The impact of hospital-acquired conditions on Medicare program payments.
Kandilov AMG, Coomer NM, Dalton K. Medicare Medicaid Res Rev. 2014;4:E1-E23.
In 2008, the Centers for Medicare and Medicaid Services (CMS) stopped paying for many preventablehospital-acquired conditions (HACs). However, according to this matched case-control study, HACs still result in numerous downstream financial effects, costing CMS an estimated $146 million per year. This study evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure ulcers, fractures, catheter-associated urinary tract infections, venous catheter-related infections, surgical site infections, and post-surgical venous thromboembolism. Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments of more than $20,000 across the episode of care. The extra costs are largely related to CMS index outlier payments, as well as payments for readmissions and post-acute care. A previous AHRQ WebM&M perspective by Dr. Peter Lindenauer discussed the business case for patient safety.
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.
A new, evidence-based estimate of patient harms associated with hospital care.
James JT. J Patient Saf. 2013;9:122-128.
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Malnourishment 'epidemic' plagues hospitals? Really?
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