Pressure Ulcers Are Preventable, Painful, and Increasingly Common – Especially at the VA.

Pressure sore cases, also called “bed sores” or “decubitus ulcers” are among the most terrible and infuriating medical malpractice cases I have had.   Imagine someone you love slowly and painfully rotting to death from wounds that were fully preventable.  These injuries are almost completely preventable with proper care, monitoring and nutrition.  Unfortunately, many of our veterans must rely on the VA for their care and are needlessly injured or killed due to neglect or malpractice.   A recent report found that patients at VA facilities were significantly more likely to suffer from pressure sore injuries.     

By Andrea Estes and Donovan Slack Globe Staff | USA Today  June 25, 2018
An analysis of documents shows that residents at more than two-thirds of Department of Veterans Affairs nursing homes last year were more likely to have dangerous bed sores and to suffer serious pain than their counterparts in private nursing homes across the country.  
The analysis suggests that large numbers of veterans suffered potential neglect or medication mismanagement and provides a fuller picture of the state of care in the 133 VA nursing homes that serve 46,000 sick and infirm military veterans each year.
More than 100 VA nursing homes scored worse than private nursing homes on a majority of key quality indicators, which include rates of infection and decline in daily living skills, according to the analysis of the data withheld from public view by the VA but obtained by USA TODAY and The Boston Globe.
The news organizations reported last week that 60 VA nursing homes received the agency’s lowest quality ranking of one out of five stars last year, but the data didn’t detail how individual facilities scored on specific measures. USA TODAY and The Boston Globe are now publishing the full data, outlined in internal documents, for every VA nursing facility as of Dec. 31, 2017.
Four VA facilities — nursing homes in Bedford, Mass.; Chillicothe, Ohio; Tuscaloosa, Ala.; and Roseburg, Ore. — lagged private nursing home averages on 10 of 11 indicators. At all four, about a third of residents were given anti-psychotic drugs — almost twice as many as in the private sector. The FDA has said such drugs are associated with an increased risk of death in elderly patients with dementia.
“They should be assessing individuals and doing what they can to manage it,” said Robyn Grant, director of public policy and advocacy at the National Consumer Voice for Quality Long-Term Care. “And if it’s not working, they should be trying different things.”
The VA, which has argued that its residents are typically sicker than those in private facilities, has tracked the detailed quality data for more than two years but has kept it secret, depriving veterans of potentially crucial health care information.
VA press secretary Curt Cashour declined to answer questions last week about whether or when the agency planned to release the quality information, as well as nursing home staff data the VA has compiled dating back to 2004. He also declined to say when the VA would release inspection reports the agency has kept secret for more than a decade.
Following the investigative report by USA TODAY and the Globe, Louisiana Republican Senator Bill Cassidy and Alabama Democratic Senator Doug Jones introduced legislation that would force the VA to release all of its nursing home quality information at least once a year.
“We cannot work with this administration or any administration to fix the VA if we don’t have the information,’’ Jones said.
Acting VA Secretary Peter O’Rourke told the CBS News affiliate in Dallas last week that VA officials were “evaluating exactly what is the most appropriate for us to put out there and that will support continuous improvement and then also will provide good decision making information for veterans.”
He called the USA TODAY and Boston Globe reporting on the VA nursing home ratings “fake news.”
Federal regulations require private nursing homes to disclose voluminous data on the care they provide. The federal government uses the data to calculate quality measures and posts them on a federal website, along with inspection results and staffing information. But the rules don’t apply to the VA.
The VA has used similar data internally to track quality at its nursing homes as far back as 2011, according to a report in October that year from the nonpartisan Government Accountability Office. At that point, the agency monitored at least two dozen factors, including how many residents had bed sores or were in serious pain. But none of the information was released.
The 2011 review found that 80 percent of the agency’s nursing homes had problems with medication management, but VA headquarters wasn’t using the data “to detect patterns and trends in the quality of care and quality of life within a [VA nursing home] or across many [of them].”
Full Story Here