{"title":"医院获得性疾病的财务影响。","authors":"Damion C Nero, Michael J Lipp, Mark A Callahan","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>This article investigates the financial impact of the Centers for Medicare & Medicaid Services' hospital-acquired conditions (HACs).</p><p><strong>Methods: </strong>Data from 2007-2008 was analyzed using New York State Department of Health's Statewide Planning and Research Cooperative System (SPARCS), using regression analysis and descriptive statistics for each condition.</p><p><strong>Results: </strong>Of 4,853,800 patient discharges, the development of decubitus ulcers was the most prevalent condition, associated with an annual cost of nearly $680 million and 376,546 hospital days. Mediastinitis after Coronary Artery Bypass Graft (CABG) had the highest marginal impact for both length of stay (LOS) and total costs, but this condition had a relatively low frequency. Extrapolation of the results suggests that HACs represent a major burden to US hospitals.</p><p><strong>Conclusions: </strong>HACs have a significant financial impact on the US health care system. Hospitals would benefit from better understanding the impact and frequency of these conditions in order to best target preventative strategies.</p>","PeriodicalId":56181,"journal":{"name":"Journal of Health Care Finance","volume":"38 3","pages":"40-9"},"PeriodicalIF":0.0000,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The financial impact of hospital-acquired conditions.\",\"authors\":\"Damion C Nero, Michael J Lipp, Mark A Callahan\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>This article investigates the financial impact of the Centers for Medicare & Medicaid Services' hospital-acquired conditions (HACs).</p><p><strong>Methods: </strong>Data from 2007-2008 was analyzed using New York State Department of Health's Statewide Planning and Research Cooperative System (SPARCS), using regression analysis and descriptive statistics for each condition.</p><p><strong>Results: </strong>Of 4,853,800 patient discharges, the development of decubitus ulcers was the most prevalent condition, associated with an annual cost of nearly $680 million and 376,546 hospital days. Mediastinitis after Coronary Artery Bypass Graft (CABG) had the highest marginal impact for both length of stay (LOS) and total costs, but this condition had a relatively low frequency. Extrapolation of the results suggests that HACs represent a major burden to US hospitals.</p><p><strong>Conclusions: </strong>HACs have a significant financial impact on the US health care system. Hospitals would benefit from better understanding the impact and frequency of these conditions in order to best target preventative strategies.</p>\",\"PeriodicalId\":56181,\"journal\":{\"name\":\"Journal of Health Care Finance\",\"volume\":\"38 3\",\"pages\":\"40-9\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2012-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Health Care Finance\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Care Finance","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
The financial impact of hospital-acquired conditions.
Context: This article investigates the financial impact of the Centers for Medicare & Medicaid Services' hospital-acquired conditions (HACs).
Methods: Data from 2007-2008 was analyzed using New York State Department of Health's Statewide Planning and Research Cooperative System (SPARCS), using regression analysis and descriptive statistics for each condition.
Results: Of 4,853,800 patient discharges, the development of decubitus ulcers was the most prevalent condition, associated with an annual cost of nearly $680 million and 376,546 hospital days. Mediastinitis after Coronary Artery Bypass Graft (CABG) had the highest marginal impact for both length of stay (LOS) and total costs, but this condition had a relatively low frequency. Extrapolation of the results suggests that HACs represent a major burden to US hospitals.
Conclusions: HACs have a significant financial impact on the US health care system. Hospitals would benefit from better understanding the impact and frequency of these conditions in order to best target preventative strategies.
期刊介绍：
The Journal of Health Care Finance is the only quarterly journal devoted solely to helping you meet your facility"s financial goals. Each issue targets a key area of health care finance. Stay alert to new trends, opportunities, and threats. Make easier, better decisions, with advice from industry experts. Learn from the experiences of other health care organizations. Experts in the field share their experiences on successful programs, proven strategies, practical management tools, and innovative alternatives. The Journal covers today"s most complex dollars-and-cents issues, including hospital/physician contracts, alternative delivery systems, generating maximum margins under PPS.
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