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Preventable hospital-acquired conditions: the whys and wherefores.

机译:可预防的医院获得性疾病:原因和理由。

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摘要

The changes to the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System published in the Federal Register (, Vol. 72, No. 162) on August 22, 2007, introduced the term preventable "hospital-acquired conditions" (HACs). These printed rules and regulations came about through a provision in the Deficit Reduction Act of 2005 (Pub. No. 109-171) and required the Secretary of the Department of Health and Human Services to track and report on conditions considered to be high cost, high volume (or both); assigned a higher paying "diagnosis related group" (DRG) when present as a secondary diagnosis; and were thought to be reasonably preventable when evidence-based guidelines were employed. In order to comply with this mandate, the CMS, a federal agency within Health and Human Services, was assigned the task of choosing "preventable" HACs, also referred to as "serious preventable events," for which reporting and tracking would be conducted; with the added opportunity of reporting and tracking data regarding a patient's "present on admission" condition. These preventable HACs become of particular interest to hospitals on October 1, 2008. That is the day CMS begins freeing itself from paying hospitals for the targeted preventable HACs that afflict Medicare patients during their hospital stay and which were not present at the time of the patients' admission to the hospital. It is a form of pay-for-performance.
机译:2007年8月22日在联邦公报(第72卷,第162号)上发布的医疗保险和医疗补助服务中心(CMS)住院患者预期付款系统的更改引入了可预防的“医院获得性疾病”(HAC) )。这些印制的规则和条例是通过《 2005年减少赤字法》(第109-171号出版物)的规定制定的,并要求卫生和公共服务部部长跟踪和报告被认为是高成本的疾病,高容量(或两者兼有);在作为次要诊断时,分配了较高薪水的“诊断相关组”(DRG);并且在采用基于证据的指南时被认为是可以合理预防的。为了遵守这一任务,卫生与公共服务部的联邦机构CMS被指派选择“可预防的” HAC(也称为“严重可预防的事件”),并对其进行报告和跟踪;具有报告和跟踪有关患者“入院时存在”状况的数据的额外机会。这些可预防的HAC在2008年10月1日引起了医院的特别关注。那一天,CMS开始从付费的医院中解放出来,使目标可预防的HAC在住院期间折磨Medicare患者并且在患者时不存在。入院。这是按绩效付费的一种形式。

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