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Research Letter
August 2016

Association Between Hospital Characteristics and Performance on the New Hospital-Acquired Condition Reduction Program’s Surgical Site Infection Measures

Author Affiliations
  • 1Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • 2Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
  • 3Division of Quality, Northwestern Memorial HealthCare, Chicago, Illinois
  • 4Department of Surgery, Massachusetts General Hospital, Boston
  • 5Division of Infectious Diseases, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA Surg. 2016;151(8):777-779. doi:10.1001/jamasurg.2016.0408

The Centers for Medicare and Medicaid Services Hospital-Acquired Condition (HAC) Reduction Program implemented financial penalties for poorly performing hospitals in federal fiscal year 2015. However, higher-quality hospitals appear to be penalized significantly more often in the HAC program than lower-quality hospitals.1 In federal fiscal year 2016, surgical site infection (SSI) outcome measures for colon surgery and abdominal hysterectomy will be incorporated into the HAC program. Our objective was to evaluate the association between hospital characteristics and SSI measures.

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