Association Between Value-Based Incentive Programs and Catheter-Associated Urinary Tract Infection Rates in the Critical Care Setting

Heather E Hsu; Rui Wang; Maximilian S Jentzsch; Robert Jin; Donald Goldmann; Chanu Rhee; Grace M Lee

doi:10.1001/jama.2018.18997

Association Between Value-Based Incentive Programs and Catheter-Associated Urinary Tract Infection Rates in the Critical Care Setting

JAMA. 2019 Feb 5;321(5):509-511. doi: 10.1001/jama.2018.18997.

Authors

Heather E Hsu¹, Rui Wang², Maximilian S Jentzsch³, Robert Jin², Donald Goldmann⁴, Chanu Rhee², Grace M Lee⁵

Affiliations

¹ Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts.
² Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, Massachusetts.
³ Department of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
⁴ Institute for Healthcare Improvement, Boston, Massachusetts.
⁵ Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California.

Abstract

This before-after study examines the association between value-based incentive programs that link financial rewards and penalties to hospital performance on quality indicators and catheter-associated urinary tract infection outcomes in intensive care units (ICUs).

MeSH terms

Catheter-Related Infections / epidemiology*
Critical Care*
Cross Infection / epidemiology
Humans
Quality Improvement
Quality Indicators, Health Care
Reimbursement, Incentive*
United States / epidemiology
Urinary Catheterization / adverse effects*
Urinary Tract Infections / epidemiology*
Value-Based Purchasing