Details

Autor(en) / Beteiligte

• Lee, Grace M
• Kleinman, Ken
• Soumerai, Stephen B
• Tse, Alison
• Cole, David
• Fridkin, Scott K
• Horan, Teresa
• Platt, Richard
• Gay, Charlene
• Kassler, William
• Goldmann, Donald A
• Jernigan, John
• Jha, Ashish K

Titel

Effect of Nonpayment for Preventable Infections in U.S. Hospitals

Ist Teil von

• The New England journal of medicine, 2012-10, Vol.367 (15), p.1428-1437

Ort / Verlag

Waltham, MA: Massachusetts Medical Society

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• In 2008, CMS discontinued additional payments for hospital-acquired central catheter–associated infections and catheter-associated UTIs. In this national study, the rates of these preventable infections did not decrease after implementation of the nonpayment policy. Financial incentives that reward providers with additional payments for achieving certain quality goals, broadly known as pay for performance, have become ubiquitous. 1 , 2 However, the effect of these programs on patient outcomes has been mixed, with a few studies showing modest gains and most reporting little or no effect. 2 – 8 On October 1, 2008, in response to a congressional mandate, the Centers for Medicare and Medicaid Services (CMS) implemented an alternative strategy that relies primarily on financial penalties by not providing hospitals with additional payment for health care–acquired conditions. 9 This approach of nonpayment for preventable complications 10 is intended to remove . . .