Medicare reimbursement attributable to catheter-associated urinary tract infection in the inpatient setting: a retrospective cohort analysis

Details

• Alternative Title:
  Med Care
• Personal Author:
  Yi, Sarah H. ; Baggs, James ; Gould, Carolyn V. ; Scott, R. Douglas ; Jernigan, John A.
• Description:
  Background:
  
  Most catheter-associated urinary tract infections (CAUTIs) are considered preventable and thus a potential target for healthcare quality improvement and cost savings.
  
  Objectives:
  
  We sought to estimate excess Medicare reimbursement, length of stay, and inpatient death associated with CAUTI among hospitalized beneficiaries.
  
  Research design:
  
  Using a retrospective cohort design with linked Medicare inpatient claims and National Healthcare Safety Network data from 2009, we compared Medicare reimbursement between Medicare beneficiaries with and without CAUTIs.
  
  Subjects:
  
  Fee-for-Service Medicare beneficiaries aged ≥65 years with continuous coverage of Parts A (hospital insurance) and B (supplementary medical insurance).
  
  Results:
  
  We found that beneficiaries with CAUTI had higher median Medicare reimbursement (Intensive care unit [ICU]: $8,548, non-ICU: $1,479) and length of stay (ICU: 8.1 days, non-ICU: 3.6 days) compared to those without CAUTI controlling for potential confounding factors. Odds of inpatient death were higher among beneficiaries with versus without CAUTI only among those with an ICU stay (ICU: odds ratio 1.37).
  
  Conclusions:
  
  Beneficiaries with CAUTI had increased Medicare reimbursement and length of stay compared with those without CAUTI after adjusting for potential confounders.
  
  
• Subjects:
  Aged Aged, 80 And Over Catheter-Related Infections Cohort Studies Cross Infection Female Hospitalization Hospital Mortality Humans Insurance, Health, Reimbursement Intensive Care Units Length Of Stay Male Medicare Assignment Medicare Part A Medicare Part B Quality Improvement Retrospective Studies United States Urinary Tract Infections

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• Keywords:
  Catheter-associated Urinary Tract Infection Claims Data Elderly Healthcare-associated Infection Health Care Costs Medicare Mortality Regression Analysis Reimbursement
• Source:
  Med Care. 52(6):469-478
• Pubmed ID:
  24699236
• Pubmed Central ID:
  PMC11413967
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  52
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:e2066dac4fef7cce5a5e388c40daf50d5585341a13eccbdeb09b37b513e98d9ba591a8920921dfba6382fec045d0a3e6a071821ed3ed19fb766aace9c4b098be
• Download URL:
  https://stacks.cdc.gov/view/cdc/162433/cdc_162433_DS1.pdf
• File Type:
  [PDF - 620.10 KB ]