'No-Pay' Policy for HAIs Does Not Reduce Infections
"Payment reductions were negligible, (.001%, or $.1 million—equivalent to $1.1 million nationwide) and are unlikely to encourage providers to improve quality," they wrote.
However, Harvard researchers may be confounded by results of a study published in the Journal of the American Medical Associationin May, 2012.
That report said that because of the no-payment policy, 81% of infection control experts said they were much more likely to focus on preventing hospital acquired infections, although only 15% said their organizations spent more money on it.
Those responding to the survey reported, however, that they were much more likely to remove urinary and central venous catheters when no longer needed to reduce the chance of infection and resource shifting was more common.
Jha and colleagues want policymakers to consider the impact these penalty and incentive initiatives are having on health outcomes before expanding the program to other aspects of care.
- Healthcare Leaders Seek Strategic Sweet Spot
- 3 Reasons Wellness Programs Fail
- CMS Issues Health Insurance Exchange Proposed Rules
- Patients Shoulder Nearly 25% of Medical Bills
- ACOs Widespread, Yet Challenged
- MGMA: Physician Compensation Increasingly Based on Quality Measures
- HFMA: Patient Financial Interaction Guidelines Sharpened
- Data Collaborative Taps Predictive Analytics to Coordinate Care
- HFMA: Revenue Cycle, Reimbursements Share the Spotlight
- Evidence-Based Practice and Nursing Research: Avoiding Confusion

Comments are moderated. Please be patient.
Howard (10/12/2012 at 9:56 AM)
I'll say it before and I'll say it again, it was a good idea to start out with, but unfortunately you can motivate people by a penalty system on things that can't be helped either way. Chasing zero is a respectable goal in hospital infections, but with the current technology it just isn't realistic.