NDLI: Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

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A joint, multilateral approach to improve compliance with hand hygiene in 4 countries within the Baltic region using the World Health Organization's SAVE LIVES: Clean Your Hands model.

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Use of a provincial surveillance system to characterize postoperative surgical site infections after primary hip and knee arthroplasty in Alberta, Canada.

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Effectiveness of a multimodal hand hygiene improvement strategy in the emergency department.

The survival and inactivation of enteric viruses on soft surfaces: A systematic review of the literature.

Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

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Extensively drug-resistant Acinetobacter baumannii outbreak cross-transmitted in an intensive care unit and respiratory intensive care unit.

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A targeted educational intervention to reduce ventilator-associated complications.

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Health care worker hand contamination at critical moments in outpatient care settings.

Hand hygiene compliance before and after wearing gloves among intensive care unit nurses in Iran.

Urinary tract infections and antimicrobial use among Finnish home care clients, April-September 2014.

Environmental sampling protocol devised and implemented to resolve a nosocomial outbreak due to carbapenem-resistant Klebsiella oxytoca.

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Multicenter study in Colombia: Impact of a multidimensional International Nosocomial Infection Control Consortium (INICC) approach on central line-associated bloodstream infection rates.

Statewide assessment of use of infection prevention techniques and technologies.

Infection prevention and control in dental surgeries in the Pará state prison system in Brazil.

Clinical and economic impact of meropenem resistance in Pseudomonas aeruginosa-infected patients.

National surveillance of health care-associated infections in Egypt: Developing a sustainable program in a resource-limited country.

Middle East respiratory syndrome coronavirus on inanimate surfaces: A risk for health care transmission.

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Predictors of respiratory hygiene/cough etiquette in a large community in Korea: A descriptive study.

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Clostridium difficile infection epidemiology and management: Comparison of results of a prospective study with a retrospective one in a reference teaching and research hospital in Northern Italy.

Acquisition of bacteria on health care workers' hands after contact with patient privacy curtains.

Teaching health care workers to adopt a systems perspective for improved control and prevention of health care-associated infections.

Predictors of Clostridium difficile infection-related mortality among older adults.

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Biological accidents at work among resident physicians in specialist training at Bari University Hospital, Italy.

Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study.

Risk factors and clinical analysis of candidemia in very-low-birth-weight neonates.

Is the Presidential Advisory Council on Combating Antibiotic Resistance missing opportunities?

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Risk factors of lower respiratory tract infection in patients after tracheal intubation under general anesthesia in the Chinese health care system: A meta-analysis.

Multidrug-resistant Staphylococcus spp and its impact on patient outcome.

Corresponding author's response to letter to the editor on 'An adenovirus 4 outbreak amongst staff in a pediatric ward manifesting as keratoconjunctivitis-a possible failure of contact and aerosol infection control'.

Call for improvement in personal protective equipment guidance and research.

Copper alloy surfaces sustain terminal cleaning levels in a rural hospital.

Efficacy of ethanol in hand hygiene against adenoviruses.

APIC's strategic partners: Committed to infection prevention.

Social media as a tool for antimicrobial stewardship.

Correlations between quality ratings of skilled nursing facilities and multidrug-resistant urinary tract infections.

Preventing avoidable central line-associated bloodstream infections: Implications for probiotic administration and surveillance.

Current status of personnel and infrastructure resources for infection prevention and control programs in the Republic of Korea: A national survey.

Continued direct observation and feedback of hand hygiene adherence can result in long-term improvement.

High rate of multidrug-resistant organism colonization among patients hospitalized overseas highlights the need for preemptive infection control.

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Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Coomer, Nicole M. Kandilov, Amy M. G.
Description	Author Affiliation: Coomer NM ( RTI International, Durham, NC. Electronic address: ncoomer@rti.org.); Kandilov AM ( RTI International, Durham, NC.)
Abstract	BACKGROUND: Hospital-acquired conditions (HACs) can increase the financial liabilities faced by patients when the HACs require additional treatment both in the hospital and in subsequent health care encounters. This article estimates incremental effects of 6 HACs on Medicare beneficiary financial liabilities. METHODS: Descriptive and multivariate analyses were used to examine the differences in beneficiary liability between care episodes with and without HACs. Episodes included the index hospitalization in which the HAC occurred and all inpatient, outpatient, and physician claims within 90 days of index hospital discharge. Medicare fee-for-service patients discharged from a hospital in fiscal year (FY) 2009 or FY 2010 with severe pressure ulcer, fracture, catheter-associated urinary tract infection, vascular catheter-associated infection, surgical site infection, or deep vein thrombosis or pulmonary embolism after certain orthopedic procedures were matched by diagnosis, sex, race, and age to with patients without HACs. RESULTS: Medicare patients were liable for an additional \$20.5 million per year across the HAC episodes compared with what they would have owed without the HACs. Beneficiaries with HACs were also more likely to exhaust their Part A days in the index hospitalization. CONCLUSIONS: HACs create significant financial burden for Medicare beneficiaries. The incremental financial liabilities are concentrated in the episode of care after the index hospitalization with the HAC. Policies and programs that reduce HAC incidence will improve Medicare beneficiaries' physical and financial health.
File Format	HTM / HTML
ISSN	01966553
Issue Number	11
Journal	American Journal of Infection Control
Volume Number	44
e-ISSN	15273296
Language	English
Publisher	Elsevier
Publisher Date	2016-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Communicable Diseases
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Public Health, Environmental and Occupational Health Epidemiology Health Policy

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