DJP Update 1-8-2008 - DJP Update 1-8-2008 - Patient Safety and  Quality Improvement Act; Louisiana news-DHH Secretary announced by  Gov-Elect Jindal; Safety Meetings; Tulane; Safety; & Lagniappe

ITEM ONE: Patient Safety and Quality Improvement Act of 2005 The Patient Safety and Quality Improvement Act of 2005 (Public Law 109-41), was signed into law on July 29, 2005. We still do not have the regulations so that we can start using this important law.  This law allows confidential voluntary reporting of errors, review by experts, and feedback to those involved with recommendations of how to change the system to prevent occurrence again.  In addition, the information will be on a de-identified database for all to use so they also can benefit from the "lessons learned."

My sources tell me that the proposed regulations finally have left the Agency for Healthcare Research and Quality (AHRQ) and are now in the Office of Management and Budget (OMB).

For background information about the OMB, see:
http://www.whitehouse.gov/omb/
http://en.wikipedia.org/wiki/Office_of_Management_and_Budget
http://www.gpoaccess.gov/cfr/index.html

In July of 2008, it will be three years since this law was signed!  I am reminded of Cicero's lament that I stated in my 2003 AMA Inaugural Address:

"In a debate over liberty in another time and place, the Roman Cicero asked: 'How long must we tolerate these abuses?' That question echoes  down through the ages and resonates with us today."  I spoke of the broken medical liability system.  You may argue about the use of the word "abuses" but I believe we can agree that this is an inefficient way to implement the overwhelming majority vote in Congress.  Do we just pass laws and forget about them? Why don't we have people crying out for implementation?

It is ridiculous that we have to wait this long to start using what I consider the most important patient safety advance since the American College of Surgeons developed the "Minimum Standard for Hospitals" in 1917. The requirements filled one page.  This quest for quality led to the formation of the Joint Commission of Accreditation of Hospitals (JCAH - later to become JCAHO and now called Joint Commission.) in 1951.

It was 97 years that the surgeons worked to enhance quality and safety in hospitals with the "Minimum Standard for Hospitals."

Failing to implement a law timely is not much better than defeating it.  Enough time has passed.

My recommendation is that everyone call or write their representatives and senators and Congress and ask them to move this along.  Nothing like a little heat in an election year to move an issue.

ITEM TWO:  Louisiana news -  Alan Levine of Florida chosen by Gov- Elect Bobby Jindal to be Department of Health and Hospitals Secretary (DHH) Secretary

Broward Health President and Chief Executive Officer Alan Levine will serve as secretary of the Department of Health and Hospitals for Louisiana.

See more information at:

http://www.katc.com/Global/story.asp?S=7595521
http://www.nola.com/news/index.ssf/2008/01/
jindal_names_state_healthcare.html
http://www.bizjournals.com/southflorida/stories/2008/01/07/daily22.html

I am very excited about Bobby Jindal becoming our new governor on Monday, January 14.

ITEM THREE: Dr. Ben Sachs New Tulane SVP and Dean of the Tulane School of Medicine announces medical training and simulation center

Dr. Sachs, formerly of Harvard, plans to innovate medical education at Tulane by developing a medical training and simulation center that will rival the top two or three such facilities in the country.
He already has five millions dollars of funding.

See more news at:
http://tulane.edu/news/newwave/121407_medschool.cfm
http://findarticles.com/p/articles/mi_qn4200/is_20071210/ai_n21154988

Dr. Sachs will conduct Tulane surgical grand rounds tomorrow and discuss the simulation center and crew  resource management.

Dr. Doug Slakey, Chair of Tulane Surgery, has invited me to conduct grand rounds next Wednesday.  My topic will be Patient Safety  - A Systems Approach.

ITEM FOUR: Patient Safety Meetings Coming Up

A) LUCIAN LEAPE INSTITUTE INAUGURAL GALA in Boston February  8, 2008
More information at:  www.npsf.org/LLI

B)  National Patient Safety Foundation Annual Patient Safety Congress in Nashville, TN on May 15-16.
  Theme: CONNECT. COMMUNICATE. COMMIT.

More details at www.npsf.org

LAGNIAPPE: LSU football is now number one in USA and the BOOK!
My wife Robin, an Ohio State University graduate in dietetics and then in law, finally understood that LSU is #1 in USA as LSU beat OSU in the BCS title game 38-24 last night.

I even had to stopping writing the final chapters of my book on leadership to watch that exciting game with Robin!

By the way, I will let you know exactly when the book will be in the bookstores.  Present plan is August of 2008.  Soon the entire manuscript and the photos will be in publisher's office.  Any creative ideas you have on marketing of the book and spreading the word about it, please let me know and I will share with publisher.

Happy New Year!  The best of health and success in the year ahead.

Stay well,

Donald

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Donald J. Palmisano, MD, JD
Intrepid Resources / The Medical Risk Manager Company
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