Saturday, November 17, 2018
News Roundup

All Children’s Hospital now under federal review

The federal government has opened an investigation of Johns Hopkins All Children’s Hospital, days after a state agency cited the hospital for not reporting two serious medical errors.

The federal review, by the Centers for Medicare and Medicaid Services, could be more wide-reaching than the state’s, which focused on the hospital’s procedures for minimizing risk and handling medical mistakes.

All Children’s did not comment on Thursday.

The CMS review will make sure the hospital is following federal rules and regulations, spokeswoman April Washington said. The federal agency contracts inspections related to its rules to the state Agency for Health Care Administration.

Inspectors typically perform what’s known as a Quality Assurance and Performance Improvement review to confirm hospitals are operating at acceptable standards and medical outcomes required to receive federal dollars. If they find problems, they give the hospital 10 days to devise a plan for correcting them.

Although the AHCA is the agency that licenses health care facilities in Florida, the CMS wields tremendous power. In the most extreme cases, the agency can shut hospitals out of the Medicaid program, which provides health insurance to low-income adults and kids.

That would be devastating for any hospital. All Children’s billed the program more than $550 million in 2016 — about 66 percent of its total charges, according to state data.

Problems within the hospital’s Heart Institute were first made public in a Tampa Bay Times report in April. The newspaper highlighted a 2016 case in which a needle was left in 3-day-old Katelynn Whipple after surgery. Katelynn’s parents told the Times they did not learn about the needle until after their daughter was discharged. Later, they said, the surgeon who performed the procedure denied it existed.

In April, hospital leaders told the Times that surgical needles had been left behind in two patients since 2016. Dr. Jonathan Ellen, the CEO, also said the mortality rate among heart surgery patients had gone up in 2017, but declined to release the exact figure. The hospital’s latest four-year average is roughly the national average.

Ellen said the hospital was responding to those and other "challenges" by performing fewer surgeries and referring some complicated cases to other hospitals. In addition, he said, one of the program’s three surgeons, Dr. Tom Karl, is not operating at this time.

Medical records indicate Karl was involved in Katelynn’s case. Karl did not return an email from the Times.

The state launched a review into the newspaper’s findings in late April.

A spokeswoman for the AHCA said All Children’s was due for a review into how it handles and prevents hazardous conditions, including medical errors. But the agency accelerated its investigation after learning about the two needle incidents.

In its report, released Tuesday, the AHCA cited All Children’s for not reporting two so-called "adverse incidents" within 15 days, as required by law. The state also found that All Children’s violated Florida law by not disclosing one of the incidents to the patient or a patient representative.

The copy of the report provided to the Times did not include identifying information on the patient. But many of the details matched Katelynn’s medical records.

The AHCA shared the results with the federal government. The CMS then quickly asked for a wider review.

Contact Kathleen McGrory at [email protected] Follow @kmcgrory. Contact Neil Bedi at [email protected] Follow @_neilbedi.

Comments
Jesuit pulls off a rare Tampa Bay repeat in state swimming

Jesuit pulls off a rare Tampa Bay repeat in state swimming

STUART — Jesuit boys swim coach Bill Shaffer spent all week trying to score the Class 2A meet. Based off his numbers, the Tigers were not going to have enough to defend their state team title.But in the preliminaries, things changed. Jesuit swi...
Updated: 2 hours ago
Matt Baker’s takeaways from FSU-Boston College

Matt Baker’s takeaways from FSU-Boston College

The announced attendance (57,274) was the smallest announced crowd at Doak Campbell Stadium since the Virginia Tech game in 1988 (50,901). Crowds are down across the sport, but the empty seats were a bad sign in Year 1 of the Willie Taggart Era.RELAT...
Updated: 4 hours ago
Florida State’s bowl streak still alive after comeback upset of Boston College

Florida State’s bowl streak still alive after comeback upset of Boston College

Deondre Francois found Tamorrion Terry for the 74-yard game winning touchdown pass. Now FSU must beat the Gators next week to make a bowl game.
Updated: 4 hours ago
FSU journal: Ground game gets untracked a bit

FSU journal: Ground game gets untracked a bit

TALLAHASSEE — It took until the 11th game, but Florida State's rushing offense finally started to click the way the Seminoles expected with a talented backfield and a coach with a history of excellent runners.FSU rushed 36 times for 156 yards. ...
Updated: 4 hours ago
Louis Domingue gets a workout in Lightning’s 6-5 overtime win

Louis Domingue gets a workout in Lightning’s 6-5 overtime win

PHILADELPHIA — The Lightning asked a lot of Louis Domingue on Saturday, allowing a season-high 45 shots.For most of the game against the Flyers, the goalie stood up to them, but Philadelphia applied pressure in the second half of the third peri...
Updated: 5 hours ago
Lightning’s Adam Erne has first career three-point game against Flyers

Lightning’s Adam Erne has first career three-point game against Flyers

Adam Erne had a goal and two assists to cap a crazy week
Updated: 5 hours ago
No. 13 Florida rides Feleipe Franks’ arm to rout Idaho 63-10

No. 13 Florida rides Feleipe Franks’ arm to rout Idaho 63-10

GAINESVILLE — Feleipe Franks passed for 274 yards and three touchdowns — all in the first half — and No. 15 Florida ran up 600 total yards to rout overmatched Idaho 63-10 on SaturdayFlorida rolled to a 49-0 lead at halftime. Gators ...
Updated: 6 hours ago
Temple scores 27 unanswered to beat USF 27-17

Temple scores 27 unanswered to beat USF 27-17

PHILADELPHIA — USF's spiral continues.Despite the Bulls' defense answering the call, the offense and special teams failed to respond as the Owls reeled off 27 unanswered points in the second half, storming back for a 27-17 win Saturday at Linco...
Updated: 7 hours ago
USF journal: Duran Bell returns to Bulls’ lineup

USF journal: Duran Bell returns to Bulls’ lineup

PHILADELPHIA — USF running back Duran Bell returned to the field for the first time since the Bulls' Week 2 win against Georgia Tech. He's been out with an unspecified injury.On Saturday, he managed 33 yards on nine carries in the Bulls' 27-17 ...
Updated: 7 hours ago
'You need events like this': Times Festival of Reading draws thousands

'You need events like this': Times Festival of Reading draws thousands

The 26th annual festival highlighted dozens of authors, many of them with Florida connections.
Updated: 8 hours ago