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Golden, CO: Healthgrades; 2013.
This analysis of Medicare hospitalization data from 2009–2011 highlights hospital efforts to drive safety improvement but notes that more than 280,000 preventable patient safety events occurred. The report also recognizes 379 hospitals with a Patient Safety Excellence Award for 2013.
Journal Article > Study
Lee GM, Kleinman K, Soumerai SB, et al. N Engl J Med. 2012;367:1428-1437.
In 2008, the Centers for Medicare and Medicaid Services (CMS) eliminated reimbursement for certain preventable errors and hospital-acquired infections. This landmark policy aimed to align financial disincentives with adverse events, an increasingly utilized strategy. However, this AHRQ-funded study found that the "no pay for errors" policy had no measurable effect on rates of catheter–associated bloodstream infections and catheter–associated urinary tract infections in hospitals in the United States. No subgroup of hospitals or patients identified in this national evaluation seemed to clearly benefit from this policy change. The benefits and limitations of the CMS policy are discussed in an AHRQ WebM&M interview with Dr. Robert Wachter.
Web Resource > Government Resource
Centers for Medicare & Medicaid Services.
The Centers for Medicare and Medicaid Services (CMS) provides consumers with publicly available information on the quality of Medicare-certified hospital care through this Web site. The site includes specific information for both patients and hospitals on how to use the data to guide decision-making and improvement initiatives. Most recently, listings from the Hospital-Acquired Condition Reduction Program (HACRP) and data on Department of Veterans Affairs hospitals were added to the reports available.
Tools/Toolkit > Fact Sheet/FAQs
Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; January 07, 2011.
This fact sheet highlights key points of a government effort to link performance on quality with select AHRQ patient safety indicators to raise Medicare reimbursement. The opportunity for submitting comments has passed.
QualityNet. February 18, 2009.
The Centers for Medicare and Medicaid Services is conducting a field test of nine AHRQ quality and patient safety indicators. Hospitals participating in the review process receive confidential reports on their performance results and national comparative data.