St. Joseph Hospital

Four Maine hospitals, including one in Bangor, will receive less funding from the federal Medicare program this year as a penalty for having high rates of infections and other patient complications, federal records show.

The penalized hospitals are St. Joseph Hospital in Bangor, Northern Light A.R. Gould Hospital in Presque Isle, Central Maine Medical Center in Lewiston and York Hospital, according to the data. This is the first time in five years that St. Joseph has been penalized but the fourth year in a row that Central Maine Medical Center has seen the penalty.

Three of the hospitals released statements Friday saying that they have made health and safety improvements that are not reflected in the new penalties, since they are based on data that was collected between 2015 and 2017. A St. Joseph spokesman did not immediately respond to a phone call seeking comment Friday.

The four Maine hospitals cited for high rates of infections are among 800 nationwide that will be paid less by Medicare this year for those reasons. Another 10 Maine hospitals will see reduced Medicare payments because of high rates of patient readmissions.

The number of hospitals cited for infections is the highest since the federal government five years ago launched the Hospital Acquired Conditions (HAC) Reduction Program, created by the Affordable Care Act. Under the program, 1,756 hospitals have been penalized at least once, a Kaiser Health News analysis found.

This year, 110 hospitals are being punished for the fifth straight time.

The penalties pit hospitals against one another in a race to prevent the most infections, blood clots, cases of sepsis, bedsores, hip fractures and other complications. Each year, the quarter of general hospitals with the highest rates are punished, even if their records have improved from the previous year.

Under the latest round of sanctions, each hospital will lose 1 percent of its Medicare payments for patients discharged between last October and this September. That comes on top of other penalties created by the health care law, such as annual payment reductions for hospitals with too many patients being readmitted.

The hospital industry has protested the HAC penalties, saying the program’s design creates an arbitrary cutoff for which institutions get punished and which do not. The American Hospital Association calculated that only about 41 percent of the 768 hospitals penalized in 2017 had HAC scores that were statistically significantly higher than hospitals not being penalized.

“There are not statistical differences that would warrant a quarter of the hospitals in America getting a penalty,” said Nancy Foster, the association’s vice president for quality and patient safety.

Hospitals also complain that the ones that do the best job testing for infections and other threats to patients appear to be among the worst based on statistics, while their more lackadaisical peers look better than they might be.

In Maine, representatives from the affected hospitals said the recent penalties are based on old data and do not reflect recent improvements.

“These government announcements often generate headlines, but don’t provide a complete picture of actual quality of care offered,” said Dr. John Alexander, Central Maine Medical Center’s chief quality officer.

He cited a recent “A” grade the hospital received from the Leapfrog Group, which tracks hospital safety, along with other recent accreditations the hospital has received. He also said the hospital’s improvements have prevented a single central-line acquired bloodstream infection from happening in the last year.

A York Hospital spokeswoman said all of the hospital’s quality data is “trending upward” and that because it’s a small hospital, “our ratings are affected by very small numbers of adverse events.”

“York’s goal is to be better than national benchmarks,” she said. “Our aim is to keep patient quality and safety top of mind with all staff.”

“Northern Light AR Gould Hospital takes quality and safety seriously,” a spokeswoman from the Presque Isle hospital said. “We have many processes in place and are already seeing improvements beyond what this data indicates.”

Supporters of the punishments argue that the penalties are warranted in prodding hospitals to improve quality. The threat of losing money elevates the issue in many hospitals to the attention of directors and owners, said Missy Danforth, the vice president of health care ratings at the Leapfrog Group, a nonprofit devoted to patient safety.

“The fact that everyone’s talking about it, from front-line nurses to boards of directors, is positioning patient safety where it should be, which is at the forefront of everyone’s minds,” Danforth said.

Danforth dismissed hospital complaints that the penalties are not always fairly applied. “There’s a lot of really strong, good best practices to getting to zero on these infections,” she said.

Hospital patients suffered an avoidable injury in 9 of every 100 patient stays in 2016, about 2.7 million times, according to a June report from the federal Agency for Healthcare Research and Quality. Those included a bad reaction to medication, an injury from a procedure, a fall or an infection.

The frequency of complications has been dropping in hospitals. The report found an overall 8 percent decrease from 2014 to 2016. However, the report also found a jump in the numbers of bedsores and urinary tract infections in patients with catheters during that time.

The Hospital Acquired Conditions Reduction Program assesses penalties based on a subsection of the injuries examined in the AHRQ report. For each hospital, Medicare judges infection rates related to colon surgeries, hysterectomies, urinary tract catheters and central lines inserted into veins. Medicare also counts the number of infections of methicillin-resistant Staphylococcus aureus, or MRSA, and Clostridium difficile, known as C. diff.

Finally, the government tracks the rate of blood clots, sepsis, post-surgical wounds, bedsores, hip fractures and five other types of in-hospital injuries. Because the penalties will be applied as hospitals submit claims for reimbursement, the total dollar amount of penalties for each hospital will not be known until the federal fiscal year ends in September.

Medicare excludes from consideration a number of specialized hospitals: those serving children, veterans and psychiatric patients. Maryland hospitals are also exempted because the federal government gives that state leeway in how it pays hospitals. And more than 1,000 critical access hospitals, which are the only institutions in their area, are also excluded.

For the remaining hospitals, penalties are assigned to the quarter of institutions with the highest HAC rates. That threshold varies slightly from year to year, and is a major reason that the number of hospitals being punished fluctuates annually. Before this, the largest number of hospitals punished was 769, two years ago.

BDN writer Charles Eichacker contributed to this report.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation, which is not affiliated with Kaiser Permanente.