The IRE Resource Center is a major research library containing more than 23,250 investigative stories — both print and broadcast. These stories are searchable online or by contacting the Resource Center directly (573-882-3364 or rescntr@ire.org) where a researcher can help you pinpoint what you need. Browse or search the tipsheet section of our library below. Stories are not available for download but can be easily ordered by contacting the Resource Center:
Search results for "emergency care" ...
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Cracking the Codes
Cracking the Codes documented how thousands of medical professionals have steadily billed Medicare for more complex and costly health care over the past decade – adding $11 billion or more to their fees – despite little evidence elderly patients required more treatment. The series also uncovered a broad range of costly billing errors and abuses that have plagued Medicare for years – from confusion over how to pick proper payment codes to apparent overcharges in medical offices and hospital emergency rooms. The findings strongly suggest these problems, known as “upcoding,” are worsening amid lax federal oversight and the government-sponsored switch from paper to electronic medical records.
Tags: Medicare; health care; billing; medical offices; hospitals; government; medical records
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Hidden suffering, hidden death
The deaths of severely disabled Illinois residents who lived at home cared for by friends and relatives were not being investigated by the state agency specially created to protect them — the Office of the Inspector General for the Department of Human Services. The reason given for not investigating?The agency's internal documents showed that that OIG considered the dead to be "ineligible for services," even when victims died shortly after being hospitalized on an emergency basis and after the agency had received calls on its hotline alleging that the disabled person had been abused or neglected. The Belleville News-Democrat's wide-ranging investigation initially focused on the deaths of 53 of these home bound disabled adults.
Tags: Department of Human Service; Office of the Inspector General; OIGl; victims
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Parking Patients
"Parking Patients" examined the amount of time hospitals in the Memphis area were taking to assume custody of patients brought to their emergency departments by city ambulances. In hundreds of cases we found patients were spending hours strapped to ambulance stretchers, waiting inside emergency departments for hospital staff to sign off on the transfer of care. In the meantime, city paramedics were tied up waiting with the patients and unavailable to answer other emergency calls. We found dozens of cases in the last year in which the city ran out of available ambulances to answer these calls, and had to rely on private companies to fill the gap, sometimes resulting in longer response times. The fire department blamed these shortages on the practice of hospitals using paramedics as "free labor."
Tags: broadcast; hospitals; paramedics; patients; waiting; ambulances
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Consumer Medical Investigations
CBS explored bogus health plans, one of the biggest consumer fraud issues to emerge from the economic recession.
Tags: medical care; haggling; consumer fraud; health care
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Carilion Concerns
The Carilion Roanoke Memorial Hospital is under investigation by several agencies for how the quality of care to patients. A suicide in the emergency department raised questions about the acre, and it was determined that the hospital is not in full compliance with Medicare regulations.
Tags: Health and Human Services; Centers for Medicare and Medicaid; health care; Federal Trade Commission;
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The Versed Protocol
An emergency protocol in Nashville to use injections of a powerful tranquilizer, called Versed, does not require patient consent to be administered to restrain the person during "excited delirium."
Tags: sedative; taser; restraint; euphoria; midazolam; hospital; psychiatric care;
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Code 3
"Code 3" focused on ambulance delays in San Francisco and provided a rare glimpse inside an inherently complex and often secretive bureaucracy. The project began as a two-day series and continued with several follow-up reports. Paramedics and quality control experts say the city does not have enough ambulances and needs to hire more paramedics. A history of tensions between paramedics and firefighters, and a lack of coordination between the Fire Department, the Department of Emergency Management and the Public Health Department, continues to undercut the city's 911 medical responses and the quality of care. The city does not collect sufficient data on 911 responses to fully audit ambulance delays, examine particular treatments and learn from clinical mistakes
Tags: ambulances; emergency response; San Francisco; first responders; fire department; department of emergency management; public health department
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Sick
"'Sick' tells the story of eight individuals from around the country to examine what happens when people struggle to pay for their medical care. Along the way, it also tells the story of health insurance in America- how it evolved, how it operates today, and what's likely to happen to it in the future."
Tags: health care; medicaid; hospital; emergency room;
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EMS Taxi: Health Care Dysfunction on Wheels
An analysis of the public records database found that Cleveland residents were calling 911 to be picked up by Emergency Medical Service ambulances for minor ailments. This is because dispatchers can't say no. The result is that response times are slow and the transportation is a high cost for the city.
Tags: transportation; emergency medical services; Medicaid; Medicare; Metrohealth Medical Center; Cleveland; ambulance; 911; database; health; medicine;
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Trauma in the Air: Victims Wait for Help
This investigation revealed that seriously injured trauma victims needlessly wait up to an extra half hour for help from New Jersey State Police medevac helicopters, when privately-operated medevac helicopters are just minutes away. This situation exists because of a three way battle between the state police, the state-run hospital system and private helicopters.
Tags: patient safety; hospitals; health; dispatchers; emergency care