Rising Stakes for Health Care-Associated Infection Prevention: Implications for the Clinical Microbiology Laboratory

Author:

Diekema Daniel J.1

Affiliation:

1. Departments of Internal Medicine and Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA

Abstract

ABSTRACT Health care-associated infection (HAI) rates are subject to public reporting and are linked to hospital reimbursement from the Centers for Medicare and Medicaid Services (CMS). The increasing pressure to lower HAI rates comes at a time when advances in the clinical microbiology laboratory (CML) provide more-precise and -sensitive tests, altering HAI detection in ways that may increase reported HAI rates. I review how changing CML practices can impact HAI rates and how the financial implications of HAI metrics may produce pressure to change diagnostic testing practices. Finally, I provide suggestions for how to respond to this rapidly changing environment.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference29 articles.

1. Centers for Disease Control and Prevention. 2016. National Healthcare Safety Network. CDC, Atlanta, GA. https://www.cdc.gov/nhsn/. Accessed 17 December 2016.

2. Centers for Medicare and Medicaid Services. 2016. Hospital value-based purchasing. Centers for Medicare and Medicaid Services, Baltimore, MD. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/hospital-value-based-purchasing/index.html.

3. Centers for Medicare and Medicaid Services. 2016. Hospital Acquired Conditions Reduction Program. Centers for Medicare and Medicaid Services, Baltimore, MD. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/HAC-Reduction-Program.html.

4. Association between the Value-Based Purchasing pay for performance program and patient mortality in US hospitals: observational study

5. Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program

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