This articles focuses on the Centers for Medicare and Medicaid Services (CMS) reimbursement regulations which restrict or deny payment for certain conditions occurring during a patient’s hospital stay. Three of the ten such hospital-acquired conditions listed in the CMS policy pertain to hospital-associated infections. These conditions are viewed as a “common, expensive, and often preventable cause of inpatient morbidity and mortality.”
The researchers concluded that the CMS policy provides a “significant step to move output-based inpatient funding to outcome-based funding …” The policy provides an “opportunity to understand and influence the use of financial incentives for improving patient safety.”
Reference: Stone, P. W., Glied, S. A., McNair, P. D., Mathes, N., Chen, B., Landers, T. F., & Larson, E.L. CMS changes in reimbursement for HAIs: setting a research agenda. Medical Care, 48(5):433-9 (2010).