Physician-owned specialty hospitals are poorly equipped to handle emergency care, according to an HHS Office of Inspector General report released on Thursday, the Washington Post reports. HHS Inspector General Daniel Levinson in the report wrote that of 109 physician-owned hospitals reviewed, 55% had emergency departments and the majority of those hospitals had only one ED bed. The report also found that 7% of physician-owned hospitals do not meet Medicare requirements that a registered nurse be present at all times and that a physician be on call if none are on site.
In addition, the report found:
• 22% of the hospitals did not address in written policies how emergency situations should be evaluated and handled, which is required by CMS;
• 34% of the hospitals rely on dialing 911 to obtain emergency care for patients; and
• Fewer than one-third of hospitals had a physician on site at all times.
The report recommended that CMS identify and track all physician-owned hospitals to ensure they can handle emergency situations and meet requirements. Acting CMS Administrator Kerry Weems in a letter to Levinson agreed with the report's findings and said most of the recommendations are being pursued by the agency.
Molly Sandvig, executive director of Physician Hospitals of America, said that the report is flawed because it provides no comparison between emergency care at physician-owned hospitals and other kinds of hospitals. She said that CMS should take action against any hospital that does not meet the agency's requirements.
Source: Kaiser Family Foundation