Hospital Acquired Conditions Essay

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Hospital Acquired Condition: Surgical Site Infection Francine Jackson HCA 375 Instructor Shultz April 1, 2013 The Institute of Medicine (IOM) in a landmark report written in 1999, “To Err is Human,” found that medical errors, particularly hospital acquired conditions (HACs) are a leading cause of morbidity and mortality here in the U.S. IOM have estimated that 44,000 people die each year in hospitals from what is mostly considered preventable medical errors; one being surgical site infections. In 2007, The Centers for Medicare and Medicaid (CMS) began phasing in its value-based program, which links payment directly to quality of care provided. One of the many strategies CMS is using is to transform the current payment system by rewarding providers for delivering high quality efficient clinical care. There are three aspects of the program, one being hospital-acquired conditions. In this paper I will discuss one of these HACs (e.g. surgical site infection) putting an emphasis on what it means, is it preventable, legal implications as it pertains to patients developing this condition, accreditation process and outcomes related to cost and quality. CMS in 2008 created a list of hospital-acquired conditions that are non-reimbursable because they were considered to be preventable (McNair, 2009). Included in this list are Surgical Site Infections (SSIs) following coronary artery bypass grafting, bariatric surgery, laparoscopic gastric bypass, gastroenterotomy, laparoscopic gastric restrictive surgery, and orthopedic procedures involving the spine, neck, shoulder, or elbow. HACs are preventable conditions that are not present when patients are admitted to the hospital, but become present during the course of the patients’ stay (Conventry Healthcare, 2009). SSIs are the second most common type of adverse event occurring in

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