0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

More Evidence That the Use of Venous Thromboembolism Rates as Hospital Quality Measures May Be Off the Mark

Christian de Virgilio, MD1; Jerry J. Kim, MD1
[+] Author Affiliations
1Department of Surgery, Harbor–University of California, Los Angeles, Medical Center, Torrance, California
JAMA Surg. 2015;150(8):721. doi:10.1001/jamasurg.2015.1065.
Text Size: A A A
Published online

Extract

The Centers for Medicare & Medicaid Services will implement the Hospital Acquired Condition (HAC) Reduction Program in 2015, as mandated by the Patient Protection and Affordable Care Act. The effect will be a 1% reduction to Medicare payments for hospitals in the top quartile of risk-adjusted HAC rates. An individual hospital’s HAC rate will be based on 2 measurement domains. One will include health careassociated infection (central catheterassociated bloodstream infections and catheter-associated urinary tract infections). The other will be a composite measure of several Patient Safety Indicators (PSIs). Postoperative venous thromboembolism (VTE) is included in the PSI 90 composite and, in fact, is one of the more heavily weighted indicators. Therefore, the prevention of VTE is high on the radar of all US hospitals, and this has led to an increased focus on VTE prophylaxis and prevention.

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

522 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();