Why OIG Did This Review. In 2010, OIG reported the first national incidence rate of patient harm events in hospitals - 27 percent of hospitalized Medicare patients experienced harm in October 2008. During that month, hospital care associated with these events cost Medicare and patients an estimated $324 million in reimbursement, coinsurance, and deductible payments. Nearly half of these events were preventable. OIG conducted a new study to update the national incidence rate of patient harm events among hospitalized Medicare patients in October 2018. This work included calculating a new rate of preventable events and updating the cost of patient harm to the Medicare program. HHS leads national efforts to promote quality health care and prevent patient harm. Several agencies share this responsibility, including the Agency for Healthcare Research and Quality (AHRQ), which leads HHS’s efforts to improve health care quality, and the Centers for Medicare & Medicaid Services (CMS), which is the Nation’s largest health care payer and oversight entity. Although HHS agencies have reported progress during the past decade toward improving patient safety, protecting the health and safety of HHS beneficiaries remains one of HHS’s top management and performance challenges. An increased understanding of the prevalence and nature of patient harm will further assist efforts to reduce patient harm events and the factors contributing to these events.
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