The financial impact of hospital-acquired conditions

Journal of Health Care Finance

Volumn 38, Issue 3, 2012, Pages 40-49

  Nero, Damion C ^a   Lipp, Michael J ^b   Callahan, Mark A ^c,d  

^a FOJP Service Corporation   (United States)

^b Department of Medicine   (United States)

^c Mount Sinai Network   (United States)

^d MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

Centers for Medicare Medicaid Services (CMS); Health policy; Hospital costs; Hospital acquired conditions (HACs); Length of stay (LOS); Present on admission (POA); Preventable conditions; Quality and patient safety

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CORONARY ARTERY BYPASS SURGERY; DATA ANALYSIS; DECUBITUS; DESCRIPTIVE RESEARCH; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE SYSTEM; HOSPITAL DISCHARGE; HOSPITAL FINANCE; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDIASTINITIS; MEDICAID; MEDICARE; PREVALENCE; REGRESSION ANALYSIS; UNITED STATES;

ADOLESCENT; ADULT; AGED; CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); CROSS INFECTION; DATABASES, FACTUAL; FEMALE; HOSPITAL COSTS; HUMANS; LENGTH OF STAY; MALE; MEDICAL ERRORS; MIDDLE AGED; NEW YORK; REGRESSION ANALYSIS; UNITED STATES; YOUNG ADULT;

EID: 84860850450     PISSN: 10786767     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (31)

1. Cunningham, PJ, "The Growing Financial Burden of Health Care: National And State Trends, 2001-2006," Health Affairs, 29(5): 1037-1044 May 2010, Epub Mar. 25, 2010.
2. Leavitt, M, "Medscape's Response to the Institute of Medicine Report: Crossing the Quality Chasm: A New Health System for the 21st Century," MedGenMed, 3(2): 2.
3. Centers for Medicare & Medicaid Services. "Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates; Proposed Changes to Disclosure of Physician Ownership in Hospitals and Physician Self-Referral Rules; Proposed Collection of Information Regarding Financial Relationships Between Hospitals and Physicians; Proposed Rule," Fed. Reg., 73(84): 23552-23559 (2008).
4. Saleh, SS, Callan, M, Therriault, M, et al., "The Cost Impact of Hospital-Acquired Conditions Among Critical Care Patients," Med. Care, 48(6): 518-526 (2010 June).
5. Ollendorf, DA, Vera-Llonch M, Oster G, "Cost of Venous Thromboembolism Following Major Orthopedic Surgery in Hospitalized Patients," Am. J. Health Syst. Pharm, 59(18): 1750-1754 (Sept. 15, 2002).
6. Graves N, Birrell, F, Whitby, M, "Effect of Pressure Ulcers on Length of Hospital Stay," Infect. Control Hosp. Epidemiol., 26(3): 293-297 (Mar. 2005).
7. Klevens, RM, Edwards, JR, Richards, CL, Jr, et al., "Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals, 2002," Public Health Rep., 122(2): 160-166 (Mar.-Apr. 2007);
8. Mattie, AS, Webster, BL, "Centers for Medicare and Medicaid Services' "Never Events": An Analysis and Recommendations to Hospitals," Health Care Manag., 27(4): 338-349 (Oct.-Dec. 2008);
9. McNair, PD, Luft, HS, Bindman, AB, "Medicare's Policy Not to Pay for Treating Hospital-Acquired Conditions: The Impact," Health Affairs, 28(5): 1485-1493 (Sept.-Oct. 2009).
10. Klevens, et al., supra n.7. Klevens, et al., supra n.7.; Mattie and Webster, supra n.7; McNair, et al., supra n.7; Zhan, C, Miller, MR, "Excess Length of Stay, Charges, and Mortality Attributable to Medical Injuries During Hospitalization," JAMA, 290(14): 1868-1874 (Oct. 8, 2003).
11. Younis, MZ, Forgione, DA, "The Relationship Between the Balanced Budget Act and Length of Stay for Medicare Patients in US Hospitals," Eur. J. Health Econ., 10(1): 57-63 (Feb. 2009), Epub Apr. 8, 2008.
12. Straube, B, Blum, JD, "The Policy on Paying for Treating Hospital-Acquired Conditions: CMS Officials Respond," Health Affairs, 28(5): 1494-1497 (Sept.-Oct. 2009).
13. Charlson, ME, Pompei, P, Ales, KL, et al., "A New Method of Classifying Prognostic Comorbidity in Longitudinal Studies: Development and Validation," J. Chronic Dis., 40(5): 373-383 (1987).
14. Deyo, RA, Cherkin, DC, Ciol, MA, "Adapting a Clinical Comorbidity Index for Use with ICD-9-CM Administrative Databases," J. Clin. Epidemiol., 45(6): 613-619 (June 1992).
15. Supra n.3.
16. Saleh, et al., supra n.4.
17. Young, DS, Sachais, BS, Jefferies, LC, "Effect of Disease Complications on Hospital Costs," Clin. Chem., 48(1): 140-149 (Jan. 2002).
18. SAS Institute, Inc., Cary, NC, USA.
19. Schraffenberger, LA, "New ICD-9-CM Diagnostic Codes for Fiscal Year 2008," J. AHIMA, 78(8): 84-87 (Sept. 2007).
20. Suzuki, M, Ikebuchi, K, "[Preventive Measures Against Transfusion-Associated Complications and Side Effects]," Masui, 57(9): 1075-1086 (Sept. 2008).
21. Maynard, G, Stein, J, "Preventing Hospital-Acquired Venous Thromboembolism: A Guide for Effective Quality Improvement, prepared by the Society of Hospital Medicine, AHRQ Publication No. 08-0075, Rockville, MD: Agency for Healthcare Research and Quality, Aug. 2008 from http://www.ahrq.gov/ qual/vtguide/.
22. Id.
23. Supra n.3.
24. Maynard and Stein, supra n.20.
25. Callahan, MA, Christos, PJ, Gold, HT, et al., "Influence of Surgical Subspecialty Training on In-Hospital Mortality for Gastrectomy and Colectomy Patients," Ann. Surg., 238(4): 629-636 discussion 636-639 (Oct. 2003);
26. Ricciardi, R, Baxter, NN, Read, TE, et al., "Surgeon Involvement in the Care of Patients Deemed to Have "Preventable" Conditions," J. Am. Coll. Surg., 209(6): 707-711 (Dec. 2009), Epub Sept. 19, 2009.
27. McNutt, R, Johnson, TJ, Odwazny, R, et al., "Change in MS-DRG Assignment and Hospital Reimbursement as a Result of Centers for Medicare & Medicaid Changes in Payment for Hospital-Acquired Conditions: Is It Coding or Quality?" Qual. Manag Health Care,;19(1): 17-24 (Jan.-Mar. 2010).
28. DeFrances, CJ, Lucas, CA, Buie, VC, et al., "2006 National Hospital Discharge Survey," Natl. Health Stat Report, 30(5): 1-20 (July 2008).
29. Supra n.3.
30. Landrigan, CP, Parry, GJ, Bones, CB, et al., "Temporal Ttrends in Rates of Patient Harm Resulting from Medical Care," New Engl. J. Med., 363(22): 2124-2134 (Nov. 25, 2010);
31. Levinson, D, "Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries," Washington, DC: US Department of Health and Human Services, Office of the Inspector General (Nov. 2010) from http://www. dnvhealthcare.com/Default.aspx?DN=b71ef1b1-68d4-4d5b-8b7d-5c260105a4bb.