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Hospitals to Lose an Average $10,000 to $20,000 per Case on Common Cardiovascular Procedures Under Medicare's Value-based Purchasing Program
Date:11/12/2008

looked at differences in hospital costs and length of stay for Medicare patients who did and did not experience one of the 11 HACs for which the Centers for Medicare and Medicaid Services (CMS) no longer assigns a higher paying diagnostic-related group (DRG) when the condition is not present upon admission.

"The study results were generally good news for U.S. hospitals, with both the HAC incidence rates and expected incremental costs relatively low in most cases," said April Simon, RN, MSN, president of Cardiac Data Solutions and one of the researchers. "The exception could be hospitals with disproportionate rates of HACs no longer being covered at a higher rate by CMS. The study also suggests that all hospitals should pay particular attention to incidence rates for pressure ulcers, falls, and mediastinitis associated with cardiovascular procedures and focus efforts as needed to improve quality in these areas."

Other researchers included: Phillip P. Brown, cardiovascular surgeon (retired) and past chairman, Department of Surgery, Centennial Medical Center; David J. Cohen, MD, interventional cardiologist and director, Cardiovascular Research, Mid America Heart Institute, St. Luke's Hospital; Aaron Kugelmass, MD, director of Cardiac Catheterization at Henry Ford Hospital; Matthew R. Reynolds, MD, electrophysiologist and director, Economics and Quality of Life Assessment Group, Harvard Clinical Research Institute; and Steven D. Culler, PhD, associate professor, Rollins School of Public Health, Emory University.

About Cardiac Data Solutions, Inc. (CDS)

Founded in 1999, Cardiac Data Solutions, Inc. (CDS) provides consultation services, data analysis, clinical benchmarks, management tools, research support services and leadership training to hospitals, physicians, payors, manufacturers and the financial community. CDS is focused solely on the cardiovascular market with the primary mission of supporting and improving clinical and business decisi
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SOURCE Cardiac Data Solutions, Inc.
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