National Health Reform Provisions and PSOs

The following article was published in the spring 2012 Center for Patient Safety PSO News regarding national health reform provisions and PSOs:

UPDATE: ACA PSO Participation Requirement Delays Until January 2017.  Read more.

National Health Reform & PSOs

Two provisions within the expansive Patient Protection and Affordable Care Act (PPACA) health reform legislation include Patient Safety Organization (PSO) activities.

1. Beginning January 1, 2015, PSO participation will be required for a hospital to be eligible to join defined health plans that are part of health insurance exchanges. PPACA Section 1311 requires states to have health insurance exchanges in place by January 2014, and, beginning January 2015, for hospitals with more than 50 beds to have an established Patient Safety Evaluation System (PSES) in place.

2. PPACA Section 399KK calls for the federal Agency for Healthcare Research and Quality (AHRQ) to develop a program supporting PSOs in helping hospitals with high readmission rates improve their performance. It also requires PSOs and hospitals to report on processes to improve readmission rates.

Nationwide, the Department of Health and Human Services (HHS) has identified 631 hospitals, including 13 in Missouri, as needing improvement.

The AHRQ has posted information about the PSO Readmission Program containing the PPACA requirements and readmission reduction resources.

In addition, the AHRQ has released draft Common Data Formats for readmission data to be reported to PSOs for approval of the National Quality Forum. More details are expected to be provided by AHRQ about the PSO Readmission Program in 2012.

View printable version

BLOG:

The Second Victim Experience – Train-the-Trainer Workshop:

Most health care providers adjust well to the multitude of demands encountered during an unexpected or traumatic clinical event. Providers often have strong emotional defenses that carry them through and l

PSO Alert: Fall Risk:

The Center for Patient Safety issues this alert regarding falls based on our data analysis. Falls are a difficult and long-standing challenge for providers. While the majority of events report no harm, fal

Are Critical Thinking Skills becoming Extinct?:

As an RN for nearly 30 years, I’ve seen many changes in the healthcare arena since I started as a Student Nurse Assistant in 1986. I recently had a discussion with other healthcare providers regarding th

It’s time for healthcare organizations to partner up with a Patient Safety Organization. Are you ready?:

It’s time for healthcare organizations to partner up with a Patient Safety Organization. Are you ready? Hospitals have an approaching deadline to sign up with a Patient Safety Organization (PSO) for

Read More

RESOURCES:

The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.