Wednesday, September 28, 2022 | The Latest Research, Commentary, And News From Health Affairs
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Narrative Matters: A Health System That Won’t Learn
September’s Narrative Matters
column focuses on the aftermath of a patient dying from medical error.
Author Chandra Keller writes about her uncle, who died while in the care of an intensive care unit team within an integrated managed care consortium.
"He died because of apparent failures to communicate across silos and to consider the cumulative or interactive effects
of individually applied treatments," Keller explains.
In her essay, Keller reveals that she investigated her uncle’s care leading up to his death and ultimately had his official cause of death corrected.
"The burden is apparently on the patient and the patient’s family both to coordinate the patient’s care proactively without any personal medical knowledge and to conduct their own investigation after an adverse event occurs," she writes.
Ultimately, "no one took responsibility for the gaps in care and lack of coordination and communication that led to his preventable death," Keller says.
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Join us on October 6 for a free in-person event at Main Street Connect in Rockville, Maryland. If you can't join us in person, you can also attend virtually.
The evening will include a panel discussion about unmet needs in Montgomery County, Maryland's disability community and ways to address them, led by Health Affairs Director of Health Equity Vabren Watts. The event will also include screening of a short film featuring disability rights activist Judy Heumann.
Elsewhere in Health Affairs Forefront, Katie Keith discusses the latest lawsuit over the implementation of the independent dispute resolution (IDR) process under the No Surprises Act, challenging a final rule on the IDR process that was issued in
August 2022.
In another article, Keith covers a new lawsuit in federal district court in DC to challenge a Trump-era policy that allows insurers and pharmacy benefit managers to not apply financial support from a drug manufacturer towards a patient’s deductible or annual out-of-pocket maximum.
Richard Hughes IV and
coauthors explain how the Affordable Care Act’s contraceptive coverage requirements are prone to misinterpretation by patients, providers, and plans when translated into practice and have failed to evolve and keep pace with new and innovative technologies over time.
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Health Affairs is the leading peer-reviewedjournalat the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking
content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.
Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.
