Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study.

ABSTRACT: OBJECTIVE:To evaluate the association between hospital penalization in the US Hospital Acquired Condition Reduction Program (HACRP) and subsequent changes in clinical outcomes. DESIGN:Regression discontinuity design applied to a retrospective cohort from inpatient Medicare claims. SETTING:3238 acute care hospitals in the United States. PARTICIPANTS:Medicare fee-for-service beneficiaries discharged from acute care hospitals between 23 July 2014 and 30 November 2016 and eligible for at least one targeted hospital acquired condition (n=15 470 334). INTERVENTION:Hospital receipt of a penalty in the first year of the HACRP. MAIN OUTCOME MEASURES:Episode level count of targeted hospital acquired conditions per 1000 episodes, 30 day readmissions, and 30 day mortality. RESULTS:Of 724 hospitals pen

SUBMITTER: Sankaran R 

PROVIDER: S-EPMC6607204 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature