It's important to understand and quantify adverse events in skilled nursing facilities because they're quite common. Costly in largely preventable adverse events are defined by the Office of Inspector General as events that are associated with harm. The Office of the Inspector General's function, in particular, is to detect fraud, abuse, and waste. In this context, they determined that waste is harm, and therefore, that was the purpose of doing this report. They've done prior reports in the hospital setting, so this was the first time they expanded from the hospital to the skilled nursing facility. The importance of the actual report itself was to broaden our understanding of the cost in the incidents and the consequences of adverse events, to broaden awareness, and also to develop strategies to decrease their future occurrence. Before the report was released, it wasn't clear exactly all of the different types of adverse events that were occurring in skilled nursing facilities. We had some understanding about the impact of medication safety and adverse drug events. We had some understanding about other types of events, let's say related to Falls, but what this did was to take a more comprehensive perspective of looking at all of the adverse events that could occur in this particular setting. As part of this report, they quantified each of the adverse events into one of three different types of buckets or criteria. One was adverse events related to medications, the second was adverse events related to general medical care, and the third was adverse events related to infections. The CMS Innovation Award was received by UPMC with the precise goal of reducing potentially avoidable hospitalizations. These hospitalizations are quite common and they're quite costly. We are one of seven recipients of this award throughout the country, and there are five components of...
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Reportable incidents in nursing homes texas Form: What You Should Know
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