The Missouri House has given preliminary approval to legislation to revive a $350,000 cap on damages in medical-malpractice lawsuits. The bill excludes provisions of a measure passed last year that were ruled to be unconstitutional by the state Supreme Court.
Missouri health systems are participating in accountable care organization projects to test the new care coordination and provider payment system. Mercy Health began participating in a CMS pilot in 2005. An official with the system said higher quality of care meant higher costs, at least in the short term. Mercy has been named among more than 100 participants in the next ACO initiative, which will emphasize preventive care and early intervention.
Sami Eisentraut, a labor and delivery nurse at Barnes-Jewish Hospital in St. Louis, is excited about the challenge of helping create a maternal-fetal transport team. Eisentraut had to do extra training and become certified for trauma care, and she calls the new team a "huge blessing and a great opportunity."
A $15 million grant awarded to the University of Missouri Sinclair School of Nursing means advanced practice registered nurses will be sent to nursing facilities in St. Louis to help care providers identify changes in patient health and prevent hospitalizations, says professor Marilyn Rantz. Recently admitted to the
Institute of Medicine, Rantz says her membership will help the school achieve its goal of ensuring seniors benefit from its research into care quality and aging in place.