Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection
Authors: Jennifer A. Meddings, Laurence F. McMahon
Journal: Annals of Internal Medicine (2013)

Letters5 February 2013Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract InfectionJennifer A. Meddings, MD, MSc and Laurence F. McMahon Jr., MD, MPHJennifer A. Meddings, MD, MScFrom University of Michigan Medical School, Ann Arbor, Michigan.Search for more papers by this author and Laurence F. McMahon Jr., MD, MPHFrom University of Michigan Medical School, Ann Arbor, Michigan.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-158-3-201302050-00024 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We congratulate Banner Health on their low CAUTI rates at 0.29 CAUTIs per 1000 patient-days. Studies (1) and hospital Web sites often report successful implementation of CAUTI prevention programs that substantially decrease catheter use and CAUTI rates. For example, Indiana Heart Hospital reported that its CAUTI rates decreased from monthly rates in 2008 ranging from 2.3 to 4.8 CAUTIs per 1000 patient-days to monthly rates in 2010 ranging from 0.0 to 1.6 per 1000 patient-days. However, inappropriate catheter use and CAUTIs persist as important challenges in both ICUs and non-ICUs in many hospitals, as evidenced by preintervention rates ...References1. Meddings J, Rogers MA, Macy M, Saint S. Systematic review and meta-analysis: reminder systems to reduce catheter-associated urinary tract infections and urinary catheter use in hospitalized patients. Clin Infect Dis. 2010;51:550-60. [PMID: 20673003] CrossrefMedlineGoogle Scholar2. Dudeck MA, Horan TC, Peterson KD, Allen-Bridson K, Morrell G, Pollock DA, et al. National Healthcare Safety Network (NHSN) Report, data summary for 2010, device-associated module. Am J Infect Control. 2011;39:798-816. [PMID: 22133532] CrossrefMedlineGoogle Scholar3. Klevens RM, Edwards JR, Richards CL, Horan TC, Gaynes RP, Pollock DA, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. 2007;122:160-6. [PMID: 17357358] CrossrefMedlineGoogle Scholar4. Krein SL, Kowalski CP, Hofer TP, Saint S. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. J Gen Intern Med. 2012;27:773-9. [PMID: 22143455] CrossrefMedlineGoogle Scholar5. Lee GM, Kleinman K, Soumerai SB, Tse A, Cole D, Fridkin SK, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367:1428-37. [PMID: 23050526] CrossrefMedlineGoogle Scholar6. Meddings J, Saint S, McMahon LF. Hospital-acquired catheter-associated urinary tract infection: documentation and coding issues may reduce financial impact of Medicare's new payment policy. Infect Control Hosp Epidemiol. 2010;31:627-33. [PMID: 20426577] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Jennifer A. Meddings, MD, MSc; Laurence F. McMahonJr., MD, MPHAffiliations: From University of Michigan Medical School, Ann Arbor, Michigan.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-0716. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection Jennifer A. Meddings , Heidi Reichert , Mary A.M. Rogers , Sanjay Saint , Joe Stephansky , and Laurence F. McMahon Jr. Effect of Nonpayment for Hospital-Acquired, Catheter-Associated Urinary Tract Infection David B. Edwards and Sharon Panozzo Metrics 5 February 2013Volume 158, Issue 3Page: 222KeywordsCathetersClinical epidemiologyHealth careHealth surveysInformation storage and retrievalResearch designRisk managementSafetySafety studies ePublished: 5 February 2013 Issue Published: 5 February 2013 Copyright & PermissionsCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...