Exhibit 3. Incremental Effects of a Hospital-Acquired Condition on Index Hospital Plus Ninety-Day Episode Medicare Program Payments.
| Multivariate Results | |||||
|---|---|---|---|---|---|
| Selected hospital-acquired condition | Percent difference from matched samples (unadjusted) | Point Estimate | 95% Confidence Interval | Estimated annual impact on Medicare program payments(millions) | 95% Confidence Interval (millions) |
| Severe pressure ulcers | 39.4% | 32.8% | 25.5%–41.2% | $18.8 | $14.3–$23.5 |
| Falls and trauma: fracture | 31.3% | 45.8% | 42.4%–49.3% | $63.2 | $58.5–$67.9 |
| Catheter-associated urinary tract infection | 17.5% | 24.5% | 20.6%–28.4% | $26.6 | $22.4–$30.9 |
| Vascular catheter-associated infection | 19.2% | 14.3% | 11.2%–17.5% | $24.6 | $19.3–$30.0 |
| Surgical site infectionsfollowing certainorthopedic procedures | 41.0% | 33.2% | 20.8%–47.0% | $3.5 | $2.2–$4.9 |
| Deep vein thrombosis/ pulmonary embolism following certain orthopedic procedures | 16.5% | 13.0% | 10.8%–15.2% | $9.7 | $8.0–$11.3 |
NOTES: Comparison episodes chosen by 5:1 multivariable matching using the characteristics of the index claims with HACs. Multivariate results control for patient and hospital characteristics that affect payment.
SOURCE: Authors’ analysis of FY 2009 and FY 2010 Medicare Part A and Part B episodes of care data.