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The impact of measurement changes on evaluating hospital performance: The case of catheter-associated urinary tract infections
Published online by Cambridge University Press: 16 September 2019
Abstract
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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- © 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.
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Senior authors of equal contribution.
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