title: Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals creator: Graves, Nicholas creator: McGowan Jr, John E. subject: 111711 Health Information Systems (incl. Surveillance) subject: 111706 Epidemiology subject: 111799 Public Health and Health Services not elsewhere classified subject: nosocomial subject: infection in hospitals subject: hospitals subject: infection control description: 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. publisher: American Medical Association date: 2008-10 type: Journal Article relation: 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. identifier: https://eprints.qut.edu.au/15031/ rights: Copyright 2008 American Medical Association source: Faculty of Health; Institute of Health and Biomedical Innovation