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Effect of Medicare's Nonpayment for Hospital-Acquired Conditions Lessons for Future Policy

Waters et al | JAMA Intern Med | 2017

A clinician and patient place their hands on top of one another.


Importance—In 2008, Medicare implemented the Hospital-Acquired Conditions (HACs) Initiative, a policy denying incremental payment for 8 complications of hospital care, also known as never events. The regulation's effect on these events has not been well studied.
Objective—To measure the association between Medicare's nonpayment policy and 4 outcomes addressed by the HACs Initiative: central line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), hospital-acquired pressure ulcers (HAPUs), and injurious inpatient falls.


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Care Settings: Acute Care

Clinical Focus: Fall Prevention

Content Type: Journal Articles