What question did this study set out to answer?

To evaluate the financial impact of a central line-associated bloodstream infection prevention initiative on hospital costs, reimbursements, and operating margins under a fee-for-service payment model.

May 7, 2013American Journal of Medical Quality

Doing Well by Doing Good

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Authors

EHEugene HsuJohns Hopkins University DLDella M. LinUniversity of Hawaiʻi at Mānoa SESamuel J. Evans

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Implication

Matched cohort study reveals that preventing bloodstream infections reduces hospital profit margins in intensive care units, highlighting perverse financial incentives in fee-for-service care.

Key Points

To evaluate the financial impact of a central line-associated bloodstream infection prevention initiative on hospital costs, reimbursements, and operating margins under a fee-for-service payment model.
Analyzed intensive care unit patients who developed a central line-associated bloodstream infection between January 2009 and December 2011 alongside matched controls at a single hospital.
Compared mean hospital costs, payer reimbursements, and operating margins between infected patients and non-infected controls.
Patients with infections incurred significantly higher mean hospital costs ($222,692 vs $80,144; P = .01) and generated higher reimbursements ($259,433 vs $72,543; P < .01) compared to matched controls.
Hospitals earned significantly greater operating margins from infected patients than uninfected controls ($54,906 vs $6,506; P < .01), demonstrating that infection prevention reduces net hospital profit under fee-for-service models.

Cite This Study

Hsu et al. (2013) studied this question.

synapsesocial.com/papers/6a968bb6a8463d902989853a https://doi.org/10.1177/1062860613486173

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Implication

Matched cohort study reveals that preventing bloodstream infections reduces hospital profit margins in intensive care units, highlighting perverse financial incentives in fee-for-service care.

Doing Well by Doing Good

Discussion

Member takes

Implication

Key Points

Cite This Study

Doing Well by Doing Good

Discussion

Member takes

Implication

Key Points

Cite This Study

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