HCA Has Achieved Dramatic Cost and Claims Reductions
For the past decade, HCA has engaged in a broad approach to reducing error in the perinatal setting. Centered around a philosophy that the best way to avoid claims risk is by reducing adverse outcomes, HCA spearheaded a broad initiative to improve safety by creating uniformity in processes and procedures, supporting team behavior, viewing cesarean delivery as a process alternative rather than an outcome, and establishing effective peer review. Using this approach, founded on strong education across the clinical team, HCA achieved dramatic cost and claims reductions, lowering the number of claims by approximately 10% per year and the cost per birth by approximately 25% per year. (The details of these results were recently published in AJOG.) The APS Perinatal Safety Curriculum emerged out of this process.
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