Impact of Medicare's Hospital-Acquired Condition policy on infections in safety net and non-safety net hospitals.

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Louise Elaine VazGrace M Lee

Abstract

Policymakers may wish to align healthcare payment and quality of care while minimizing unintended consequences, particularly for safety net hospitals. To determine whether the 2008 Centers for Medicare and Medicaid Services Hospital-Acquired Conditions policy had a differential impact on targeted healthcare-associated infection rates in safety net compared with non-safety net hospitals. Interrupted time-series design. Nonfederal acute care hospitals that reported central line-associated bloodstream infection and ventilator-associated pneumonia rates to the Centers for Disease Control and Prevention's National Health Safety Network from July 1, 2007, through December 31, 2013. We did not observe changes in the slope of targeted infection rates in the postpolicy period compared with the prepolicy period for either safety net (postpolicy vs prepolicy ratio, 0.96 [95% CI, 0.84-1.09]) or non-safety net (0.99 [0.90-1.10]) hospitals. Controlling for prepolicy secular trends, we did not detect differences in an immediate change at the time of the policy between safety net and non-safety net hospitals (P for 2-way interaction, .87). The Centers for Medicare and Medicaid Services Hospital-Acquired Conditions policy did not have an impact...Continue Reading

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Citations

Nov 4, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael S CalderwoodGrace M Lee
Dec 7, 2016·Medical Care·Caroline P ThirukumaranYue Li
Jul 6, 2019·The Cochrane Database of Systematic Reviews·Tim MathesMichaela Eikermann
Mar 6, 2018·JPEN. Journal of Parenteral and Enteral Nutrition·Gabriela FonsecaDavid S Seres
Feb 9, 2017·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Elmer B Fos
Apr 7, 2020·Health Services Research·Ohbet CheonStephen L Jones

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