MARYLAND CITIZENS ARE SHOUTING FOR EXPANDED AND IMPROVED MEDICARE FOR ALL IN A STATE DISMANTLING PUBLIC HEALTH AND MEDICARE SYSTEM.
If you read my blog on Maryland Education Reform where when people shout out against Common Core the answer is to change the name.......same goes for health care reform.
WE ARE PLOWING AHEAD WITH THESE RACE TO THE TOP AND AFFORDABLE CARE ACT REFORMS EVEN AS THE NATION AND CITIZENS OF MARYLAND DECRY BOTH!
The reason is of course Maryland is ground zero for TPP and the 21st Century 'New' Economy....you know, global tribunal rule.
Let's look at the these Health Enterprise Zones and what purpose they serve in the scheme of ending Medicare and Medicaid as Federal programs and pushing everyone into this tiered system that has very few able to afford even the most basic of medical procedures. THE SUBSIDY THE SUBSIDY cry neo-liberals.....OH THAT IS COMFORTING. Remember, the problems with health care costs is massive health industry fraud and profiteering, not how much people access health care. Almost a trillion dollars was cut from Medicare over 10 years because the Medicare Trust has been raided of $3 trillion in payroll taxes to pay for the NSA surveillance system.
As I said, I attended the Brookings Institute health care reform forum where I watched doctors being told by the 1% reformers that ACOs would be implemented within a few years with the doctors decrying it can't be done and the damage to the health system will be huge. Brookings is of course the neo-liberal think tank devoted to ending public health and maximizing the health industry profit while growing the industry globally. That right there screams.....RUNNNNNNNNN. Unfortunately for Maryland citizens all of the Maryland Assembly and Baltimore City Hall and O'Malley and Rawlings-Blake work for global corporations like Johns Hopkins which is the face of these policies.
So, Health Enterprise Zones are designated as such because once again Federal and state tax money will be used to build the infrastructure for what will be ACO's.....if you are a senior seeking health care in Maryland you are already seeing your primary care doctors tied to profit-driven hospitals failing to answer your calls if your conditions prove to be costly. What happens when doctors do not take Medicare patients? THEY ARE PUSHED TO THESE ACOs where quality of care will be determined by how much you can pay.
An accountable care organization (ACO)
is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers forms an ACO, which then provides care to a group of patients. The ACO may use a range of payment models (capitation, fee-for-service with asymmetric or symmetric shared savings, etc.). The ACO is accountable to the patients and the third-party payer for the quality, appropriateness and efficiency of the health care provided. According to the Centers for Medicare and Medicaid Services (CMS), an ACO is "an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it."
THE TPP REQUIRES THAT PUBLIC SUBSIDY BE CURTAILED AND PHARMA IS THE BIG WINNER AS GENERICS HAVE A HARDER TIME AND INSTEAD OF USING MEDICARE TO NEGOTIATE LOWER PRICES WE ARE SEEING THE EXISTING STRUCTURES TO LOWER COST TAKEN AWAY.......TO MAXIMIZE PROFIT WITH THE LOSS OF ACCESS TO PATIENTS. Think what an ACO working to lower costs and keep profits will do with medicines that are expensive.....and costs will soar with global health systems.
Obama Administration Proposes Removing 'Protected' Status for Some Medicare Drugs
January 10, 2014
In a move that some fear could compromise care for Medicare recipients, the Obama administration is proposing to remove special protections that guarantee seniors access to a wide selection of three types of drugs.
The three classes of drugs — widely used antidepressants, antipsychotics and drugs that suppress the immune system to prevent the rejection of a transplanted organ — have enjoyed special "protected" status since the launch of the Medicare prescription benefit in 2006.
That has meant that the private insurance plans that deliver prescription benefits to seniors and disabled beneficiaries must cover "all or substantially all" medications in the class, allowing the broadest possible access. The plans can charge more for costlier drugs, but they can't just close their lists of approved drugs, or formularies, to protected medications.
Keep in mind that other countries that have universal care do it by making sure there is not massive fraud and profiteering and by having corporations and the wealthy pay a fair amount of taxes. Obama and neo-liberals allowed the Bush Tax cuts to stay as is (the mico-increase on the top earners will be ignored and not paid) and took corporate taxes down to 17% for most and nothing for others.
IF YOU ADD THE RAIDING OF THESE TRUSTS BY FRAUD TO THE LOSS OF TAXATION AT THE TOP.....YOU GET PEOPLE WHO WILL DIE FROM LACK OF ORDINARY CARE.
Preventative care is really NOTHING. It is blood tests to monitor levels, wellness spas that make you exercise and clinic care that will set a bone.
In Baltimore where a majority of people are on Medicaid or earn too little to qualify for Medicaid....you see how they will not receive any of what is advertised as positives for low-income. IT WAS DELIBERATELY MEANT TO DECEIVE THE POOR WHO NOW WILL HAVE FAR LESS ACCESS TO CARE.
ALL OF MARYLAND'S POLS KNEW THIS AND VOTED FOR IT BECAUSE THEY ARE NEO-LIBERALS!
Medicaid Programs Vary in Coverage of Preventive Care, Report Says
Released: 7/3/2013 9:00 AM EDT
Embargo expired: 7/8/2013 4:00 PM EDT
Source Newsroom: George Washington University more news from this source Contact Information Available for logged-in reporters only
Citations Health Affairs Newswise — WASHINGTON, DC--Existing Medicaid beneficiaries have largely been left out of the health reform movement when it comes to preventive services that can ward off cancer, heart disease and other potentially deadly diseases, according to a new study by researchers at the George Washington University School of Public Health and Health Services (SPHHS).
The study, which appears in the July issue of Health Affairs, notes that under the Affordable Care Act most private insurance plans, Medicare and Medicaid expansion programs are required by law to cover a full range of crucial preventive services such as screening tests for colorectal cancer, high blood cholesterol, HIV infection, and diet counseling that can prevent obesity. But state Medicaid plans are not required to cover such care for adults already enrolled in Medicaid—and this report suggests that those adults will not have access to the full range of preventive services.
“Preventive services save lives by detecting diseases before they can progress,” says lead author Sara Wilensky, PhD, JD, special services faculty for undergraduate education in the Department of Health Policy at SPHHS. “Why should some Medicaid beneficiaries be left out when it comes to coverage for this kind of care?” Screening mammograms, colonoscopies, cholesterol screenings and other preventive services are aimed at staving off health problems early on rather than trying to provide costly health care for established and hard-to-treat disorders, she said.
Wilensky and her co-author Elizabeth Gray, JD, a research associate at SPHHS, reviewed Medicaid policies in all 50 states and the District of Columbia from June 2012 through November 2012. The initial review looked at all publically available information on coverage of preventive services. After that first review, the researchers then contacted state Medicaid officials to fill in any missing information about coverage for this population.
The researchers found that most states do not cover all of the preventive services recommended by the U.S. Preventive Services Task Force, an independent panel that looks at preventive care and offers guidelines for health plans and providers. In addition, it was often difficult to discern exactly which services were covered by Medicaid programs based on the vague language used by many programs. The report highlighted some serious gaps in coverage. For example, while most states provided coverage for screening mammograms, not all Medicaid programs offered such care to existing beneficiaries. In fact, three states don’t cover preventive mammograms for this population at all—a shortfall that could mean low-income women will go without the test, the authors said.
The analysis also says that states appear to rarely cover other types of preventive care for breast cancer for those at high risk. Only 11 state Medicaid programs, for example, make it clear that they will pay for breast cancer susceptibility testing for the BRCA1 gene that increases the risk of breast and ovarian cancer. And just three states explicitly cover chemoprevention for such beneficiaries. This medication can be used to lower the risk of breast cancer, a disease that kills about 40,000 American women every year.
"The Affordable Care Act guarantees millions of low-income Americans access to mammograms, colonoscopies and other lifesaving preventive services, but that assurance does not extend to people who currently have Medicaid coverage," said Chris Hansen, president of the American Cancer Society Cancer Action Network (ACS CAN), the advocacy affiliate of the American Cancer Society and one funder of the study. "States have a responsibility to ensure that all people in Medicaid have access to preventive care for a life-threatening disease such as cancer."
The authors of the study also say there is wide variation in coverage of tests for sexually transmitted diseases (STD) and the test for the HIV virus that causes AIDS. And in some states STD screening is limited to family planning visits, a restriction that means people visiting the doctor for some other reason or those who are not eligible for family planning services may not have coverage. Going without this screen, increases the risk that an infected person will not receive treatment and could unknowingly spread a disease to others, Wilensky said.
Many of the preventive services evaluated by the study, such as screenings for early signs of heart disease, depression or diabetes, were either not covered or it was unclear if they would be paid for by Medicaid. In some cases, state Medicaid officers said that the preventive services would be paid for only if deemed “medically necessary.” But Wilensky says that these terms should not be used together because medically necessary tests are for instances when a provider has a reason to suspect an established health problem, while preventive tests are crucial in detecting an emerging problem in an otherwise healthy, asymptomatic person.
Such confusion could leave providers wondering if preventive services will be covered by Medicaid, says the report. In the end, providers may simply fail to provide care if they are uncertain about Medicaid coverage and/or payment for their services, the authors said.
“By lowering risk factors such as high blood pressure and cholesterol, Americans can reduce their risk of heart disease or stroke by as much as 80 percent,” said Nancy Brown, CEO of the American Heart Association, which also helped fund the study. “Evidence-based screenings play an essential role in identifying and reducing these factors. Without Medicaid coverage of preventative screenings and services, we could fall behind in the battle against the nation’s No. 1 and No. 4 killers.”
The authors conclude that there are many opportunities to increase the coverage of preventive services for this population. For example, managed care plans could choose to cover services that end up saving lives even if not required by state Medicaid programs. In states that do not clearly spell out covered preventive services or require providers to follow a specific standard of care, providers could choose to follow the guidelines of the U.S. Preventive Services Task Force. Alternatively, Congress could step in and give existing Medicaid beneficiaries the same coverage of preventive services as most other Americans enjoy under health reform, the authors point out.
The Health Affairs study, “Existing Medicaid Beneficiaries Left Off the Affordable Care Act’s Prevention Bandwagon,” was funded by the American Cancer Society, the American Cancer Society Cancer Action Network, the American Heart Association and the National Colorectal Cancer Roundtable.
The full report, “Coverage of Medicaid Preventive Services for Adults—A National Review,” includes state-specific data and additional information about this topic. To access the report click here.
About the George Washington University School of Public Health and Health Services:
Established in July 1997, the School of Public Health and Health Services brought together three longstanding university programs in the schools of medicine, business, and education and is now the only school of public health in the nation’s capital. Today, more than 1,100 students from nearly every U.S. state and more than 40 nations pursue undergraduate, graduate, and doctoral-level degrees in public health.
The doctors on this Brookings panel were decrying these policies of health care reform because they are written by the same corporations having stolen all the health care spending in fraud and so, the goal will be profit for those at the top while doctors become employees told to cut costs in treating patients to maximize profit and REAL DOCTORS do not want to do this. It is true that doctors have gamed the system and are part of the fraud that emptied our health Trusts with fee-for-service. They are part of the problem. Is fee-for service the culprit being played by reformers?
THE PROBLEM WITH FEE-FOR-SERVICE WAS THAT MEDICARE HAD NO OVERSIGHT AND THIS IS A WELCOME SIGN FOR FRAUD....IT WAS LEFT WITHOUT PROTECTION ON PURPOSE.
If Medicare builds in white collar fraud protections then fraud and profiteering is caught and VOILA.....right away 1/2 of the losses to health care are gone and the US health care system looks more like the rest of the developed world. YES, THE US SPENDS THE MOST WITH THE LEAST RESULTS IN HEALTH STATUS BECAUSE OF ALL THE FRAUD. Also, if one wants to compare costs for procedures one goes to Medicare for decades of cost analysis for millions of people for each procedure. WE HAVE A READY DATABASE TO DEVISE COSTS PER PROCEDURE. What Affordable Care Act does is give all of this calculating to the health industry where they figure out how to keep profits when payments fall and the answer is ACOs that will provide care according to what you can pay now. Remember, all of the people aging into health care needs have already paid for full health care through payroll taxes and income taxes that funded all the research for medical procedures these health institutions now want to profit from. So, you do not need to pay premiums if you are a senior.....but when Maryland dismantles the public health system and Medicare as has happened over a decade......that is what happens to people aging into Medicare; they are treated by what they can pay.
When you have a consolidation of health institutions into one system.......you are now limited to where you can go. So, if Johns Hopkins partners with Humana Advantage....they are saying if you want to come to Hopkins you will leave the Federal Medicare and go to private Humana.
Humana sees only 202,000 insurance exchange enrollees
By Virgil Dickson
Posted: February 5, 2014 - 6:15 pm ET
Humana reports that it's only gotten 202,000 enrollees from the state and federal insurance exchanges as of Jan. 31. This accounts for less than 7% of the 3 million people who have acquired private insurance coverage under the Patient Protection and Affordable Care Act through the end of January....
They are working to end Medicare as a Federal program. This is what each hospital chain is doing. It is partnering with a health insurance corporation, a PHARMA corporation, etc. You as the patient will not have a choice even as they pretend you do. If you cannot pay for private insurance you will not go to these hospitals where you used to go anywhere. When you see the news reports of CVS, the pharmacy stopping the sales of cigarettes losing billions in revenue....it is because CVS is partnering with a health system where profits will soar because of patients with critical and costly conditions will be unable to access care.
Walgreen approved for 3 Medicare accountable care organizations
Entities' goal is to improve quality, coordination of patient care while lowering costs
January 11, 2013|By Peter Frost, Chicago Tribune reporter
Drugstore chain Walgreen Co. took another step Thursday in its transformation into a front-line health care provider when three so-called accountable care organizations it created were approved by the federal government.
Physician groups in Texas, Florida and New Jersey agreed to team with Deerfield-based Walgreen, the nation's largest pharmacy chain, to coordinate health care for patients covered by Medicare, the federal health insurance program for the elderly.
BUT OBAMA AND NEO-LIBERALS SAID THOSE UNABLE TO GET HEALTH INSURANCE BECAUSE OF PRE-EXISTING CONDITIONS WILL NOW BE ABLE TO GET HEALTH INSURANCE YOU SAY........having health insurance and accessing health care are two different things to a corporate wealth and profit pol like a neo-liberal. You will pay an insurance premium and have insurance that is basically a catastrophic health plan that will bankrupt you after one health emergency. Paying thousands in premiums and thousands in co-pays and deductibles will make it impossible to access most care.
Consolidating health institutions is like consolidating banks. Look how that turned out. When a health system contains all the health options in one place.....you have no choices and they have a monopoly. You have no protection and they have free market naked capitalism to send profits soaring. Hopkins has a global health tourism business catering to the world's richest paying lots of money.....you have these Health Enterprise ACOs make up of national health chains known for fraud, corruption, and patient abuse. Sending a loved one with special needs to a health space where care is regimented and standardized.....IS A FRIGHTENING EXPERIENCE.
SO, WHAT HAPPENS WHEN MEDICARE SENDS A SET AMOUNT TO AN ACO FOR CARE AND COSTS PRODUCE PROFITS? THAT HEALTH SYSTEM EXPANDS UNTIL IT IS GLOBAL. WHAT CREATES THESE PROFITS? HEALTH CARE STAFF ARE STIFFED OF PAY AND PATIENTS ARE STIFFED OF QUALITY.
In Baltimore, most of the staff working in these ACOs are immigrants and when I ask them what they are paid and the work conditions....you see how Wall Street intends to make the profit. Remember, if these ACOs are paid more for coding you healthier than you are.....YOU WILL BE CODED HEALTHIER THAN YOU ARE.
Medicare Shared Savings ACOs
Map: 2012 Medicare ACOs
November 20, 2012
The big question for Medicare ACOs is how they will distribute the savings. According to Robert Williams, national medical director at Deloitte Life Sciences-Healthcare Consulting, based in McLean, Va., "many organizations that are in this process still haven't defined how they're going to do the distribution of savings."
Read more: Medicare Shared Savings ACOs - FierceHealthcare
THIS IS WHAT DOCTORS WITH A CONSCIENCE DO NOT LIKE ABOUT ACOs. THEY WILL BE REQUIRED TO END THE HIPPOCRATIC OATH.......AND JUST FOLLOW ORDERS. PEOPLE WILL DIE FROM SIMPLE LACK OF CARE SO FORGET PUBLIC JUSTICE AND SUING FOR MALPRACTICE....THE ENTIRE SYSTEM WILL BE DESIGNED TO FAIL MOST PEOPLE.
What these state health systems are meant to be is basically single-payer Medicaid for All. If you look at businesses ending health policies and pushing costs on the worker.....we all know most people will fall into the Medicaid level of care. Think of all the state and city public sector plans being thrown into this system and where those employees will fall. An ACO handling these Medicaid-level patients will be preventative care only and clinic procedures very basic. Anything else will not be addressed by these Maryland hospitals now tied to ACOs requiring private health plans.
All these Federal and state funds going to these Health Enterprise Zones are simply Balkanizing the very people who paid all of those payroll taxes for decades just so they could have quality care. The upper-middle class who will be able to pay for private plans at least for the near-term......are the ones having paid a very small percentage of these payroll taxes. YOUR MEDICARE IS BEING TAKEN TO SUBSIDIZE CORPORATE PROFIT AND EXPANSION OF THE SYSTEM.
Partners promises a new model for health care Tells US investors that expansion will cut costs, improve coverage
By Robert Weisman | Boston Globe Staff January 14, 2014
“It may be a little more interesting and a little more dynamic than elsewhere because the government has intervened for an extended period of time,” said Partners CEO Gary Gottlieb on the Massachusetts market.
SAN FRANCISCO — Facing challenges in their home state, top executives of Boston-based Partners HealthCare System told a national audience of investors Monday that they will create a bold “new medical model” by integrating hospitals and their medical services with insurance products and by drawing patients from across the country.
Speaking at the J.P. Morgan Healthcare Conference, Partners’ chief executive, Gary L. Gottlieb, said his organization, which owns Harvard-affiliated Massachusetts General and Brigham and Women’s hospitals in Boston, plans to improve medical care and lower costs by further expanding its network of community hospitals and primary care physicians in Eastern Massachusetts.
“We need to control our own destiny,” Gottlieb said before a standing-room-only crowd at the Westin St. Francis Hotel, during the industry’s largest global gathering of health care leaders and deal makers.
Among other moves, Gottlieb and chief financial officer Peter K. Markell hope to expand on a strategy to shift more routine health care to community clinics and hospitals, while marketing higher-priced specialty care at Mass. General and Brigham and Women’s to patients around the region and nationally.
They offered no timetable for this plan.
Partners, which also owns seven community hospitals and other facilities in Massachusetts, rang up revenue of $10.3 billion last year, making it the largest health care provider in New England. It attracted about $1.5 billion in outside research funding, including about $800 million from the federal government.
The Partners presentation in San Francisco came days after the massive hospital and doctors system disclosed it will sell $425 million worth of bonds to finance new construction and other expansion initiatives.
As Partners has grown, so has scrutiny of its market dominance, with critics saying the system’s size contributes to more expensive medical care.
The Massachusetts Health Policy Commission wants Attorney General Martha Coakley’s office to reject the organization’s latest attempt to grow, with the proposed acquisition of South Shore Hospital in Weymouth. A review by the watchdog agency concluded the merger could drive up costs and restrict competition for health care services south of Boston.
Later this week, Partners is expected to issue a rebuttal.
Coakley’s office is nearing completion of a four-year investigation, conducted with the US Department of Justice, into allegedly anticompetitive practices by Partners. Partners officials have said that expansion moves on the North and South shores will make it easier for them to integrate services, control costs, and treat more patients in community settings rather than in Boston.
Meanwhile, former Boston Mayor Thomas M. Menino last month lambasted Partners, the city’s largest private employer, for passing up land in Roxbury and deciding instead to consolidate administrative operations — and about 4,500 nonhospital employees — in a giant office complex being built at Somerville’s Assembly Row. Partners said the move to Somerville would be less expensive and afford easier commutes for its employees.
Partners executives did not discuss either issue Monday, but Markell noted the proposed acquisitions of South Shore Hospital and Hallmark Health System, which owns two hospitals north of Boston, are “going through the regulatory process.”
Gottlieb, for his part, made a veiled reference to the regulatory oversight.
“Like elsewhere, the Massachusetts marketplace is interesting and it’s dynamic,” he said. “It may be a little more interesting and a little more dynamic than elsewhere because the government has intervened for an extended period of time. That has intensified and exaggerated some downward cautionary pressures.”
To meet demands of patients, employers, and government officials for more-affordable health care, Partners executives said, they have contracted with insurers that reward doctors and hospitals for keeping patients healthy. Between patients covered by such contracts and those signed up by Neighborhood Health Plan — a Medicaid-managed care insurer Partners acquired in 2012 — it now has about 750,000 “lives under management,” Gottlieb said.
Partners may use that experience to offer its own commercial health insurance products to customers, executives said. Such products, if tailored as limited-network policies, could keep patients within the Partners system.
“We are working real hard to combine our insurance expertise with our provider expertise to create a new medical model,” Markell said.
He said Partners’ bond issue will help it finance ongoing capital improvement projects, such as renovations and new construction at Brigham and Women’s in Boston and elsewhere, as well as initiatives such as an information technology system that will improve efficiency by better managing patients’ records and data.
“Anyone who wants to step up to the plate and buy the bonds right now . . . we’ll take the orders,” Markell told investors.
Think about what working for these ACOs will do to the hippocratic oath.
What's missing from the Hippocratic oath
August 31, 2012 | By Alicia Caramenico
As FierceHealthcare reported yesterday, some teaching hospitals want the Hippocratic oath to require physicians to abstain from inflicting financial harm on patients and the overall healthcare system.
Medical bills are the biggest factor sending people into bankruptcy, as the article notes, which makes "do no financial harm" a great addition to the oath.
Whether you look at the classical or the modern version, the Hippocratic oath seems a little lacking in today's rapidly evolving healthcare environment.
Webinar: How to Navigate the Emerging Trend of Providers Shifting Focus to Healthcare Financing
Date: Thursday, February 6th, 2pm ET / 11am PT
In this webinar, we will examine this trend and discuss options for providers who are entering this market. We will review technology, systems and delivery models. What are the risks/rewards of such a model, and how does it differ from the provider models of the past? What are the factors that will drive an organization to success? Register Now!
Sign up for our FREE newsletter for more news like this sent to your inbox!
What else should doctors and other healthcare professionals swear to before entering the profession? I can think of a few oaths I'd like my own physician to take:
"Provide informed consent"
With recent research finding that doctors don't disclose all the possible risks associated with certain treatments to their patients, pledging to give patients complete and accurate information will help them make informed choices about healthcare.
Such an oath also could motivate doctors to acknowledge that all risks warrant a discussion with patients, even if a specific risk is extremely rare.
Improving the way clinicians and patients communicate about treatment not only can improve care, but also can protect hospitals from lawsuits if something goes wrong. On top that, better informed patients are good for a hospital's bottom line, as providing patients with more information about their conditions and medication management can reduce readmissions.
"Wash my hands"
The industry is well aware that hand-washing compliance across hospitals is routinely dismal. But even with hand-washing stations and hand sanitizer dispensers, providers play a vital role in keeping hospitals clean.
While the Hippocratic oath already requires providers keep patients safe, it could benefit from an added emphasis on better hand hygiene. More doctors and nurses tapping on iPads and other mobile devices at work, for example, is just one of many reasons for a hand-hygiene pledge.
"Maintain my own health and wellness"
Physicians should be counseling patients on healthy diet and physical activity, but advice can be hard to follow when it comes from someone who's not exactly a model for healthy behaviors.
In fact, research indicates hospital employees have higher healthcare costs than the general population and are less healthy. And they're more likely to be diagnosed with chronic medical conditions like asthma and diabetes.
Moreover, a survey last month found that almost half of U.S. physicians suffer from burnout, which can lead to patient safety errors, poor staff morale and greater physician turnover.
It's not surprising, given providers usually work long hours in a high-stress setting--not to mention easy access to vending machines and greasy food in hospital cafeterias.
To honor a vow to promote their own health and well-being, providers need to make non-work a priority. A better work/life balance, whether through mindful living, engaging in fun and fulfilling activities, or setting clear, achievable goals, will keep providers healthy--something that could rub off on their patients.
"Speak up about medical errors and bad behavior"
To help ensure patient safety, providers need to be vigilant about reporting medical errors. Yet most health professionals remain reluctant to speak up, fearing their mistakes and event reports will be held against them.
Some hospitals may not have a blame-free culture, but providers should still be advocates of transparency and patient safety and vow to reduce rather than ignore medical errors.
Unfortunately, some healthcare workers are still hesitant to speak up when their colleagues make mistakes or take dangerous shortcuts. To prevent potential hazards to patients, they must share concerns with the person involved, go higher up the chain of command or report it to the hopsitals' incident reporting system when appropriate.
Read more: What's missing from the Hippocratic oath - FierceHealthcare