CMS Proposes Requiring Medicare Hospitals to Adopt New Antibiotic Controls

CAL/AAEM News Service calaaem.news.service1 at gmail.com
Mon Jun 20 10:29:33 PDT 2016


       

 

June 13, 2016

 

CMS Proposes Requiring Medicare Hospitals to Adopt New Antibiotic Controls

 

 

 
<http://www.wsj.com/articles/cms-proposes-requiring-medicare-hospitals-to-ad
opt-new-antibiotic-controls-1465862044> The Wall Street Journal

 

 

Concerned about the growing threat of bacteria immune to antibiotics, U.S.
federal health officials proposed rules that would require hospitals to
closely manage the use of antibiotics or be ejected from Medicare.

 

The proposal, released by the Centers for Medicare and Medicaid Services
late Monday, would require U.S. hospitals to adopt strategies to curb
overuse of antibiotics, a problem widely cited by public health officials as
a factor in the emergence of drug-resistant superbugs.

 

The rule would be the first to make so-called antibiotic stewardship
programs mandatory for hospitals to get paid by Medicare, which spent $250.3
billion on hospital care in 2014.

 

The proposal came as part of a larger package of measures to bolster
infection oversight at U.S. hospitals. In a document released Monday, CMS
said the infection-control rules hospitals must follow to get paid by
Medicare haven't been updated since 1986, when the agency first required
hospitals to adopt infection-control measures.

 

Hospitals have long been recognized as a petri dish of infection. Medicare
penalizes certain hospitals for patients who acquire infections during a
hospital stay.

 

The American Hospital Association released a statement saying the trade
group was reviewing the proposed rule.

 

"The emphasis on good infection control and antibiotic stewardship is
consistent with the important work hospitals are doing to reduce infections
and preserve the effectiveness of our current antibiotics," the trade groups
said. "We join CMS in recognizing the importance of these programs and are
always looking to make them more effective."

 

Public health experts welcomed the proposal.

 

Antibiotic resistance is "a major public health threat," thanks to overuse
and poor incentives for pharmaceutical manufacturers to develop new
antibiotics, said Dr. Gregory Daniel, deputy director of the Duke-Robert J.
Margolis Center for Health Policy.

 

The proposed rule will create an incentive for hospitals that have yet to
develop programs to oversee antibiotic use, said Kevin Outterson, a health
law professor at Boston University who specializes in antibiotic resistance.

 

In 2014, roughly 40% of U.S. hospitals had an antibiotic oversight program,
according to the CDC.

 

Under the proposal, hospitals would be required to have someone in charge of
antibiotic oversight. Hospitals would also be required to show they use
antibiotics properly and have fewer antibiotic-resistant infections under
yet-to-be released guidelines.

 

 

 

Jeff Wells
Deputy Editor, CAL/AAEM News Service

 

Brian Potts MD, MBA
Managing Editor, CAL/AAEM News Service



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