Comply, Protect, and Improve in a Real-time PSO

Setting up and running an effective PSO - ahead of the likely January 1, 2017 deadline - requires reliable insights, education, training and advisory services from experts both with regards the legal structure itself and in the patient safety activity within that PSO structure. Pascal provides varying levels of support on this continuum to suit your needs and manage clinical risk.

The Future of Patient Safety:
How real-time health IT data has given the Patient Safety Organization new power and purpose

CMS has stated publicly that Qualified Health Plans will be required to contract only with those hospitals using Patient Safety Organizations (PSOs) as of January 1, 2017.[1] Why? First, regulators have made safety a clinical priority. Harm is the 3rd leading cause of death in the United States, with recent landmark studies showing far more harm than previously thought.[2] Second, safety is now also a financial priority, given the high cost of harm.[3]  Pascal Metrics’ real-time PSO solutions find millions of dollars of harm risk per hospital - even before accounting for penalties, legal liability, or other factors.[4] In the emerging healthcare economy, every profitable patient must be a safe patient.

Generic PSOs Struggle Clinically and Financially

To date, many healthcare system leaders report that PSOs have struggled to deliver material value. Typically, PSOs merely combine basic voluntary event reporting data with an advisory service. Due to this failure and CMS’s move to an electronic all cause harm measure based on clinical data (versus coding/claims-based data), it is imperative for hospital leaders to implement safety and risk programs based on regulatory reimbursement direction, carefully choosing PSO partners able to comply and deliver. In short ,at stake is not only compliance but performance and, over time, market sustainability. Pascal provides a PSO that measures, monitors, and provides end-to-end clinical risk profiles with highly actionable analytics.

The PSO Model:
Shifting to the “Control Tower”

This shift to value and performance is made possible by the Innovation of the ‘real-time PSO’. Providing real-time safety surveillance across the continuum of care, real-time PSOs – of which Pascal Metrics is the first - and a leading pioneer - to use powerful technology to continuously monitor and analyze clinical data on every patient within Pascal’s secure PSO environment. When a harm event is identified, Pascal’s safety system tracks and manages those events, supporting interventions and improvement. This approach analyzes vulnerabilities across all patients in the system as they occur and eliminates many of the drawbacks of using retrospective, sample-based data.

How We Lead, Partner & Build Capacity

Pascal Metrics partners with hospitals to build advanced patient safety, quality, and risk programs. A Pascal PSO solution can include a range of components. 


[1] This requirement applies to hospitals with at least 50 beds; an alternative option is to use a Hospital Engagement Network (HEN) or Quality Improvement Organization (QIO) instead – neither provides protection of data from legal discovery and subpoena as does a PSO.
[2] Sources: Internal analysis based on Centers of Diseases Control and Prevention (CDC) data on causes of death in US in 2010. And James JT: A new evidence-based estimate of patient harms associated with hospital care, Journal of Patient Safety 9:122-128, 2013.
[3] Adler et al, Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes, Journal of Patient Safety, March 23, 2015.
[4] Internal Pascal data and research.