PUP 4931r Lecture Notes - Lecture 21: Urinary Tract Infection, Quartile
5 Apr 2018
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Document Summary
Effect of nonpayment for preventable infections in u. s. 398 hospitals or health systems contributed 14,817 to 28,339 hospital unit(cid:1679) months, depending on the type of infection. We observed decreasing secular trends for both targeted and non-targeted infections long before the policy was implemented [in 2008]. There were no significant changes in quarterly rates of central catheter(cid:1679)associated bloodstream infections in the post-implementation vs. pre-implementation period, catheter-associated urinary tract infections or ventilator-associated after the policy implementation. Findings did not differ for hospitals in states without mandatory reporting, nor did they differ according to the quartile of percentage of medicare admissions or hospital size, type of ownership, or teaching status. From 2007 to 2015, readmission rates for targeted conditions declined from. Non-targeted condition rates declined from 15. 3% to 13. 1%. Shortly after passage of the aca, the readmission rate declined quickly, especially for targeted conditions, and then continued to fall at a slower rate after october 2012 for both targeted and non-targeted conditions.
