The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.

HENRY FORD HOSPITAL 2799 W GRAND BLVD DETROIT, MI 48202 March 25, 2016
VIOLATION: COMPLIANCE WITH 489.24 Tag No: A2400
Based on document review and interview, it was determined that the facility failed to comply with the requirements of 42 CFR 489.24 [special responsibilities of Medicare hospitals in emergency cases], specifically the failure to ensure an adequate medical screening exam was performed by a qualified medical professional as appointed in the Bylaws, See A 2406.
VIOLATION: MEDICAL SCREENING EXAM Tag No: A2406
Based on document review and interview the facility failed to ensure that the medical screening exam (MSE) was performed by a qualified medical professional (QMP) as determined by the hospital bylaws and was complete resulting in the potential for poor patient outcomes for all patients served. Findings include:

On 3/25/16 at approximately 1530 during review of the facility hospital bylaws it was determined that the QMP was not designated in the bylaws.

On 3/25/16 at approximately 1545 during an interview with staff M the surveyor asked if the bylaws, policy or other document contained guidance on who was considered a QMP to perform a MSE. Staff M stated "It's not in a policy or our bylaws, we use the credentialing process and determine individually who is qualified."

QIO review determined for patient #1 "84 y/o (year old) F (female) brought to ED (emergency department) for evaluation progression confusion. Pt. (patient) had incomplete MSE by QMP. Although UA (urinalysis)/CBC (complete blood count)/CMP (complete metabolic panel) were done, no CT head (diagnostic test similar to x-ray) or TSH (thyroid stimulating hormone) were ordered. Further, HTN (hypertension (high blood pressure)) was not addressed and pt discharged (d/c'd) w/ (with) BP (blood pressure) 164/112. Pt was not stabilized at discharge as MSE was incomplete.

QIO review determined for patient #2 7 mo (month) old F (female) infant brought to ED for cough. Pt had incomplete MSE by QMP. Pt w/ temp 99.3 and HR (heart rate) 174. No CXR (chest x-ray)/CBC/urinalysis (UA) done. No repeat vitals done. Pt given steroids and antibiotics (ABX) and discharged .