Northwestern University, Chicago, IL, USA.
Med Care Res Rev. 2011 Dec;68(6):667-82. doi: 10.1177/1077558711408326. Epub 2011 May 19.
In 2008, Medicare implemented a policy limiting reimbursement to hospitals for treating avoidable hospital-acquired conditions (HACs). Although the policy will expand nationally to Medicaid programs in 2011, little is known about the impact on safety net hospitals. The authors conducted interviews with 60 chief quality officers and 55 chief financial officers from safety net hospitals to explore the impact of Medicare's HACs policy during its first year. Despite the predicted small financial impact, the authors found that the policy gained the attention of hospital leaders and many governing boards. Although the policy reportedly provided additional motivation to reduce HACs, few hospitals implemented new care practices and instead focused on documenting conditions that are present for patients on admission. The findings also illustrate the need for Centers for Medicare & Medicaid Services to provide more guidance to the industry when this type of policy is introduced.
2008 年，医疗保险实施了一项政策，限制医院对可避免的医院获得性疾病（HACs）的治疗费用报销。尽管该政策将于 2011 年在全国范围内扩大到医疗补助计划，但对于对安全网医院的影响知之甚少。作者对来自安全网医院的 60 名首席质量官和 55 名首席财务官进行了采访，以探讨医疗保险 HACs 政策在第一年的影响。尽管预计财务影响很小，但作者发现该政策引起了医院领导和许多董事会的关注。尽管据报道该政策为减少 HACs 提供了额外的动力，但很少有医院实施新的护理实践，而是专注于记录入院患者现有疾病的情况。调查结果还表明，医疗保险和医疗补助服务中心在推出此类政策时，需要向该行业提供更多指导。
