Evaluating inpatient adverse outcomes under California's Delivery System Reform Incentive Payment Program.

ABSTRACT:

Objective

The California Delivery System Reform Incentive Payment Program (DSRIP) provided incentive payments to Designated Public Hospitals (DPHs) to improve quality of care. We assessed the program's impact on reductions in sepsis mortality, central line-associated bloodstream infections (CLABSIs), venous thromboembolisms (VTEs), and hospital-acquired pressure ulcers (HAPUs).

Data sources

We used 2009-2014 discharge data from California hospitals.

Study design

We used a pre-post study design with a comparison group. We constructed propensity scores and used them to assign inverse probability weights according to their similarity to DPH discharges. Interaction term coefficients of time trends and treatment group provided significance testing.

Data extraction

W

SUBMITTER: Keller MS 

PROVIDER: S-EPMC7839637 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature