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 "patient" ...
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Bad to the Bone
When four executives of a medical-device company called Synthes went to jail for illegally marketing a bone cement—five patients had died after it was injected into their spines—Mina Kimes knew there had to be a compelling saga behind a case that had generated little coverage beyond local news articles. So she began digging, first with FOIA requests for never-before-published government documents, and then assembling hundreds of pages of court transcripts and internal company e-mails and reports. She used that foundation to begin the harder challenge: persuading Synthes employees, many of them terrified by the criminal case and the company’s intimidating chairman, to talk to her. With six months of grueling, old-fashioned reporting, Kimes succeeded, and “Bad to the Bone” is the masterful result. Not only did she persuade more than 20 current and former company employees to speak, but she also revealed a story whose disturbing breadth far exceeded the case presented in court. Her tour de force reporting raises profound new questions about the culpability of a key figure who wasn’t charged: Hansjörg Wyss, the reclusive and controlling Swiss founder and chairman—one of the richest people in the world—who made crucial decisions about how to sell the bone cement. This is a classic tale of corporate malfeasance: Warned by the government not to sell its bone cement for use in the spine, Synthes ignored the admonition despite clear evidence of lethal danger—a pig had died within seconds when the cement was tested on it—and encouraged surgeons to use the cement on people, five of whom died soon afterward. But “Bad to the Bone” isn’t just an exposé. It opens a window into a broader issue: how the medical system actually runs. Readers see how salespeople with no medical training advise surgeons—inside the OR during operations—on how to use their devices. They experience the tale of one surgeon who continues using the cement even after two of his patients died. Oh, and what sort of justice does Synthes itself receive? Wyss sells it, for $20 billion, to health care giant Johnson & Johnson, which praises Synthes’s “culture” and “values.” Corporate crime. Death on the operating room table. Secret e-mails. Surgeons on the edge. An imperious multibillionaire CEO. It’s a mesmerizing article, and Kimes’s reporting takes readers on a deeply unsettling journey that ensures they’ll never look at the medical system the same way again.
Tags: Medical devices; bone cement; Synthes
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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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Abuse and Neglect of the Brain Injured
These stories revealed a disturbing pattern of abuse and mistreatment of severely brain-injured people in the United States. At one of the largest rehabilitation facilities in the country, Bloomberg uncovered a decades-long history of death, abuse and neglect. Another story reported on thousands of other brain-injured patients warehoused in nursing homes with little or no treatment and in conditions that ranged from filthy to dangerous.
Tags: Abuse; brain-injured; rehabilitation facilities; death; neglect; nursing homes
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Hospital at Risk
My investigation of the Minnesota Security Hospital, a state-run facility that provides psychiatric treatment to nearly 400 adults deemed "mentally ill and dangerous," uncovered high rates of violence and injuries of employees and patients at the facility, a critical shortage of psychiatrists, and widespread confusion among employees about what to do when a patient becomes violent. I found that much of confusion was the result of the abrasive, threatening management style of head administrator David Proffitt, who was hired in 2011 to reform the facility. I began investigating Proffitt and found he was hired without a basic background check. I uncovered many troubling details from Proffitt's past, including domestic violence, a PhD from a now-defunct online degree mill, a forced resignation from his previous job as the administrator of a private psychiatric hospital in Maine, and other failings. The state ordered Proffitt to resign and the Minnesota legislative auditor began an audit of the department's hiring practices. The assistant commissioner of the Department of Human Services who led the hiring search also resigned. The governor proposed $40 million in renovations to address safety concerns. Regulators from the Occupational Safety and Health Administration visited the facility for the first time in 21 years. The facility also implemented new training for employees to reduce violence. My investigation of the facility continues.
Tags: Psychiatrists; domestic violence; injuries
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StarTribune: Discipline Deferred
A six-month investigation by the Star Tribune found that the Minnesota Board of Medical Practice, once considered a national leader in the regulation of licensed physicians, often doesn’t punish doctors whose mistakes harm patients or who demonstrate a pattern of substandard care. After analyzing information compiled by a national databank and reviewing thousands of pages of court and medical board records, the reporters found that the board, which regulates 20,000 physicians in the state, has been reluctant to punish some doctors who have harmed patients, including more than 100 doctors who were disciplined by other states and even doctors who lost privileges to practice at Minnesota hospitals. The investigation also showed that the board lags behind boards in other states in disclosing information to the public, including data on malpractice judgments or settlements. It also doesn’t disclose whether doctors have been disciplined by regulators in other states or lost their privileges to work in hospitals and other facilities for surgical mistakes and other problems.
Tags: Board of Medical Practice; physicians; doctors; punishment; patients
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Health Care Hustle
It is one of the biggest and most overlooked factors in the rising cost of health care. According to government estimates, fraud in programs like Medicare and Medicaid costs taxpayers $80 billion a year, with some estimates as high as twice that amount. Doctors, pharmacists, home health care providers, and even patients are hustling the system. Who's paying the tab? You Are.
Tags: Health care; fraud; Medicare; Medicaid; taxpayers; government authorities; patients
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In Jennifer's Room
In August 2006, caregivers at the Sonoma Developmental Center found dark blue bruises shaped like handprints covering the breasts of a patient. Jennifer accused a staff member of molestation and her injuries appeared to be evidence of sexual abuse. Big projects often have smaller narratives within them that can be developed into standalone features that draw readers into the larger story. Clearly Jennifer’s story was one of those. Presenting this story in video format was particularly challenging because Jennifer and her mother did not want to be identified. We chose a graphic narrative approach, with a voice actor reading the transcript of the mother’s interview. The artist consulted photographs and diagrams of the Sonoma Developmental Center to ensure that the drawings were accurate.
Tags: Sexual abuse; crime; molestation
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Broken Shield
Decades ago, California created a special police force to patrol exclusively at its five state developmental centers – taxpayer-funded institutions where patients with severe autism and cerebral palsy have been beaten, tortured and raped by staff members. But California Watch found that this state force, the Office of Protective Services, does an abysmal job bringing perpetrators to justice. Reporter Ryan Gabrielson, a Pulitzer Prize winner, exposed the depths of the abuse inside these developmental centers while showing how sworn officers and detectives wait too long to start investigations, fail to collect evidence and ignore key witnesses – leading to an alarming inability to solve crimes inflicted upon some of society’s most vulnerable citizens. Dozens of women were sexually assaulted inside state centers, but police investigators didn’t order “rape kits” to collect evidence, a standard law enforcement tool. Police waited so long to investigate one sexual assault that the staff janitor accused of rape fled the country, leaving behind a pregnant patient incapable of caring for a child. The police force’s inaction also allowed abusive caregivers to continue molesting patients – even after the department had evidence that could have stopped future assaults. Many of the victims chronicled by California Watch are so disabled they cannot utter a word. Gabrielson gave them a resounding voice. Our Broken Shield series prompted far-reaching change, including a criminal investigation, staff retraining and new laws – all intended to bring greater safeguards and accountability.
Tags: California; police; autism; cerebral palsy; abuse; children
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Prognosis: Profits
In their quest for growth and profits, large nonprofit hospitals in North Carolina have pushed up healthcare costs, paid executives millions and left thousands with bills they struggle to pay. In a joint investigation, the Charlotte Observer and the News & Observer of Raleigh found that urban hospitals in North Carolina have generated some of the nation’s largest profit margins and have amassed billions of dollars in reserves. Hospitals in the Charlotte area have sued thousands of needy patients they could afford to help, frequently putting liens on their homes and damaging their credit. Raleigh-Durham hospitals, meanwhile, have sent collection agencies after thousands of patients, ruining the credit ratings of many in the process.
Tags: Healthcare; nonprofit hospitals; patients
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Methadone and the Politics of Pain
Since 2003, at least 2,173 people have fatally overdosed on methadone, a narcotic painkiller that is both cheap and unpredictable. Washington steers people with state-subsidized healthcare -- most notably, Medicaid patients -- toward the drug in order to save money.