Electronically Available Comorbidities Should Be Used in Surgical Site Infection Risk Adjustment
Author(s) -
Sarah S. Jackson,
Surbhi Leekha,
Laurence S. Magder,
Lisa Pineles,
Deverick J. Anderson,
William E. Trick,
Keith F. Woeltje,
Keith S. Kaye,
Timothy J. Lowe,
Anthony D. Harris
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix431
Subject(s) - medicine , comorbidity , medicaid , emergency medicine , retrospective cohort study , diagnosis code , health care , population , environmental health , economics , economic growth
Healthcare-associated infections such as surgical site infections (SSIs) are used by the Centers for Medicare and Medicaid Services (CMS) as pay-for-performance metrics. Risk adjustment allows a fairer comparison of SSI rates across hospitals. Until 2016, Centers for Disease Control and Prevention (CDC) risk adjustment models for pay-for-performance SSI did not adjust for patient comorbidities. New 2016 CDC models only adjust for body mass index and diabetes.
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