Observation status for hospitalized patients: A maddening policy begging for revision

JAMA Internal Medicine

Volumn 173, Issue 21, 2013, Pages 1999-2000

  Wachter, Robert M ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALCOHOL INTOXICATION; ALCOHOL WITHDRAWAL; AMBIGUITY; ASTHMA; COMMUNITY HOSPITAL; DEHYDRATION; DIAGNOSIS RELATED GROUP; DRUG OVERDOSE; ELECTRODE; GOVERNMENT; HEALTH CARE POLICY; HOSPITAL BED; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; INFORMATION TECHNOLOGY; MEANINGFUL USE CRITERIA; MEDICAL RECORD; MEDICARE; NOTE; NURSING HOME; OUTPATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; PURCHASING; REIMBURSEMENT; THORAX PAIN; UNITED STATES; WRIST;

FEMALE; HOSPITAL COSTS; HOSPITALIZATION; HUMANS; LENGTH OF STAY; MALE;

EID: 84890100925     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2013.7306     Document Type: Note

References (10)

1. Department of Health and Human Services and Centers for Medicare & Medicaid Services. Medicare benefit policy manual: chapter 6-hospital services covered under Part B. December 16, 2005. Pub 100-02. www.cms.gov/Regulations- and-Guidance/Guidance/Transmittals/downloads/R42BP.pdf. Accessed June 17, 2013.
2. Sheehy AM, Graf B, Gangireddy S, et al. Hospitalized but not admitted: characteristics of patients with "observation status" at an academic medical center [published online July 8, 2013]. JAMA Intern Med. doi:10.1001/jamainternmed.2013.8185.
3. Jaffe S. Seniors sue Medicare to close nursing home coverage gap. http://c-hit.org/2013/05/03/seniors-sue-medicare-to-close-nursing-home-coverage- gap/. Accessed June 17, 2013.
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5. Ross EA, Bellamy FB. Reducing patient financial liability for hospitalizations: the physician role. J Hosp Med. 2010;5(3):160-162.
6. Jaffe S. Medicare seeks to limit number of seniors placed in hospital observation care. Kaiser Health News. May 3, 2013. www.kaiserhealthnews.org/ stories/2013/may/03/cms-offers-new-rule-for-medicare-observation-care.aspx. Accessed June 17, 2013.
7. Centers for Medicare & Medicaid Services. Are you a hospital inpatient or outpatient? if you have Medicare-ask! www.medicare.gov/pubs/pdf/ 11435.pdf. Accessed June 17, 2013.
8. Centers for Medicare & Medicaid Services. Details for: proposed policy and payment changes for inpatient stays in acute-care hospitals and long-term care hospitals. April 26, 2013. www.cms.gov/Newsroom/ MediaReleaseDatabase/Fact-Sheets/2013-Fact-Sheets-Items/2013-04-26.html. Accessed June 17, 2013.
9. Improving Access to Medicare Coverage Act of 2013, S 569, 113th Congress (March 14, 2013). www.govtrack.us/congress/bills/113/s569. Accessed June 17, 2013.
10. Wachter RM, Flanders SA, Fee C, Pronovost PJ. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Ann Intern Med. 2008;149(1):29-32.