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Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Overview of attention for article published in Social Work in Public Health, September 2011
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Title
Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.
Published in
Social Work in Public Health, September 2011
DOI 10.1080/19371918.2011.533554
Pubmed ID
Authors

Kavanagh KT

Abstract

Over a decade ago it was estimated that in the United States 98,000 patients die each year from hospital acquired conditions (HAC). Recently it has been reported that this many patients now die annually from hospital acquired infections (HAI) alone. Currently, HAI affects 1.7 million U.S. citizens each year. Although these conditions are often called "preventable errors," some are associated with particular hospital and physician cultures, and many of these conditions, such as pressure ulcer formation and infections, may be a sign of low facility staffing levels. Protocols have been developed that have been shown to lower the incidence of many HAC, but these have been slow to be adopted. Voluntary reporting mechanisms to ensure health care quality are reported as having reduced effectiveness by the Joint Commission and U.S. Department of Health and Human Services, Office of Inspector General reports. Transparency and public education have also met with resistance, but in the case of infections now have the support of major national medical organizations. As a further initiative to promote quality, financial incentives have been implemented by the Centers for Medicare and Medicaid Services. Surgeons have lived under stringent financial incentives since the mid-1980s when they were placed under global surgical fees. Medicare currently must make expenditure reductions because it is at risk of becoming insolvent within the decade. Implementation of financial incentives should depend upon a balance between the nonpayment of providers for nonpreventable HAC verses the promotion of health care quality and patient safety, the reduction in patient morbidity and mortality, the spurring of mechanisms to further reduce HAC, and the recouping of taxpayer dollars for HAC that could have been prevented.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 14 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 7%
Unknown 13 93%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 43%
Student > Master 4 29%
Student > Bachelor 2 14%
Other 1 7%
Student > Ph. D. Student 1 7%
Other 0 0%
Readers by discipline Count As %
Medicine and Dentistry 6 43%
Business, Management and Accounting 3 21%
Psychology 2 14%
Unspecified 1 7%
Economics, Econometrics and Finance 1 7%
Other 1 7%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 January 2012.
All research outputs
#2,897,991
of 3,634,360 outputs
Outputs from Social Work in Public Health
#56
of 75 outputs
Outputs of similar age
#165,742
of 231,194 outputs
Outputs of similar age from Social Work in Public Health
#5
of 6 outputs
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So far Altmetric has tracked 75 research outputs from this source. They receive a mean Attention Score of 3.2. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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