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Costs versus earnings in colon surgery and coronary artery bypass grafting under a prospective payment system: Sufficient financial incentives to reduce surgical site infections?

Published online by Cambridge University Press:  22 August 2018

Fabrice Juchler Open the ORCID record for Fabrice Juchler [Opens in a new window] ,
Jan A. Roth Open the ORCID record for Jan A. Roth [Opens in a new window] ,
Alexander Schweiger ,
Marc Dangel ,
Massimo Gugliotta ,
Manuel Battegay Open the ORCID record for Manuel Battegay [Opens in a new window] ,
Friedrich S. Eckstein ,
Christoph Kettelhack ,
Christian Abshagen  and
Balthasar L. Hug Open the ORCID record for Balthasar L. Hug [Opens in a new window]
...Show all authors
Fabrice Juchler
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Jan A. Roth
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Alexander Schweiger
Affiliation:
University of Basel, Basel, Switzerland Swissnoso, National Center for Infection Prevention, Bern, Switzerland
Marc Dangel
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Massimo Gugliotta
Affiliation:
Department of Finance, University Hospital Basel, Basel, Switzerland
Manuel Battegay
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland
Friedrich S. Eckstein
Affiliation:
University of Basel, Basel, Switzerland Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland
Christoph Kettelhack
Affiliation:
University of Basel, Basel, Switzerland Department of Visceral Surgery, University Hospital Basel, Basel, Switzerland
Christian Abshagen
Affiliation:
Department of Finance, University Hospital Basel, Basel, Switzerland
Balthasar L. Hug
Affiliation:
University of Basel, Basel, Switzerland Department of Internal Medicine, Kantonsspital Luzern, Lucerne, Switzerlandand
John M. Boyce
Affiliation:
J.M. Boyce Consulting, LLC, Middletown, Connecticut, United States of America
Andreas F. Widmer*
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland University of Basel, Basel, Switzerland Swissnoso, National Center for Infection Prevention, Bern, Switzerland
*
Author for correspondence: Andreas F. Widmer, MD, MS, Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland. E-mail: andreas.widmer@usb.ch
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Abstract

Based on a surgical site infection (SSI) cohort at an academic center, we showed a median potentially preventable loss per non-SSI case of $17,916 in colon surgery and of $34,741 in coronary artery bypass grafting.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 10 , October 2018 , pp. 1246 - 1249
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

a

Authors of equal contribution.

References

1. Zimlichman, E, Henderson, D, Tamir, O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the us health care system. JAMA Intern Med 2013;173:2039–2046.Google Scholar
2. Haley, RW, White, JW, Culver, DH, Hughes, JM. The financial incentive for hospitals to prevent nosocomial infections under the prospective payment system. An empirical determination from a nationally representative sample. JAMA 1987;257:1611–1614.Google Scholar
3. Boyce, JM, Potter-Bynoe, G, Dziobek, L. Hospital reimbursement patterns among patients with surgical wound infections following open heart surgery. Infect Control Hosp Epidemiol 1990;11:89–93.Google Scholar
4. Troillet, N, Aghayev, E, Eisenring, MC, Widmer, AF. Swissnoso. First results of the swiss national surgical site infection surveillance program: who seeks shall find. Infect Control Hosp Epidemiol 2017;38:697–704.Google Scholar
5. Horan, TC, Gaynes, RP, Martone, WJ, Jarvis, WR, Emori, TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 1992;13:606–608.Google Scholar
6. Mehra, T, Muller, CT, Volbracht, J, Seifert, B, Moos, R. Predictors of high profit and high deficit outliers under swissdrg of a tertiary care center. PLoS One 2015;10:e0140874.Google Scholar
7. Alfonso, JL, Pereperez, SB, Canoves, JM, Martinez, MM, Martinez, IM, Martin-Moreno, JM. Are we really seeing the total costs of surgical site infections? A spanish study. Wound Repair Regen 2007;15:474–481.Google Scholar
8. Hsu, HE, Kawai, AT, Wang, R, et al. The impact of the medicaid healthcare-associated condition program on mediastinitis following coronary artery bypass graft. Infect Control Hosp Epidemiol 2018;39:1–7.Google Scholar
9. Graf, K, Ott, E, Vonberg, RP, Kuehn, C, Haverich, A, Chaberny, IF. Economic aspects of deep sternal wound infections. Eur J Cardiothorac Surg 2010;37:893–896.Google Scholar
10. Eappen, S, Lane, BH, Rosenberg, B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA 2013;309:1599–1606.Google Scholar
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