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Impact of Hospital Operating Margin on Central Line–Associated Bloodstream Infections Following Medicare’s Hospital-Acquired Conditions Payment Policy

Published online by Cambridge University Press:  03 November 2015

Michael S. Calderwood ,
Louise E. Vaz ,
Alison Tse Kawai ,
Robert Jin ,
Melisa D. Rett ,
Patricia S. Grant  and
Grace M. Lee
Michael S. Calderwood*
Affiliation:
Division of Infectious Diseases, Brigham and Women’s Hospital, Boston, Massachusetts Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Louise E. Vaz
Affiliation:
Division of Pediatric Infectious Diseases, Doernbecher Children’s Hospital, Oregon Health & Science University, Portland, Oregon
Alison Tse Kawai
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Robert Jin
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Melisa D. Rett
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Patricia S. Grant
Affiliation:
Methodist Hospital for Surgery, Addison, Texas Association for Professionals in Infection Control and Epidemiology, Washington, DC
Grace M. Lee
Affiliation:
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts Division of Infectious Diseases, Boston Children’s Hospital, Boston, Massachusetts.
*
Address correspondence to Michael S. Calderwood, MD, MPH, Brigham and Women’s Hospital, Division of Infectious Diseases, 181 Longwood Ave, MCP Bldg, 5th Fl, Boston, MA 02115 (mcalderwood@partners.org).
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Abstract

In October 2008, Medicare ceased additional payment for hospital-acquired conditions not present on admission. We evaluated the policy’s differential impact in hospitals with high vs low operating margins. Medicare’s payment policy may have had an impact on reducing central line–associated bloodstream infections in hospitals with low operating margins.

Infect. Control Hosp. Epidemiol. 2015;37(1):100–103

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Supplement 1 , January 2016 , pp. 100 - 103
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

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