I received a tweet the other day from what appears to be a patient safety advocacy group. That’s always great to see.
However, I am usually curious to see who the group is, who their leaders are, etc.
The website is “Just Ask” or www.PatientSafetyAct.com. They raise serious issues about the lousy (my word, not theirs) level of patient safety that we see in the U.S. (and this is a global problem – see the statistics).
Their website has a page full of serious patient safety concerns, including:
- What are safe patient/nurse ratios?
- Nurses are often overburdened
With deeper exploration of the site, it seems they really primarily advocating for a Massachusetts law that would set legal maximums for how many patients a nurse can have. California is currently the only state with such a law, I believe.
I’m wondering how a site and a page about patient safety can ignore crucial problems like:
- Medication errors
- Surgical errors
- Hospital-acquired infections
Sure, having overburdened nurses and staff can lead to those problems, but nursing ratios aren’t the only lever that can be pulled.
Patient Safety or Politics?
The website seems MORE interested in highlighting issues like hospital profit levels and high CEO pay. This is the same approach taken previously by the Minnesota Nurse’s Association, an approach that’s heavier on political rhetoric than concern for patients.
The site is not only advocating for a nursing ratios law, but they’re also advocating for something called the “The Hospital Profit Transparency And Fairness Act.” They want to cap CEO and they want to cap profit levels at 8%.
Most hospitals would LOVE an 8% profit margin, actually. The averages in the industry are far lower. The anonymous Twitter account responded to my article about how it’s silly for hospitals to spend more on marble and fancy buildings than they do on patient safety. If the profit margins were somehow capped at 8%, then the hospitals will just find ways (some wasteful) to spend money to make sure their profits aren’t “too high.”
I’m all for patient safety, but I don’t think it can be legislated and I don’t think those particular laws are good ideas.
Who Owns & Runs the Site?
So who is behind the website? There’s no “About Us” page.
Doing a “whois” search of public internet records shows a guy listed on LinkedIn as working in “Public Relations and Communications” and there’s no tie to any healthcare advocacy organization.
There is a physical address on the site.
340 Turnpike Street
Canton, MA 02021
Doing a Google search on that address turns up… the Massachusetts Nurses Association. I guess that isn’t too surprising.
Are they looking out for patients and/or looking out for their own best interests as a union? Those aren’t always going to be in alignment.
Shame on the creators of the website for hiding behind anonymity and for not disclosing their apparent connections to the union.
It’s also questionable, if not shameful, that the group is soliciting donations for this anonymous group…
To their credit, they do disclose:
I understand that contributions to the Committee to Ensure Safe Patient Care are not tax deductible.
If they want to be political advocates and have a political discussion, then fine… but I don’t think they should wrap themselves in the flag of patient safety.
Patient-Focused Organizations I Support
I prefer to support non-profit groups that aren’t pushing a political agenda, such as:
- Louise Batz Patient Safety Foundation (of which I’m a board member)
- The Emily Jerry Foundation (listen to my podcast with Chris Jerry)
- The Jose King foundation (listen to my podcast with Sorrel King)
- National Patient Safety Foundation (I’ve been a donor)
This is a human issue, not a partisan issue. It can be addressed through better systems, better processes, and better management. I’m more optimistic making progress that way than I would be through legislation.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology. Mark is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as the new Executive Guide to Healthcare Kaizen. Mark is also the VP of Innovation and Improvement Services for KaiNexus.