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Public Disclosure of Hospital Errors, CANDOR System Get Giant Boost From Medicare/Medicaid

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Public Disclosure of Hospital Errors, CANDOR System Get Giant Boost From Medicare/Medicaid
News

News

Public Disclosure of Hospital Errors, CANDOR System Get Giant Boost From Medicare/Medicaid

2024-08-13 04:08 Last Updated At:04:21

ATLANTA--(BUSINESS WIRE)--Aug 12, 2024--

Efforts to protect U.S. hospital patients’ safety, require transparent disclosure of medical errors, and empower hospital staff to confidentially report safety concerns are taking a giant step forward this fall.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20240812270302/en/

A new U.S. Centers for Medicare & Medicaid Services (CMS) regulation being published on August 28 and taking effect on October 1 will require hospital leaders to attest to whether they are taking several steps to promote accountability and transparency around medical errors, which are the third leading cause of death for Americans after heart disease and cancer.

The regulation specifically endorses the Communication and Optimal Resolution (CANDOR) program as a way for hospitals to commit to being honest and open with patients and their families about medical errors, why they happened, and what steps the hospital will take to prevent them from recurring.

An alternative to the once-common response to medical errors known as “deny and defend,” CANDOR has been shown by severalstudies to reduce malpractice claims and the duration and expense of litigation.

“Early evidence shows the value of CANDOR programs to increase confidence in hospital leadership and improve healthcare worker job satisfaction,” said Thomas A. Mroz, Professor Emeritus of Economics at Georgia State University. “These benefits may reduce turnover of hospital workers, including nurses, physicians, and hospital leaders.’’

Colorado, Iowa, Minnesota, and Utah have all adopted laws to make it easier for hospitals to use CANDOR. Georgia’s Legislature came within one procedural vote of enacting a Georgia CANDOR law before the 2024 session expired. CANDOR-type policies are also sometimes referred to as communication-and-resolution programs (CRP).

The new CMS regulation, available online at https://federalregister.gov/d/2024-17021, states that “accountability for outcomes, as well as transparency around safety events and performance, represent the cornerstones of a culture of safety. For hospital leaders, clinical and non-clinical staff, patients, and families to learn from safety events and prevent harm, there must exist a culture that promotes event reporting without fear or hesitation, and safety data collection and analysis with the free flow of information.’’

As a condition of participating in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), starting Oct. 1 U.S. hospitals must attest whether they:

Failing to implement these programs can lead to lower quality ratings of hospitals and other healthcare providers.

Communication and Optimal Resolution (CANDOR) programs for U.S. hospitals designed to protect patient safety, require transparent disclosure of medical errors, and empower hospital staff to report safety concerns have won a major endorsement from the U.S. Centers for Medicare & Medicaid Services. A new rule taking effect Oct. 1 will require hospitals to attest to whether they are taking several steps to promote and report patient safety, including implementation of CANDOR. PHOTO CREDIT: COD Newsroom

Communication and Optimal Resolution (CANDOR) programs for U.S. hospitals designed to protect patient safety, require transparent disclosure of medical errors, and empower hospital staff to report safety concerns have won a major endorsement from the U.S. Centers for Medicare & Medicaid Services. A new rule taking effect Oct. 1 will require hospitals to attest to whether they are taking several steps to promote and report patient safety, including implementation of CANDOR. PHOTO CREDIT: COD Newsroom

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Trump says he supports proxy voting for new parents in Congress

2025-04-04 09:44 Last Updated At:09:51

WASHINGTON (AP) — President Donald Trump on Thursday endorsed a proposal that would allow new parents in Congress to vote by proxy, rather than in person.

Trump’s position, articulated to reporters on Air Force One on Thursday, put him at odds with House Speaker Mike Johnson, who mounted an aggressive push to kill that effort this week but was foiled by nine of his own members, along with all Democrats.

Though the president said he would defer to Johnson on the operations of the House, he also said, “I don’t know why it’s controversial.” Trump said he had spoken to Florida Rep. Anna Paulina Luna, the leading Republican proponent of the effort.

“If you’re having a baby, I think you should be able to call in and vote,” Trump told reporters Thursday as he traveled to Florida. “I’m in favor of that.”

In a post late Thursday on X, Luna said Johnson called her after Trump's remarks “and we discussed limiting the vote to just new moms who cannot physically travel in event of emergency etc. This is smart.”

Luna and Democratic Rep. Brittany Pettersen of Colorado have led an effort that would allow new parents in Congress to vote by proxy for 12 weeks as they care for their newborns. It has the support of the majority of the House, with 218 lawmakers signing on to a so-called discharge petition that would force the measure on the House floor for consideration.

But Johnson is an adamant opponent of casting votes by proxy, saying that doing so is an affront to the Constitution and invoked similar efforts instituted by then-House Speaker Nancy Pelosi during the height of the COVID-19 pandemic in 2020.

“It was quickly abused. Republicans put an end to it then, and we cannot allow it again,” Johnson said in a lengthy social media post this week. The speaker says he is working on “every possible accommodation” aside from being able to vote by proxy to aid new mothers in Congress.

Johnson attempted to squash the proxy effort in a dramatic floor vote earlier this week, but nine of his own Republicans joined all Democrats in rejecting his plan, 206-222. The speaker canceled House votes for the rest of the week while supporters of the proxy voting plan were undeterred and vowed to continue to push for it.

Rep. Anna Paulina Luna, R-Fla., speaks during a hearing of the House Task Force on the Declassification of Federal Secrets on Capitol Hill, Tuesday, April 1, 2025, in Washington. (AP Photo/Mark Schiefelbein)

Rep. Anna Paulina Luna, R-Fla., speaks during a hearing of the House Task Force on the Declassification of Federal Secrets on Capitol Hill, Tuesday, April 1, 2025, in Washington. (AP Photo/Mark Schiefelbein)

President Donald Trump waves as he arrives on Air Force One at Miami International Airport, Thursday, April 3, 2025, in Miami. (AP Photo/Rebecca Blackwell)

President Donald Trump waves as he arrives on Air Force One at Miami International Airport, Thursday, April 3, 2025, in Miami. (AP Photo/Rebecca Blackwell)

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