News from Tallahassee for 11/25/14

Hospitals Take Leap on Prevention posted on 10/30/14

by Carol Gentry | Health News Florida

Nearly half of Florida hospitals have earned an "A" on error prevention in a new report card from a business-backed group concerned about patient safety.

The ratings from The Leapfrog Group, released today, show Florida fifth among the states on its safety scores (see all state scores). No Florida hospitals flunked, and just three scored a D (see Florida scores).

The most-improved hospital on the Leapfrog list is Brandon Regional Medical Center, which jumped from a D to an A grade in just six months. The suburban Tampa facility is part of the HCA Healthcare chain, as are three of the four hospitals that jumped from Cs to As over the same time.

The HCA hospitals that jumped two letter grades to an A were all in Tampa Bay: South Bay Hospital in Sun City Center, Northside Hospital in St. Petersburg, and Doctors Hospital of Sarasota.

The good news was not entirely a surprise, said Dr. Larry Feinman, chief medical officer for HCA's 16-hospital Western Florida Division.

"Our company and our division and our facilities have been embarking on significant work with clinical excellence initiatives that really have improved the quality at all our hospitals," he said in an interview. "You're seeing the result of that."

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Florida governor defends order on Ebola monitoring posted on 10/27/14

by AP

WELLINGTON, Fla. — Gov. Rick Scott defended his decision to monitor anyone coming from Ebola-affected countries, saying Monday it's "the right thing to do" to protect Floridians.

Appearing beside New Jersey Gov. Chris Christie at a campaign event in Wellington, Scott said his executive order would ensure that the state wards off an outbreak and goes beyond actions by the U.S. Centers for Disease Control and Prevention.

"I want to make sure that ... we don't do what CDC did — they got behind," he said. "We're not going to get behind. We're going to be prepared."

Scott's weekend order gives state health officials authority to do twice-daily monitoring of individuals arriving from places the CDC designates as affected by Ebola.

"We've got 19.6 million people living in this state. I want them to be safe," Scott said. "I want the 100 million tourists that we get here to be safe. I want all of our health care workers, our first responders to be safe. If you go to a Ebola-infected area when you come back you ought to be monitored by the Department of Health. It's the right thing to do."

CDC to Talk Ebola with Florida Hospitals posted on 10/20/14

by AP

Officials from the U.S. Centers for Disease Control and Prevention will hold a conference call today on Ebola preparedness and training with Florida hospitals.

Gov. Rick Scott said Saturday that the call scheduled Monday afternoon will provide guidance for proper use of personal protective equipment, safe handling of medical waste and effective clinical strategies within hospitals.

Late Friday, the CDC approved a request from state health officials to redirect $7 million from federal grants to buy full body suits for health care workers who may have contact with any potential victims of the virus.

Scott, who is in a tight race for re-election against former Gov. Charlie Crist, has been critical of the CDC's response and has repeatedly stressed measures he's taking to prevent a possible crisis in Florida.

Report: 200,000 Payments From Med Tech and Pharma Companies To Florida Docs, Hospitals posted on 10/1/14

by Lynn Hatter | WFSU

The federal government has released an initial list of physicians and teaching hospitals across the county that have gotten payments from the medical industry. But federal officials say the data comes with some caveats.

Payments made to Florida doctors from medical device manufacturers and pharmaceutical companies range from a penny, to a single $1.3 million transaction to a Miami physician. According to the federal data companies made more than 200,000 transactions to Florida doctors and teaching hospitals between August and December of last year. Nationwide, payments topped $3.5 billion to 546,000 physicians and 1,360 teaching hospitals. The price tag is expected to grow when the government starts doing a yearly analysis. The federal Centers for Medicare and Medicaid Services says the information doesn’t necessarily mean there’s wrongdoing.

“While the data could discourage payments and other transactional value that might have an inappropriate influence on research, education or clinical decision making, they could also help identify relationships that lead to the development of beneficial new technologies or medications," says Deputy Administrator and Director of the Center for Program Integrity Shantanu Agrawal.

About 40 percent of the transactions don't have any identifying information.

Physician groups say the data doesn’t give consumers enough information about what and why doctors are paid, and claim physicians didn’t have enough time to review the data.

» Read more

Tougher Compounding Rules Finally Law posted on 9/30/14

by MARY SHEDDEN | Health News Florida

Stricter regulations in the state’s compounding pharmacy industry take effect Wednesday -- two years after a national outbreak of fungal meningitis killed 64 people, including seven in Florida.

In 2012, when the New England Compounding Center outbreak happened, the state had hundreds of unregulated, non-resident facilities providing these specialized medications to Floridians. Now, the state will require permits for any pharmacies outside state boundaries that want to ship medications in state.

Efforts to tighten oversight over compounding pharmacies started soon after contamination drugs were discovered in 2012, and state officials found more than two dozen of the 751 people infected by tainted steroid injections lived in Florida.

Eight clinics, in Ocala, Pensacola, Miami, Palm Beach Gardens and Orlando, received lots of the contaminated drug, according to a Centers for Disease Control and Prevention investigation. A total of 25 Floridians were infected and sickened, seven of whom died.

» Read more

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