Providers Have Common Traits?

Is there a set of traits that identify malpractice claim-prone providers? Or at least that identify complaint-prone trends? A recent study(1) presented findings that may help industry experts identify and mitigate future risk based on historical data. For example, in that study, approximately 1% of all physicians accounted for 32% of paid claims. Additionally, the risk of recurrence increased with the number of previously paid claims. For example, providers who already had three paid claims had three times the risk of incurring another. In other words, they have a 24% chance of acquiring another paid claim within two years. 

Generally speaking, male physicians over age 35 were in the greatest risk category. Additionally, these specialties were at higher risk for litigation(2):

  • Neurosurgeons
  • Orthopedic Surgeons
  • General Surgeons
  • Plastic Surgeons
  • Obstetricians/Gynecologists

However, the issue isn’t simply a matter of being a male neurosurgeon who graduated from medical school at least five years ago. If other factors can be isolated, then providers and healthcare organizations need to develop programs to reduce the likelihood of adverse incidents that lead to malpractice litigation.

Algorithms and risk assessments are already in place for insurers, with underwriters and actuaries studying data and trends every day. Actuarial analysis for liability coverage creates specific, cost-aligned policies and programs. But data isn’t a person. And malpractice is not always a measurable action. A patient’s propensity to sue is based on many factors, not the least of which is their perceived relationship with their provider(3).

While an evidence-driven trend may exist, the real question is how to harness this data into actionable future risk mitigation. Does the defense of malpractice suits only play a reactive role in the healthcare industry? Certainly, more research is needed to determine whether statistics can be used for quality improvement efforts, including counseling, training, and supervision.

Contact us if you are interested in learning more about how actuarial analysis aids us in forecasting your practice’s litigation potential.

Footnotes

  • https://www.nejm.org/doi/full/10.1056/NEJMsa1506137
  • https://www.physiciansweekly.com/examining-proneness-to-malpractice-claims/
  • https://www.nytimes.com/2015/06/02/upshot/to-be-sued-less-doctors-should-talk-to-patients-more.html

Reimbursement Rates: Don’t Settle for Less

As with anything in the healthcare industry, reimbursement rates are constantly in flux. New providers are often caught between the urgency of signing contracts in order to expand their patient base and the time it takes to negotiate fees(1) that accurately reflect their experience and talent.

Lack of experience can definitely be a liability when it comes to negotiating power. Results are what providers need to prove their value to insurance networks. However, providers can’t get results without being part of a network. Lacking results, a provider’s next best asset is data. Do some homework on your available network options, also taking into consideration providers in both similar and parallel specialties. A strong medical network works just as a strong social network does: it’s who/what you know and who/what they know.

Reimbursement rates are influenced by more than a single physician’s skill. The entire office staff is a reflection of what the physician is worth, including any advance practice providers (APPs), such as PAs and APRNs(3), that support the registered physician. The office’s reputation, clinical quality, professionalism, and patient satisfaction are all measurable components that can help you make an argument for increasing your reimbursement rates every time your contract is up for renegotiation. Keep in mind that insurance companies have their own competition to ward off, and every provider that they can depend on in their provider counts is an asset in their marketing arsenal too.

Our partner, SE Healthcare, has published an insightful piece, titled “Positioning Your Practice to Negotiate the Reimbursement You Deserve from Payers.(2)” This ebook explains strategies to uncover missed opportunities and grow your revenue by maximizing reimbursement rates.

Contact us(4) today so you can take advantage of the benefits of your CARE membership to utilize the expertise of our partner, SE Healthcare. They will help you assess your current reimbursement rates and formulate a strategy to maximize your current reimbursement contracts.

Footnotes

  • https://blog.evisit.com/how-to-negotiate-higher-physician-reimbursement-rates
  • https://www.sehealthcarequalityconsulting.com/download-ebook-positioning-your-practice-to-negotiate-the-reimbursement-you-deserve-from-payers/
  • https://www.physicianspractice.com/article/pas-deserve-direct-reimbursement-their-services
  • https://care-ins.com/contact/

The Fine Line Between Supervision and Accountability

In an earlier blog, we discussed the Swiss cheese model as it relates to risk management in healthcare. Today’s article takes a deeper dive into the element of supervision in that model, especially as it relates to Advanced Practice Providers (APPs). These APPs are generally defined(1) as professionals with advanced training, such as Advanced Practice Registered Nurses (APRNs) and Physician Assistants (PAs). A practice itself might employ APPs or managing physicians may simply have supervisory responsibilities due to contractual arrangements directly with APPs or with facilities that use APPs. In either case, APPs are able to practice independently of physicians(2).

As this video explains, APPs are essential to professional practices in that they assist with provider workload and help keep costs down. Any office that is inundated enough to outsource some of its workload to APPs runs the risk of miscommunication, inadequate care, adverse events, and subsequent litigation. This resulting litigation could potentially involve both the supervising physician and the APP. That is why it is immensely important to outline the scope of the APP’s responsibilities, taking in to account their experience and ability to make judgement calls in the absence of the supervising provider.

The RiskFit helpline, managed by OmniSure, serves as a vital resource to CARE Professional Liability Association members. The professionals that operate this helpline can answer questions about the following:

  • Developing a collaborative provider/APP agreement
  • State-specific laws regarding APP scope of responsibilities
  • Hiring protocols
  • Proper risk reduction audit procedures
  • Capturing patient satisfaction metrics

All of these aspects of APP employment need to be carefully planned and documented to avoid potential litigation issues. The partnership between CARE and OmniSure puts a wealth of expertise at your fingertips to help you fill the holes in your risk management plan so that it does not turn into a block of Swiss cheese.

Contact us today if you have questions about whether your plan provides coverage for the APPs in your practice. Laws vary based on the state where you practice(2), and are constantly changing. Put our expertise to work for you in designing a coverage plan that perfectly suits your business.

Footnotes

  1. https://www.forbes.com/sites/realspin/2017/03/16/advanced-practice-providers-are-key-to-americas-healthcare-future/#2c8596759985
  2. https://www.studergroup.com/resources/articles-and-industry-updates/insights/august-2016/optimizing-the-value-of-advanced-practice-provider
  3. https://www.healthleadersmedia.com/clinical-care/aprn-and-pa-scope-practice-rules-draw-fire

Risks of an AMA Discharge

The hospital term “AMA” usually refers to when a patient decides to leave the hospital and the care of the attending providers against their medical advice. The AMA designation is used so that future healthcare providers are aware of how the patient/provider relationship came to an end while the patient was hospitalized. This serves to legally shield the attending doctor and hospital from liability if a patient gets ill or dies as a result of the discharge(1).

Patients most often opt for an AMA discharge for the following reasons:

  • Cost
  • Lack of insurance
  • Disagreements over standard of care
  • Errors or mistakes in administering care
  • Previous bad experiences
  • Fear of contagion
  • Wait times are too long
  • Personal reasons

Patients who discharge with the AMA designation definitely pose a litigation risk(2). Without proper treatment and monitoring, these patients are left to make major medical decisions without the advice of a professional. And further, if a patient is in the hospital in the first place, it is likely that they cannot properly treat themselves at home for the same illness/injury. Should the patient’s case come to litigation, the outcome will hinge on what was said, done, and documented when the patient left the hospital, especially the conversation about the AMA designation(3).

Prevention is key when it comes to managing whether a patient even considers an AMA discharge in the first place. The best course of action for a hospital or provider is to diffuse any potential situations before they escalate into an AMA discharge request(4). This is best accomplished by utilizing patient advocates to mediate between the patient’s concerns and the hospital’s directives. This method ensures that both parties are heard and understood by an objective source. Plus, the likelihood of achieving a mutually agreed upon plan of care (and hence, the quality of the care itself) increases when all parties’ concerns are addressed.

Contact us today to determine if your liability coverage is sufficient if your practice incurs an AMA-related lawsuit.

Footnotes

  1. verywellhealth.com
  2. the-hospitalist.org
  3. thesullivangroup.com
  4. today.mims.com

Partner Spotlight: Digital Surgery’s “Touch Surgery” Platform Receives Centre Accreditation

One of our professional partners, Digital Surgery, has great news to share: its Touch Surgery platform has received Centre accreditation to award CPD points by the Royal College of Surgeons of England (RCS). This is the first time that the RCS has offered Centre accreditation to a mobile-based simulation platform in its 500-year history. (For detailed information, please see the original article, posted on Digital Surgery’s website.) (1)

With this accreditation, surgeons can now gain CPD points through the Touch Surgery mobile platform. CPD points are awarded for specific measures, such as cognitive rehearsal and case reflection. Digital Surgery is aiming to obtain CME accreditation soon in the US as well.

What does this mean for CARE clients? Like many of us in the healthcare industry, Digital Surgery wants to improve the delivery of healthcare across the globe. The tools and training provided by Digital Surgery, coupled with the coverage and expertise of CARE Professional Liability Association, ensure that our clients have the proper foundational elements to run a successful practice. This kind of support takes the weight of apprehension (of both training and risk management) off your shoulders so that you can focus on what you do best. 

All successful partnerships (2) have a few things in common. The most important element is to ensure that their customers realize the two-fold benefits of that partnership. Digital Surgery’s mission is to improve surgical performance using technology to provide safe and accessible training. This type of training translates into safer, better outcomes. Successful procedures increase provider confidence, in turn increasing patient satisfaction (3). All three of these elements in turn mitigate risk and reduce litigation possibilities.

Another advantage of membership with both CARE and Digital Surgery is having a strong network of resources at your disposal. This knowledge exchange (4) grows exponentially as members exchange ideas, solutions, and best practices.

Contact us today for more information about our partnership and the benefits that CARE policyholders have with Digital Surgery.

Footnotes

  • https://digitalsurgery.com/2019/10/03/finally-software-eats-surgical-video-storage-and-management-2/
  • https://blog.hubspot.com/marketing/best-cobranding-partnerships
  • https://blog.sprucehealth.com/five-evidence-based-ways-increase-patient-satisfaction/
  • https://bloomfire.com/blog/522359-5-ways-to-encourage-knowledge-sharing-within-your-organization/

Losing a Provider: Ensure Proper Recordkeeping

Providers change practices every day, so it’s important to have a policy in place to provide guidance for patient care and records retention. A formal policy could include the following elements(1):

  • Notify patients of provider’s departure (state laws vary as to whom the responsible party is for this notification, as do details of what to include in the notice; check with your legal counsel for specifics of your situs state)
  • Instructions for contacting departing physician (if still practicing medicine)
  • Contact information at existing practice for reassignment to another provider
  • Instructions for requesting medical records

Most importantly, the policy needs to be communicated to existing staff so that there is no disruption in continuity of care.

Managing the affected patients is only one aspect of provider departures. When it comes to medical records(2), a policy should specifically outline these elements:

  • Exact end date of departing provider
  • Specific party responsible for transferring and archiving records
  • Which party is responsible for contacting affected patients
  • Updating new provider with relevant medical history of patients

Don’t rely too heavily on electronic recordkeeping, though. Nothing beats the trained eye of a professional. Electronic health record (EHR) systems(3) are only as thorough as the data that a person has entered into the system. Mistakes and oversights are just as likely to happen on a computer screen as they are to happen on paper. While EHRs save time, space, and headaches, they might also be managed with great care upon a provider’s departure from one practice to another. Fastidious record keeping is even more important in the event of retirement or death.

If you would like additional guidance in developing these types of policies for your practice, look to other sources, such as HIPAA guidelines, payer contracts, and federal programs such as the Centers for Medicare & Medicaid Services (CMS) (4).

Contact us today. We can help you formulate these types of policies to ensure that they mitigate your risk from future litigation.

Footnotes

  1. ECRI.org
  2. ama-assn.org
  3. physicianspractice.com
  4. cms.gov

CARE partners with SE Healthcare

At CARE Professional Liability Association, we partner with companies that not only help our members, but also understand the healthcare industry and its specific challenges. Our latest partnership with

SE Healthcare provides additional resources to help our members improve operational performance.

SE Healthcare’s Physician Empowerment™ Suite, a set of high-impact data analytics tools, leverages key performance metrics to help practices increase revenue. This is accomplished through enhanced reimbursement negotiations, coupled with an improved industry reputation, once providers have the power of analytics backing their performance.

Other tools provided by SE Healthcare include:

  • Patient Experience Platform
  • Five-Star Reputation Tool
  • Clinical Effectiveness Platform
  • Long-Term Care Assessment
  • Reimbursement Effectiveness™ Platform
  • Physician Burnout Prevention Program
  • Performance Improvement Tools

Both CARE and SE Healthcare understand the intricacies and inherent risks involved for healthcare providers because both companies were built by people with intimate knowledge of the industry. This not only includes physicians, but also top minds from the legal and compliance fields, as well as professionals who continue to shape the future of healthcare. You get the benefits that the years of experience this collaboration creates, including what we have learned from past mistakes, and best practices we’ve developed.

In future partnership blog articles, we’ll discuss the multitude of benefits that providers can gain from SE Healthcare’s analytics tools, including:

  • Getting fair reimbursements from payers
  • Making your practice more attractive to networks
  • Improving your reputation and transparency to convert website visitors into new patients
  • Retaining current patients by creating a better patient experience
  • Enhancing the workplace culture for physicians
  • Enhancing patient engagement and satisfaction
  • Addressing critical issues like physician burnout, quality, and safety

Contact us today for more information about how this CARE/SE Healthcare alliance can benefit your practice.

Medical Records Maintenance: Making an Asset out of a Liability

While Rolf Smith (see quote in the text box on the right) was not an expert on medical records, his wise words do apply to the healthcare industry. Detailed record keeping, including both initial intake and maintenance, are paramount to risk mitigation for healthcare practitioners.

Medical records ensure continuity of care between providers (2). They also act as a means of communication between providers and members. Patient records cover everything from preventive care to treatment, as well as standards and expectations for delivery of care. And while excellent record keeping should be evidence enough that your healthcare practice is doing its best to avoid litigation, a solid audit plan is also imperative to ensure that record maintenance is done properly. Your firm’s records, and your actual recordkeeping practices, will be scrutinized should you ever be sued for malpractice (3). Even outside of a malpractice lawsuit, data breaches are a growing concern when so much PHI (protected health information) is collected by a single source. And data breaches can turn into class action litigations.

While the future lies in EMRs/EHRs (electronic medical records/electronic health records) (4), that does not mean that manual (paper) records are obsolete. And they definitely shouldn’t be discarded. All data that is collected, no matter the format, is subject to privacy laws, and therefore can easily turn into a potential liability.

Accuracy is paramount in recordkeeping (5). Every individual encounter should create a snapshot that stands alone from prior visits (and prior diagnoses). The challenge lies in maintaining this separateness while also creating a ‘big picture’ view of the patient, merging both history and current issues.

Contact us today if you would like to learn more about auditing your recordkeeping system. We know what issues to look for and can uncover them before they become a risk to your practice.

Footnotes

Is Technology Helping or Hurting Your Litigation Chances?

The advent of electronic health records (EHRs) can only be a positive thing for patient care, correct? Maybe not. And EHRs would certainly prevent a number of malpractice suits, right? Guess again. While vast improvements in healthcare technology, including EHR adoption, create synchronicity among providers and streamline care delivery, errors within these systems create the potential for risk. In fact, medical liability claims with an EHR as a contributing factor are on the rise(1).

The risks with any new technology are twofold:

  • The potential for user error increases: Proper training is paramount to avoiding mistakes and issues
  • New software applications are rarely without technical glitches: Stay abreast of upgrades and patches, and have an experienced technical team (either in-house or through an external vendor)

Another common factor with increased electronic solutions is user burnout(2) – wherein healthcare staff tire of spending more time inputting data than they do actually caring for patients. Any system, no matter how sophisticated it is, can only be as good as the data it captures. It can’t think, and it can’t do a healthcare provider’s thinking for them.

One way to ensure that EHRs are accurate is to institute an official audit schedule. While this includes confirmation of edits/additions to records, it should also include an audit of the application itself to ensure the latest updates are downloaded and running properly. The best way to instill a sense of importance around any EHR audit is to garner involvement at every level of the practice. This includes proper training, proper audit authority, and proper incentives for successful EHR implementation.

Even seemingly foolproof technology can fail. If (when) it does, be sure that your practice is prepared to mitigate the potential damage. One important piece of the plan is having proper medical malpractice insurance in place(3). It’s important to understand what your policy covers before you need it. Your agent can educate you about the different policies available(4) and the best risk management plan for you.

Contact us today if you have questions about the risks associated with electronic health records and other technology in the healthcare industry. Our years of experience can help you decide which professional liability plan works for you.

Footnotes:

  • https://www.medicaleconomics.com/news/your-ehr-malpractice-risk
  • https://www.the-hospitalist.org/hospitalist/article/121825/potential-dangers-using-technology-healthcare
  • https://www.iii.org/article/understanding-medical-malpractice-insurance
  • https://www.naic.org/cipr_topics/topic_med_mal.htm

Signed Consent: Does it Prevent Litigation?

Many healthcare professionals believe that a signed document equals informed consent, and that no further documentation is necessary. While that theory is basically true, there is definitely a difference between theory and practice. The obligation (in both the ethical and legal sense) to fully inform patients of the risks, benefits, and alternatives to treatment falls to the treating provider. Informed consent is best described as a process, not a single document. Patients must demonstrate their understanding of the treatment being pursued, as well as an explanation of both the provider’s and the patient’s roles in the treatment, as well as the risk of addiction to the medications prescribed.

Consider our recent case study(1) involving a patient who allegedly died of a prescription overdose because the plaintiff contends that the multiple providers he sought treatment from were negligent in monitoring his conditions and medications. Reading through the documentation, it seems that no single provider was aware of the patient’s entire medical history, nor his current medication intake. And while the patient provided informed consent about the possibility of drug interactions to multiple providers, the seriousness of the situation did not appear evident to all involved parties, including the providers and the patient.

CARE Professional Liability Association and OmniSure Consulting Group(2) suggest the following steps to reduce your professional risk(3):

  • Customize consent forms to be as procedure-specific as possible; generic forms are too generalized to communicate proper information
  • Document the entire consent process in the patient’s medical record, including the conversation with the patient and specific questions they asked and how they were answered
  • Create policies and procedures outlining who specifically can obtain informed consent
  • Audit medical records periodically to validate that documentation and informed consent processes are being followed correctly

Patients might be too embarrassed to ask questions about the procedure, or might not even know what to ask if they don’t understand the consent form. Or they might feel rushed, or simply downplay the consent form’s importance. It’s our job as healthcare providers to make sure patients are comfortable enough to ask pertinent questions so that their consent is not simply a signature, but a complete understanding of the treatment they receive.

Contact us today. We can help you develop an informed consent documentation plan that works for both you and your patients.

Footnotes

  • https://care-ins.com/case-studies/
  • https://www.omnisure.com/
  • https://www.riskfitness.com/informed-consent-recommendations