Claims Data Lack Accuracy, Consistency Needed for Hospital Comparisons, Payments

Claims data, which are used to determine payments for performance and to publicly compare healthcare quality, may not be accurate sources to compare healthcare organizations or guide payment methods, according to a study published in the Annals of Internal Medicine.

Advertisement

 

Sign up for our FREE E-Weekly for more coverage like this sent to your inbox!

For the study, researchers examined claims data from 96 Michigan hospitals to compare urinary tract infections that are coded as hospital-acquired and catheter-associated events. The researchers also determined how often hospital payments were affected by catheter-associated urinary tract infections.

The researchers found only 2.6 percent of all hospital-acquired infections were described in the claims data as catheter-related, making financial savings based on nonpayment negligible. Further, epidemiologic studies report that most (59-86 percent) hospital-acquired urinary tract infections are catheter-associated, calling into question the accuracy of the claims data.

More Articles on Infections:

Eliminate Sterile Processing Stigma to Enhance Patient Safety

Texas Institute for Surgery First in State to Use DebMed

Cygnus Medical Launches Clear Path OR Cleaning Devices

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Advertisement

Next Up in Uncategorized

Advertisement

Comments are closed.