Open AccessThe impact of measurement changes on evaluating hospital performance: The case of catheter-associated urinary tract infections
Author(s) -
Heather Hsu,
Rui Wang,
Maximilian S. Jentzsch,
Kelly Horan,
Robert Jin,
Donald A. Goldmann,
Chanu Rhee,
Grace M. Lee
Publication year - 2019
Publication title -
infection control and hospital epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.243
H-Index - 138
eISSN - 1559-6834
pISSN - 0899-823X
DOI - 10.1017/ice.2019.240
Subject(s) - urinary system , medicine , catheter , incentive , intensive care medicine , emergency medicine , surgery , economics , microeconomics
Catheter-associated urinary tract infections in 592 hospitals immediately declined after federal value-based incentive program implementation, but this was fully attributable to a concurrent surveillance case definition revision. Post revision, more hospitals had favorable standardized infection ratios, likely leading to artificial inflation of their performance scores unrelated to changes in patient safety.