OIG Workplan – July Update

PUBLISHED: Jul 22, 2019
Relevant to: Critical Access Hospitals, Hospitals

The Office of Inspector General (OIG) released its July 2019 Work Plan update. Below is a summary of the update for this month:

  • Quality of Maternal Healthcare in Indian Health Service Hospitals

According to the OIG, maternal mortality and morbidity are increasing in the United States, and up to 60 percent of maternal deaths may be preventable. The American College of Obstetricians and Gynecologists (ACOG) issues guidance on safe practices during labor and delivery intended to help reduce maternal mortality and other complications. Early analysis of medical record review results for the study Adverse Events in Indian Health Service Hospitals (OEI-06-17-00530) identified instances in which Indian Health Service (IHS) hospital providers did not follow recommended practices and may have put patients at unnecessary risk. Failure to follow recommended practices is not necessarily improper and does not always cause patient harm, but it may indicate substandard quality of care.

OIG will use medical record reviews by an obstetrician/gynecologist specializing in patient safety to identify and describe examples of potentially substandard care during labor and delivery in IHS hospitals. These anecdotes may help IHS to target hospital improvement efforts. OIG will also identify factors that may be related to the potentially substandard care.

MCN Healthcare’s Labor and Delivery Policy and Procedure manual contains evidenced-based policies that promote safe and effective labor and delivery care. Included with today’s StayAlert! Notice are a selection of those policies.

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