Stark and Quality Fraud

On my blog, I write a lot about #QualityFraud. What this concept means to me is the inflated cost of medicine and other health care costs passed on to consumers through concealment and deception of the quality of the services we are being provided. Unlike any other industrialized country, our health care sector is opaque […]

May 8, 2018

When Insurance Interferes In Your Good Care “Last September, Kathy Halamka received a letter from her health insurance company stating that it was discontinuing coverage for her ongoing cancer care because the payer had come across research published 27 years ago suggesting that a different, less expensive treatment was better. The insurer took this action […]

March 8, 2018

Nursing Informatics: “The field of nursing informatics has been on the brain of the industry for years. A HIMSS report released at the 2015 conference found almost 70 percent of informatics nurses are helping with medical device integration. And half of the survey respondents said informatics nurses have a role with “smart devices.” But at […]

Overdose (No. 3)

This is the third in our blog series on obtaining and using confidential peer review records in litigation. In Overdose (No. 1), I reviewed JCAHO Hospital Root Cause Analysis and Sentinel Event Reporting. In Overdose (No. 2), I reviewed Hospital adverse medical incident reports, including Code 15 reports on nursing negligence submitted in Florida to the […]

Overdose (No. 2)

In my last Weekly Blog, I reviewed an Accreditation Decision Report I secured from internal Hospital and JCAHO investigations of a fatal overdose. These reports are usually confidential and contain information not available in other sources. That kind of sensitive information is rarely available but can be critical to a successful outcome in medical malpractice […]


On April 4, 1997, Charles Blair wrote a letter for the Joint Commission for the Accreditation of Hospitals Organization (JCAHO) to a Hospital Administrator. The JCAHO letter describes a “sentinel event” that occurred in March, during which a patient died in the Hospital Recovery Room from an overdose of concentrated medicine given by her healthcare providers […]