Bernard Rosof, MD
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-1789.
Requests for Single Reprints: Bernard Rosof, MD, Huntington Hospital, 270 Park Avenue, Huntington, NY 11743; e-mail, email@example.com.
Rosof B.; The Importance of Accurate Data in Quality-of-Care Measurement. Ann Intern Med. 2012;157:379-380. doi: 10.7326/0003-4819-157-5-201209040-00011
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Published: Ann Intern Med. 2012;157(5):379-380.
In this issue, Meddings and colleagues (1) report a cross-sectional, statewide analysis of the effect of nonpayment for hospital-acquired catheter-associated urinary tract infection (CAUTI). This work reflects the importance of accurate data as we begin to analyze the financial impact of nonpayment for certain hospital-acquired conditions and the direction of local and national quality improvement initiatives based on those data. Disturbingly, these investigators found that the CAUTI rates determined by using claims data were much lower than epidemiologic surveillance would indicate and seemed to be suspect. Consequently, the financial savings from nonpayment for CAUTI was negligible. The data obtained from national safety and cost-saving strategies, such as nonpayment for hospital-acquired conditions, should enable greater clarity about the role that financial incentives (or disincentives) have in motivating physicians and their institutions to improve the quality of the care they provide. Meddings and colleagues' findings suggest that the current hospital claims data may not be accurate measures for comparing institutions or to guide financial incentives.
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Hospital Medicine, Infectious Disease, Healthcare Delivery and Policy, Hospital-Acquired Infections.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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