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Public Health Policy Analysis

An Analysis of Proposed Public Health Bill AB 542 Titled ‘Hospital Acquired Conditions’

Every year, more than 100,000 lives are lost as a result of various Medical errors conducted by medical professionals and practitioners in various licensed health facilities in California. This is according to the 1999 study conducted by the Institute of Medicine. In the year 2009, 1,500 errors were reported by medical providers where 1,015 of the cases concerned serious bedsores on patients. Out of 1,500 case of adverse events reported to the state that year, 30 of them resulted into death of patients and serious disability on patients. 12 of the cases reported were linked to suicides and suicide attempts by the patients in various Health Care facilities. According to California Watch, six of the patient died as a result of serious burns or electric shock while in health care facilities. More surprising is that thirty of the cases were as a result of sexual assault on patients by medical care staffs (Jewett, 2010).

This is just an example from one year; many more such cases are reported every year in the Department of Public Health. However, the department of Public Health continues to fine hospitals for not reporting incidents of adverse events but no lasting solution to this problem have been sought.  According to earlier reports by California Watch (before July 2010), “the department had fined medical facilities more than $1 million for failing to report or delaying reports of more than 260 errors” (Jewett, 2010).

Acquired adverse events in medical facilities have continued to receive a huge public outcry as many people continue to suffer in the hands of medical professionals and practitioners in medical facilities. The question here is ‘why should innocent members of the public continue to suffer in the hands of those who are entrusted to provide medical care to them’. The proposed bill by Mike Feuer on new policies and practices concerning adverse medical events is seen as an opportunity to bring amendments in the medical field in order to bring to an end the problems arising from the question posed above.

According to Institute of Medicine, patients seeking medical treatment are entitled to quality, timely, safe and appropriate medical care. Health care facilities licensed by the government through the Department of Public Health and health care providers are very important resources in the society as they perform life-saving procedures.  They ensure the health of the members of the public as well as their welfare. However, in spite of their good intention to ensure  presence of a health society, adverse events do occur in the health facilities where patients are harmed with many cases of deaths and disabilities reported from patients as a result of adverse events.

The Institute of Medicine among other medical researchers have come into a consensus that adverse events in our health facilities is a serious problem and something need to be done before the situation gets out of control. These researchers are of the opinion that one way to reduce occurrence of adverse events in our health facilities is to conduct ongoing health care providers’ education as well as establishing safety plans and procedures (Jewett, 2010).

Lack of quick intervention or not intervention to problems of adverse events, from a personal perspective, would result to more and more cases of adverse events on patients where many people are likely to lose their lives or be rendered mentally and/or physically disabled. The dire consequences of these events are likely to be felt at a national level were the economically productive people and the potentially productive people (the young generation) will be unable to serve the nation and hence reducing the productivity of the nation.

Overview of the Bill and Stakeholders

On February 25, 2009, an assembly Member by the name Feuer introduced a public health bill titled ‘Hospital Acquired Conditions’ which was basically concerned with adverse medical events. The existing laws by the time of introduction of this bill established various programs for promotion of health and prevention of disease which included licensing and regulation of health facilities that are under the administration of State Department of Public Health. According to the existing laws, health facilities were to report to the State Department of Public Health all patients’ adverse events within 5 days (AB 542, 2009).

The bill was seeking to expand the specified adverse events that required reporting to include, surgical-site infections, catheter-associated urinary tract infection, and manifestation of poor glycemic control (AB 542, 2009). The bill was also seeking a requirement that all surgical clinics to comply with reporting requirements for adverse events just like other health facilities. The State Department of Public Health was therefore required to collect and investigate adverse information and events respectively.

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