Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study.

Roshun SankaranDevraj SukulUshapoorna NuliyaluBaris GulserenTedi A EnglerEmily ArntsonHanna ZlotnickJustin B DimickAndrew M Ryan

Published in: BMJ (Clinical research ed.) (2019)

Penalization was not associated with significant changes in rates of hospital acquired conditions, 30 day readmission, or 30 day mortality, and does not appear to drive meaningful clinical improvements. By disproportionately penalizing hospitals caring for more disadvantaged patients, the HACRP could exacerbate inequities in care.

Keyphrases

healthcare
end stage renal disease
acute care
ejection fraction
adverse drug
palliative care
chronic kidney disease
peritoneal dialysis
prognostic factors
cardiovascular events
risk factors
chronic pain
pain management
health insurance