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University of Maryland Medical Center Midtown Campus

UMMC Midtown Incident Update

The following information has been released by the University of Maryland Medical Center Midtown Campus regarding the actions taken subsequent to the widely publicized January 9 post-discharge of one of our patients.

March 20, 2018 Statement:

The results of the CMS investigation are largely consistent with what we found in our own thorough internal review of the incident at the UMMC Midtown Campus, which was then followed by a secondary audit from an outside firm we engaged. Our written plans of correction submitted to CMS have been accepted. 

Prior to receiving the report from CMS, we had already begun making changes in procedures and processes aimed at correcting the issues we found that were also identified by the regulators. Additionally, we have taken appropriate personnel actions, and, as part of our ongoing campus integration efforts, have realigned reporting structures across the UMMC University and Midtown campuses to optimize safety, quality and patient experience.   

We take responsibility for the combination of circumstances in January that failed to compassionately meet our patient’s needs beyond the initial medical care provided. While our own thorough self-examination revealed some shortcomings, the regulatory assessment punctuates the necessity to more firmly demonstrate our unwavering commitment to safe, quality, compassionate patient care. We pledged to our community and patients to do and be better, and we are confident that we already are.     

January 18, 2018

The University of Maryland Medical Center is committed to keeping the public informed about actions taken subsequent to the widely publicized January 9 post-discharge of one of our patients from the Midtown campus.

“To reiterate, we take full responsibility for the failure that occurred in demonstrating compassion to this young woman in the post-discharge process after delivering medical care,” said Mohan Suntha, MD, President and Chief Executive Officer of the University of Maryland Medical Center. “Last week, we pledged to fully investigate the incident and take appropriate action. Over the last week, a cross-departmental team across both UMMC campuses has completed a thorough and unsparing internal review of the circumstances that led to this incident, and is committed to being transparent to the greatest extent possible, given what is allowable by law regarding patient information and personnel matters.”  

Our internal investigation identified a breakdown in coordination of several touchpoints within the continuum of care after the point of medical discharge to ensure the social needs of the patient were met. Resulting actions steps include:

  • Added expertise from medical safety experts at critical decision points around complex discharges.
  • Conducted staff education and training on updated post-discharge procedures. 
  • Implemented personnel action to hold individuals accountable for the incident. Actions extend across multiple layers of the organization and were guided by the findings uncovered during our review.
  • Engaged outside experts to conduct an independent audit to ensure we have identified and remediated any gaps in our processes. This is in addition to external review by the Maryland Office of Health Care Quality.

“I’m confident the decisions and actions we have made in response to this incident are in keeping with the high standards of excellence to which we have always held ourselves, and that our actions address the root causes of last week’s breakdown,” Suntha said. “I am also committed to helping advance important conversations among community partners and hospital leaders across this city, state and nation on how we collectively care for our most vulnerable populations.”

We understand and respect the significant public interest in learning more specifics on the outcome of our comprehensive review. However, it’s important to understand we are restricted by law from addressing the confidential details of patient care and personnel actions. Therefore, we are not able to comment on the veracity of information being presented as fact by those outside of the organization. We will continue to focus our efforts on systemic change in collaboration with others who will work alongside us.

January 10, 2018

We share the shock and disappointment of many who have viewed the video showing the discharge of a patient from the Emergency Department of UMMC Midtown the night of January 9. This unfortunate event is not representative of our patient-centered mission.      
While there are many circumstances of this patient’s case that we cannot address publicly, in the end we clearly failed to fulfill our mission with this patient, no matter the circumstances of her case or the quality of the clinical care we provided in the hospital (which is not depicted in the video). We are taking this matter very seriously, conducting a thorough review, and are evaluating the appropriate response, including the possibility of personnel action.  


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