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Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals

Graves, Nicholas & McGowan Jr, John E. (2008) Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA: The Journal of the American Medical Association, 300(13), pp. 1577-1579.

Abstract

For every 100 patients admitted to US hospitals in 2002, 4.5 patients developed a nosocomial infection On October 1, 2008, the Centers for Medicare & Medicaid Services (CMS) will stop reimbursement to hospitals for the cost of treating nosocomial catheter-associated urinary tract infections, vascular catheter-associated bloodstream infections, and surgical site infections following certain elective procedures, including mediastinitis, certain orthopedic surgeries, and bariatric surgery. This regulation arises from the Deficit Reduction Act, signed by the president on February 8, 2006. The goal is to reduce the increases in Medicare and Medicaid spending by stopping payments for conditions that result in the assignment of a higher-cost diagnosis related group and, in the opinion of the regulators, are "reasonably preventable" by the application of evidence-based guidelines. The standard for "reasonably preventable" was intentionally not defined.

Impact and interest:

28 citations in Scopus
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20 citations in Web of Science®

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ID Code: 15031
Item Type: Journal Article
Additional Information: For more information, please refer to the journal's website (see hypertext link) or contact the author.
Additional URLs:
Keywords: nosocomial, infection in hospitals, hospitals, infection control
ISSN: 1538-3598
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health Information Systems (incl. Surveillance) (111711)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Epidemiology (111706)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2008 American Medical Association
Deposited On: 07 Oct 2008
Last Modified: 15 Jan 2009 18:33

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