Risk of readmissions, mortality, and hospital-acquired conditions across hospital-acquired pressure injury (HAPI) stages in a US National Hospital Discharge database
Smith and Nephew
February 23, 2021
Pressure injuries are one of the most common and costly complications occurring in US hospitals. With up to 3 million patients affected each year, hospital-acquired pressure injuries (HAPIs) place a substantial burden on the US healthcare system.
In the current study, US hospital discharge records from 9.6 million patients during the period from October 2009 through September 2014 were analyzed to determine the incremental cost of hospital-acquired pressure injuries by stage. Of the 46 108 patients experiencing HAPI, 16.3% had Stage 1, 41.0% had Stage 2, 7.0% had Stage 3, 2.8% had Stage 4, 7.3% had unstageable, 14.6% had unspecified, and 10.9% had missing staging information. In propensity score-adjusted models, increasing hospital-acquired pressure injury severity was significantly associated with higher total costs and increased overall length of stay when compared with patients not experiencing a hospital-acquired pressure injury at the index hospitalization.
The average incremental cost for a hospital-acquired pressure injury was $21,767. Increasing HAPI severity was significantly associated with greater risk of in-hospital mortality at the index hospitalization compared with patients with no hospital-acquired pressure injury, as well as 1.5 to 2 times greater risk of 30-, 60-, and 90-day readmissions. Additionally, increasing hospital-acquired pressure injury severity was significantly associated with increasing risk of other hospital-acquired conditions, such as pneumonia, urinary tract infections, and venous thromboembolism during the index hospitalization.
By preventing pressure injuries, hospitals have the potential to reduce unreimbursed treatment expenditures, reduce length of stay, minimize readmissions, prevent associated complications, and improve overall outcomes for their patients.
Overcoming Patient Mobility Challenges in Care Settings: Prioritizing Early Mobility
February 22, 2021
Supporting patients through early mobilization ensures a timelier release from the ICU. Patients who cannot build strength and stamina before discharge run the risk of future falls, leading to extended stays and/or higher readmission rates. Both of which impact the financial standing for the patient and provider.
Download this eBook to learn how patients can easily regain muscle strength and how you can help make earlier mobility a priority in daily care to help get patients up and moving sooner.
Overcoming Patient Mobility Challenges in Care Settings: Optimizing Wound Healing and Prevention
February 22, 2021
When working around the clock to care for critically ill patients in the ICU, the last thing you or your patients need is a pressure injury. Addressing the five factors of skin breakdown are important for optimal wound healing and skin protection.
Download this eBook to discover these five factors and how to help make everyday tasks in the ICU easier, so essential care teams can spend more time with the most critical patients.
Overcoming Patient Mobility Challenges in Care Settings: A Breath of Fresh Air
February 22, 2021
When patients have pulmonary complications, it typically means more time spent in the ICU. These extended stays impact both hospital costs and the mental wellbeing of the patients and their families. Getting patients breathing on their own in a timely manner is essential to a quicker recovery and an earlier discharge from the healthcare facility.
Using System-Wide Coordination to Streamline Admission, Throughput, and Discharge
Hospitals have developed various playbooks and protocols to improve patient flow and eliminate last-minute decision making. However, these plans are reactive, only slightly mitigate the stress of the moment, and don’t provide the time and insight necessary to plan for what is coming. Learn about the common mistakes in effectively managing patient flow and how to better manage patient flow.
Poised to Transform: AI in the Revenue Cycle - A Signature Research Study
February 19, 2021
To obtain a picture of both current and anticipated AI use in revenue cycle management (RCM), Change Healthcare commissioned Engine Insights to conduct a survey of 200 leaders across the revenue cycle, IT, and finance.
Read our ebook to find out:
How many providers are using AI to drive RCM improvements
The barriers to AI adoption and implementation
Which stakeholders report being most satisfied with AI’s use and performance