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The cost impact of hospital-acquired conditions among critical care patients

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dc.contributor.author Saleh S.S.
dc.contributor.author Callan M.
dc.contributor.author Therriault M.
dc.contributor.author Landor N.
dc.contributor.editor
dc.date 2010
dc.date.accessioned 2017-10-18T13:35:47Z
dc.date.available 2017-10-18T13:35:47Z
dc.date.issued 2010
dc.identifier 10.1097/MLR.0b013e3181dbd7ef
dc.identifier.isbn
dc.identifier.issn 00257079
dc.identifier.uri http://hdl.handle.net/10938/20584
dc.description.abstract BACKGROUND: The modifications introduced to the inpatient prospective payment system on October 1, 2008, to disallow payment for 8 secondary conditions, if not present on admission (POA), constitute a significant shift that is expected to be followed by similar steps by private payers. OBJECTIVE: To investigate the cost impact of hospital-acquired complications (HACs). RESEARCH DESIGN: Discharges that included critical care (CC) stay cases, stratified by diagnosis-related groups, were categorized into (1) cases with HACs-those cases where 1 or more of complications were acquired during the course of treatment; (2) cases with complications that were POA; and (3) cases with no HACs or complications on admission. Twelve diagnostic condition groupings or HACs were examined. RESULTS: Sepsis was the most common condition among single-occurrence HACs, as well as those where 2 HACs occurred. Among the 22 diagnosis-related groups examined, total discharge and CC costs, length of stay, and CC length of stay were consistently the highest among discharges where a HAC occurred, followed by discharges with the presence of a POA complication. Conversely, the lowest level of resource use was associated with discharges where no complication occurred. CONCLUSIONS: The estimates provided in this study should enable hospitals to identify how improvements in care can also result in cost savings. Focusing this study on CC cases enables hospitals to address highest cost cases that consume crucial resources in their CC settings. © 2010 by Lippincott Williams and Wilkins.
dc.format.extent
dc.format.extent Pages: (518-526)
dc.language English
dc.publisher PHILADELPHIA
dc.relation.ispartof Publication Name: Medical Care; Publication Year: 2010; Volume: 48; no. 6; Pages: (518-526);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title The cost impact of hospital-acquired conditions among critical care patients
dc.type Article
dc.contributor.affiliation Saleh, S.S., Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, 3 Dag Hammarskjold Plaza, New York City, NY 10017-2303, United States
dc.contributor.affiliation Callan, M., DataGen, Inc., One Empire Drive, Rensselaer, NY, United States
dc.contributor.affiliation Therriault, M., Healthcare Association of New York State, One Empire Drive, Rensselaer, NY, United States
dc.contributor.affiliation Landor, N., Healthcare Association of New York State, One Empire Drive, Rensselaer, NY, United States
dc.contributor.authorAddress Saleh, S. S.; Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, 3 Dag Hammarskjold Plaza, New York City, NY 10017-2303, United States; email: ss117@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Health Sciences; Department: Health Management and Policy;
dc.contributor.authorDepartment Health Management and Policy
dc.contributor.authorDivision
dc.contributor.authorEmail ss117@aub.edu.lb
dc.contributor.authorFaculty Faculty of Health Sciences
dc.contributor.authorInitials Saleh, SS
dc.contributor.authorInitials Callan, M
dc.contributor.authorInitials Therriault, M
dc.contributor.authorInitials Landor, N
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Saleh, SS (reprint author), Amer Univ Beirut, Fac Hlth Sci, Dept Hlth Management and Policy, 3 Dag Hammarskjold Plaza,8th Floor, New York, NY 10017 USA.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut
dc.description.cited *AG HEALTHC RES QU, AHRQ QUAL IND PAT SA; Agency for Healthcare Research and Quality, 2007, AHRQ QUAL IND GUID P; BUCZKO W, 2007, APHA 135 ANN M NOV 5; Centers for Medicare and Medicaid Services United States Department of Health and Human Services, 2007, FED REG, V72, P47379; Dimick JB, 2004, J AM COLL SURGEONS, V199, P531, DOI 10.1016-j.jamcollsurg.2004.05.276; Dimick JB, 2006, J AM COLL SURGEONS, V202, P933, DOI 10.1016-j.jamcollsurg.2006.02.015; Elixhauser A, 1998, MED CARE, V36, P8, DOI 10.1097-00005650-199801000-00004; Kaushal R, 2007, CRIT CARE MED, V35, P2479, DOI 10.1097-01.CCM.0000284510.04248.66; KHURI SF, 1995, J AM COLL SURGEONS, V180, P519; Kohn LT, 2000, ERR IS HUMAN BUILDIN; Nerurkar J, 2002, PHARMACOTHERAPY, V22, P990, DOI 10.1592-phco.22.12.990.33609; PEAR R, 2007, NY TIMES 0819; *QUAL NET, QUAL NET SPEC MAN NA; Rello J, 2002, CHEST, V122, P2115, DOI 10.1378-chest.122.6.2115; Stein PD, 2002, CHEST, V122, P960, DOI 10.1378-chest.122.3.960; Young DS, 2000, CLIN CHEM, V46, P955; Young DS, 2002, CLIN CHEM, V48, P140; Zhan CL, 2006, HEALTH AFFAIR, V25, P1386, DOI 10.1377-hlthaff.25.5.1386; 2007, KAISER DAILY HL 0822; 2007, FED REG, V72, P47200; 2007, FED REG, V72, P47217
dc.description.citedCount 10
dc.description.citedTotWOSCount 9
dc.description.citedWOSCount 9
dc.format.extentCount 9
dc.identifier.articleNo
dc.identifier.coden MDLCB
dc.identifier.pubmedID 20473198
dc.identifier.scopusID 77952888265
dc.identifier.url
dc.publisher.address 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
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dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Med. Care
dc.relation.ispartOfIssue 6
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Medical Care
dc.relation.ispartofPubTitleAbbr Med. Care
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 48
dc.source.ID WOS:000278191900005
dc.type.publication Journal
dc.subject.otherAuthKeyword Costs
dc.subject.otherAuthKeyword Critical care
dc.subject.otherAuthKeyword Hospital-acquired complications
dc.subject.otherChemCAS
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex article
dc.subject.otherIndex catheter infection
dc.subject.otherIndex critical illness
dc.subject.otherIndex decubitus
dc.subject.otherIndex deep vein thrombosis
dc.subject.otherIndex female
dc.subject.otherIndex health care cost
dc.subject.otherIndex hospital acquired condition
dc.subject.otherIndex hospital cost
dc.subject.otherIndex hospital discharge
dc.subject.otherIndex hospitalization
dc.subject.otherIndex human
dc.subject.otherIndex intensive care
dc.subject.otherIndex length of stay
dc.subject.otherIndex lung embolism
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex mediastinitis
dc.subject.otherIndex medicare
dc.subject.otherIndex peptic ulcer
dc.subject.otherIndex postoperative infection
dc.subject.otherIndex priority journal
dc.subject.otherIndex sepsis
dc.subject.otherIndex urinary tract infection
dc.subject.otherIndex ventilator associated pneumonia
dc.subject.otherIndex Cost-Benefit Analysis
dc.subject.otherIndex Costs and Cost Analysis
dc.subject.otherIndex Critical Care
dc.subject.otherIndex Cross Infection
dc.subject.otherIndex Economics, Hospital
dc.subject.otherIndex Hospitalization
dc.subject.otherIndex Hospitals, General
dc.subject.otherIndex Humans
dc.subject.otherIndex Incidence
dc.subject.otherIndex Intensive Care Units
dc.subject.otherIndex Length of Stay
dc.subject.otherIndex Patient Admission
dc.subject.otherIndex Sepsis
dc.subject.otherKeywordPlus QUALITY IMPROVEMENT
dc.subject.otherKeywordPlus SURGICAL QUALITY
dc.subject.otherKeywordPlus ADVERSE EVENTS
dc.subject.otherKeywordPlus COMPLICATIONS
dc.subject.otherKeywordPlus DISEASE
dc.subject.otherWOS Health Care Sciences and Services
dc.subject.otherWOS Health Policy and Services
dc.subject.otherWOS Public, Environmental and Occupational Health


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