Rule for Patient Safety Organizations proposed.

Draft federal regulations more than 2 years in the making aim to give hospital networks, physician groups, and similar organizations the ability to help doctors reduce medical errors and improve the quality of care they provide to patients.

The 72-page proposed rule offers the government's first pass on how to implement the Patient Safety and Quality Improvement Act of 2005 and gives guidance on how to create confidential patient safety organizations (PSOs).

First called for by the Institute of Medicine in its 1999 report "To Err is Human," PSOs will be entities to which physicians and other health care providers can voluntarily report "patient safety events" with anonymity and without fear of tort liability. PSOs will collect, aggregate, and analyze data and provide feedback to help clinicians and health care organizations improve on those events in the future, according to the law and proposed rule.

In an interview, Dr. Bill Munier, director of the Center for Quality Improvement and Patient Safety at the Agency for Health Care Research and Quality, said that patient safety events can be anything from health-care associated infections and patient falls to adverse drug reactions and wrong-site surgery.

According to the proposed rule, "a patient safety event may include an error of omission or commission, mistake, or malfunction in a patient care process; it may also involve an input to such process (such as a drug or device) or the environment in which such process occurs."

The term is intentionally more flexible than the more commonly used "medical errors" to account for not only traditional health care settings, but also for patients participating in clinical trials, and for ambulances, school clinics, and even locations where a provider is not present, such as a patient's home, according to the rule.

Until now, there has been no clear guidance on how an organization can become a PSO. But according to the proposed rule, public and private entities, both for-profit and not-for-profit, can seek listing as a PSO. This includes individual hospitals, hospital networks, professional associations, and almost any group related to providers with a solid network through which safety information can be aggregated and analyzed, said Dr. Munier.

"We know that clinicians and health care organizations want to participate in efforts to improve patient care, but they often are inhibited by fears of liability and sanctions," said Dr. Carolyn M. Clancy, AHRQ director. "The proposed regulation provides a framework for [PSOs] to facilitate a shared-learning approach that supports effective interventions that reduce risk of harm to patients."

Dr. Munier said that the rule took a long time to issue partly because its authors had to be sure it didn't conflict with state reporting requirements and the Health Insurance Portability and Accountability Act (HIPAA).

Dr. Bruce Bagley, medical director for quality improvement at the American Academy of Family Physicians, said in an interview that back in 2005, the AAFP had convened a work group to determine whether the academy ought to become a PSO. The proposed rule on what it would take to be a PSO was expected within the year, he said. But as implementation of the law languished, those plans were abandoned.

Now, Dr. Bagley said, he expects that the AAFP will once again look into becoming a PSO for its members, but he thinks that big institutions such as large hospital systems or the Mayo Clinic will be the best candidates for PSOs. Nevertheless, he said, "This is something that's been long needed, to be able to have medical professionals and other clinicians be open about reporting errors that can be analyzed in a systematic way."

In a statement, Rich Umbdenstock, president and CEO of the American Hospital Association, said that his group was in strong support of the creation of PSOs. "Hospitals have already waited 2 years for this rule and this is only a first step in the process toward establishing PSOs. We will continue to work with HHS to ensure the timely creation of PSOs," he said.

Dr. J. James Rohack, a board member of the American Medical Association, agreed. In a statement, he said, "Since the passage of patient safety legislation in 2005, the American Medical Association and other patient safety advocates have eagerly awaited guidance for implementation from the administration. The proposed rule ... will allow health care professionals to report errors voluntarily without fear of legal prosecution and transform the current culture of blame and punishment into one of open communication and prevention."

Also in a statement, the American College of Surgeons said that it was in the process of reviewing the proposed rule and it planned on submitting comments. 'Along with these other health care system stakeholders, the college has been waiting with eager anticipation for the guidance and protections these regulations should offer," a representative said.

To view the proposed rule and learn how to comment, go to www.regulations.gov/ fdmspublic/component/main?main=Docket Detailed=AHRQ-2008-0001.

BY DENISE NAPOLI

Assistant Editor