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The impact of measurement changes on evaluating hospital performance: The case of catheter-associated urinary tract infections

  • Heather E. Hsu (a1) (a2), Rui Wang (a2) (a3), Maximilian S. Jentzsch (a2) (a3), Kelly Horan (a2), Robert Jin (a2), Donald Goldmann (a4), Chanu Rhee (a2) (a5) and Grace M. Lee (a6)...


Catheter-associated urinary tract infections in 592 hospitals immediately declined after federal value-based incentive program implementation, but this was fully attributable to a concurrent surveillance case definition revision. Post revision, more hospitals had favorable standardized infection ratios, likely leading to artificial inflation of their performance scores unrelated to changes in patient safety.


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Author for correspondence: Heather Hsu, MD, MPH, Email:


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