@article{11832,
  keywords = {Alternative payment models, CLABSI, CMS, CMS payment, Change management, Healthcare administration, Healthcare management, Horizontal infection control, Horizontal vs vertical intervention, Hospital management, Hospital reimbursement, Hospital-acquired condition, Hospital-acquired infection, Infection prevention, Infection prevention program, Kotter change management, Kotter method, Medicaid reimbursement, Medicare reimbursement, Nosocomial condition, Organizational change, Pay for performance, Preventing hospital infection, Vertical infection control},
  author = {Rebecca A. Vokes and Gonzalo Bearman and Gloria J. Bazzoli},
  title = {Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change.},
  abstract = {<p><b>PURPOSE OF REVIEW: </b>The purpose of this review is to explore the impact of hospital-acquired infection on payment under pay-for-performance systems, and provide perspective on the role of administrators in infection prevention.</p><p><b>RECENT FINDINGS: </b>Hospital-acquired infections continue to pose a serious threat to patient safety and to the fiscal viability of healthcare facilities under pay-for-performance systems. There is mixed evidence that use of pay-for-performance systems leads to prevention of hospital-acquired conditions. Use of evidence-based guidelines has been shown to reduce hospital-acquired infections. Increasing use of pay-for-performance (PFP) systems results in potential loss of reimbursement for healthcare organizations that fail to prevent hospital-acquired infections (HAI). Healthcare administrators must work with front-line providers and infection control staff to establish and maintain evidence-based infection prevention policy. Additionally, infection control policy should be regularly updated to reflect best practices, and proper change management techniques should be employed in order to mobilize and empower staff to increase their ability to prevent hospital-acquired infections.</p>},
  year = {2018},
  journal = {Curr Infect Dis Rep},
  volume = {20},
  pages = {35},
  month = {07/2018},
  issn = {1523-3847},
  doi = {10.1007/s11908-018-0638-5},
  language = {eng},
}