Consistency of pressure injury documentation across interfacility transfers.

ABSTRACT:

Background

Hospital-acquired pressure injuries (HAPIs) are publicly reported in the USA and used to adjust Medicare payment to acute inpatient facilities. Current methods used to identify HAPIs in administrative claims rely on hospital-reported present-on-admission (POA) data instead of prior patient health information.

Objective

To study the reliability of claims data for HAPIs and pressure injury (PI) stage by evaluating diagnostic coding agreement across interfacility transfers.

Methods

Using the 2012 100% Medicare Provider and Analysis Review file, we identified all fee-for-service acute inpatient discharge records with a PI diagnosis among Medicare patients 65 years and older. We then identified additional facility claims (eg, acute inpatient, long-stay inpatient

SUBMITTER: Squitieri L 

PROVIDER: S-EPMC6690176 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature