Title |
Chief nursing officers’ perspectives on Medicare’s hospital-acquired conditions non-payment policy: implications for policy design and implementation
|
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Published in |
Implementation Science, August 2012
|
DOI | 10.1186/1748-5908-7-78 |
Pubmed ID | |
Authors |
Heidi Wald, Angela Richard, Victoria Vaughan Dickson, Elizabeth Capezuti |
Abstract |
Preventable adverse events from hospital care are a common patient safety problem, often resulting in medical complications and additional costs. In 2008, Center for Medicare and Medicaid Services (CMS) implemented a policy, mandated by the Deficit Reduction Act of 2005, targeting a list of these 'reasonably' preventable hospital-acquired conditions (HACs) for reduced reimbursement. Extensive debate ensued about the potential adverse effects of the policy, but there was little discussion of its impact on hospitals' quality improvement (QI) activities. This study's goals were to understand organizational responses to the HAC policy, including internal and external influences that moderated the success or failure of QI efforts. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 20% |
Unknown | 4 | 80% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 80% |
Science communicators (journalists, bloggers, editors) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | <1% |
Denmark | 1 | <1% |
Unknown | 100 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 15 | 15% |
Researcher | 11 | 11% |
Student > Ph. D. Student | 10 | 10% |
Student > Doctoral Student | 8 | 8% |
Lecturer | 7 | 7% |
Other | 28 | 27% |
Unknown | 23 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 23 | 23% |
Medicine and Dentistry | 15 | 15% |
Social Sciences | 11 | 11% |
Business, Management and Accounting | 4 | 4% |
Immunology and Microbiology | 4 | 4% |
Other | 14 | 14% |
Unknown | 31 | 30% |