Three scenarios of clinical claim reimbursement for nosocomial infection: The good, the bad, and the ugly

Journal of Hospital Infection

Volumn 56, Issue 2, 2004, Pages 150-155

  Vegni, Ferdinando E ^a,f   Panceri, M L ^b   Biffi, M ^c   Banfi, E ^d   Porretta, A D ^e   Privitera, G ^e  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b Lodi Hospital   (Italy)

^c A MANZONI HOSPITAL   (Italy)

^d UNIVERSITY OF MILAN   (Italy)

^e UNIVERSITY OF PISA   (Italy)

^f DESIO HOSPITAL   (Italy)

Author keywords

Hospital infection; Hospital management; Infection control; Surveillance

Indexed keywords

ARTICLE; CALCULATION; CONTROLLED STUDY; COST BENEFIT ANALYSIS; ECONOMICS; GASTROINTESTINAL INFECTION; HEALTH CARE COST; HEALTH INSURANCE; HOSPITAL DISCHARGE; HOSPITAL INFECTION; HUMAN; MAJOR CLINICAL STUDY; MEDICAL RECORD; PNEUMONIA; RECORDING; REIMBURSEMENT; SEPTICEMIA; SUPERINFECTION; SURGICAL INFECTION; URINARY TRACT INFECTION;

CROSS INFECTION; DIAGNOSIS-RELATED GROUPS; HOSPITAL COSTS; HUMANS; INSURANCE CLAIM REPORTING; INSURANCE, HEALTH, REIMBURSEMENT; INSURANCE, HOSPITALIZATION; ITALY; PROSPECTIVE STUDIES;

EID: 0742285313     PISSN: 01956701     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhin.2003.10.014     Document Type: Article

References (32)

1. Orsi G.B. Di Stefano L. Noah N. Hospital-acquired, laboratory-confirmed bloodstream infection: increased hospital stay and direct costs Infect Control Hosp Epidemiol 23 2002 190-197
2. Kmietowicz Z. Hospital infection rates in England out of control BMJ 320 2000 534
3. Public health focus: surveillance, prevention, and control of nosocomial infections. MMWR Morb Mortal Wkly Rep 1992 41 783-787
4. UK National Audit Office Report: The Management and Control of Hospital Acquired Infection in Acute NHS Trusts in England (HC 230 1999/00).
5. Haley R.W. The scientific basis for using surveillance and risk factor data to reduce nosocomial infection rates J Hosp Infect 30 Suppl. 1995 3-14
6. Haley R.W. White J.W. Culver D.H. Hughes J.M. The financial incentive for hospitals to prevent nosocomial infections under the prospective payment system: an empirical determination from a nationally representative sample J Am Med Assoc 257 1987 1611-1614
7. Haley R.W. Measuring the costs of nosocomial infections: methods for estimating economic burden on the hospital Am J Med 91 Suppl. 3B 1991 32S-38S
8. Louis D.Z. Yuen E.J. Braga M. et al. Impact of a DRG-based hospital financing system on quality and outcomes of care in Italy Health Serv Res 34 1999 405-415
9. Wenzel R.P. Nosocomial infections, diagnosis-related groups, and study on the efficacy of nosocomial infection control Am J Med 78 Suppl. 3B 1985 3-7
10. Boyce J.M. Dziobek L. Potter-Bynoe G. Reimbursement for nosocomial infections Ann Intern Med 108 1988 776
11. Panceri M.L. Banfi E. Grigis A. et al. for the SEPSIS Group. Can hospital discharge record be an accurate tool for the surveillance of severe hospital-acquired infections? Results from an observational, prospective multi-centre study in 41 Italian hospitals. [In Italian] Gior It Inf Osp 1 2002 6-11
12. American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis Crit Care Med 20 1992 864-875
13. Garner J.S. Jarvis W.R. Emori T.G. Horan T.C. Hughes J.M. CDC definitions for nosocomial infections, 1988 Am J Infect Contr 16 1988 128-140
14. Classificazione delle Malattie, Traumatismi e Cause di Morte. 9a revisione, 1975. Coll. Metodi e Norme, serie C, n.10. Voll. 1-2. Roma: ISTAT, 1979.
15. Campbell S.E. Campbell M.K. Grimshaw J.M. Walker A.E. A systematic review of discharge coding accuracy J Public Health Med 23 2001 205-211
16. Schwartz R.M. Gagnon D.E. Muri J.H. Zhao Q.R. Kellogg R. Administrative data for quality improvement Pediatrics 103 1 Suppl. E 1999 291-301
17. Madsen K.M. Schonheyder H.C. Kristensen B. Nielsen G.L. Sorensen H.T. Can hospital discharge diagnosis be used for surveillance of bacteremia? A data quality study of a Danish hospital discharge registry Infect Control Hosp Epidemiol 19 1998 175-180
18. Pittet D. Tarara D. Wenzel R.P. Nosocomial bloodstream infection in critically ill patients: excess length of stay, extra costs, and attributable mortality JAMA 271 1994 1598-1601
19. Jarvis W.R. Selected aspects of the socioeconomic impact of nosocomial infections: morbidity, mortality, cost, and prevention Infect Control Hosp Epidemiol 17 1996 552-557
20. Emmerson A.M. Enstone J.E. Griffin M. Kelsey M.C. Smyth E.T. The Second National Prevalence Survey of infection in hospitals-overview of the results J Hosp Infect 32 1996 175-190
21. French G.L. Cheng A.F. Measurement of the costs of hospital infection by prevalence survey J Hosp Infect 18 Suppl. A 1991 65-72
22. Coello R. Glenister H. Fereres J. et al. The cost of infection in surgical patients: a case-control study J Hosp Infect 25 1993 239-250
23. Plowman R.M. Graves N. Roberts J.A. Hospital acquired infection 1997 BSC Print, Office of Health Economics London
24. Andersen B.M. Economic consequences of hospital infections in a 1000-bed university hospital in Norway Infect Control Hosp Epidemiol 19 1998 805-807
25. Wilcox M.H. Cumiffe J.G. Trundle C. Redpath C. Financial burden of hospital-acquired Clostridium difficile infection J Hosp Infect 34 1996 23-30
26. Zoutman R. McDonalds S. Vethaanayagan D. Total and attributable costs of surgical-wound infections at a Canadian tertiary care center Infect Control Hosp Epidemiol 19 1998 254-259
27. Kirkland K.B. Briggs J.P. Trivette S.L. Wilkinson W.E. Sexton D.J. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalisation, and extra costs Infect Control Hosp Epidemiol 20 1999 725-730
28. Diaz-Molina C. Garcia M.M. Bueno C.A. Lopez L.A. Delgado R.M. Galvez V.R. The estimation of the cost of nosocomial infection in an intensive care unit Med Clin 100 1993 329-332
29. Wenzel R.P. The economics of nosocomial infections J Hosp Infect 31 1995 79-87
30. Haley R.W. Managing hospital infection for cost-effectivness: a strategy for reducing infectious complications 1986 American Hospital Publishing Chicago
31. Wenzel R.P. Pfaller M.A. Feasible and desirable future targets for reducing the costs of hospital infections J Hosp Infect 18 Suppl. A 1991 94-98
32. Brusaferro S. Quattrin R. Gasparini V. Survey on characteristics and diffusion of nosocomial infection control committees at Italian public hospitals. [In Italian] Ann Ig 13 2001 481-501