Hospital-Acquired Conditions In Health Care Essay

On October 1, 2008, The Centers for Medicare and Medicaid Services (CMS) implemented a new regulation, which deny payment for selected 10 conditions occurring during the hospital stay and are not present on admission. Out of these 10 hospital-acquired conditions, three of them were healthcare-associated infections, which are a common, expensive, and often preventable. According to an article published in Med Care on 2010, this policy was the first significant step to move output-based inpatient funding to outcome-based funding and the policy was one of the most large-scale and visible pay-for-performance initiatives ever attempted in the US healthcare system. It was one of the most important effort yet made to address the growing problem …show more content…
Most of the hospitals also requires to have a urinalysis before admission to hospital. If any of these such as UTI or pressure ulcer are documented after the admission, these conditions will not be reimbursed. This is also one of the reasons we have documentation specialist, case managers and admission nurses in all hospitals. Patients will get increased quality across the continuum of care, improve safety and improved outcome. The cost can be reduced by eliminating redundant testing and diagnostic investigation. But we need to admit that many patients may struggle to get a primary care or a specialty physician with the new payment system. as we all know most of our physicians and hospitals are most interested in commercial insurance patients. With standardized clinical terminology patient’s information can be shared between providers and facilities. This will increase better communication and improve patient safety and outcomes.
Duff, C., Endsley, P., Chau, E., & Morgitan, J. (2012). Standardized nursing languages. National Association of School Nurses. Retrieved from