The hospital has had a high rates of nosocomial infections (infections acquired
ID: 452996 • Letter: T
Question
The hospital has had a high rates of nosocomial infections (infections acquired in a hospital). There is also concern about bedsores and soiled linen. One patient's open wound was infected by maggots. The state health department triggered a surprise inspection by the unit charged with overseeing certification for participation in the Medicare and Medicaid programs. It appears likely that the state Department of Health will seek summarily to terminate the hospital's status under these programs as a “participating provider” (also known as the “provider agreement”). Consult the Code of Federal Regulations or one or more of the relevant practitioner treatises (e.g., the CCH Medicare and Medicaid Guide or the Aspen Hospital Law Manual) to determine what this means and what can be done about it.
What financial, operational, and other repercussions is your hospital now subject to?
What can you do to protect the interests of the hospital?
What legal and regulatory factors are involved here?
Explanation / Answer
The hospital could face serious financial implications. It could loose its core chunk of the business to its competitors. If the regulatory authorities are going to cancel the participating provider agreement, then it will be a big lose to that hospital. If financial the hospital faces a crunch situation it would definitely impact the operational process. They will not have any funds to provide for the operations of the hospital. The word also spreads very fast and it will have a negative impact on the hospital.
It can protect the interest of the hospital by paying off whatever the penalties that the regulatory authorities are imposing on the hospital and going forward they could take a good step ahead.
The legal factors that are involved are that the hospital authorities did not deliver what is expected from them. Cleanliness is the foremost factor in any hospital. That itself has taken a back seat.
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