Open AccessAdverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions
Author(s) -
William V. Padula,
Joyce Black,
Patricia M. Davidson,
So Yeon Kang,
Peter J. Pronovost
Publication year - 2020
Publication title -
journal of patient safety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 34
eISSN - 1549-8425
pISSN - 1549-8417
DOI - 10.1097/pts.0000000000000517
Subject(s) - medicaid , medicine , reimbursement , adverse effect , patient safety , emergency medicine , observational study , health care , quality management , payment , revenue , medical emergency , family medicine , business , operations management , management system , finance , economics , economic growth
Health systems are grappling with improving the quality and safety of health care. By setting clear expectations, there is an opportunity to configure care models to decrease the risk of adverse events and promote the quality of care. The US Centers for Medicare and Medicaid Services have used Patient Safety Indicator 90 (PSI90), a composite rate of hospital-acquired conditions (HACs), to adjust payments and score hospitals on quality since 2015. However, PSI90 may be associated with adverse prioritization for preventing some conditions over others.Our objective was to evaluate the time-dependent rates of HACs between 2013 and 2016 to assess the association of funding models on adverse events, particularly pressure injury.