文档介绍：Cost and Cost Benefit of Infection Control
William A. Rutala, ., .
David J. Weber, ., .
Hospital Epidemiology, UNC Health Care System
December 2005
Topics
Minimal IC Program staffing
1 ICP 150 adjusted occupied beds
Mandatory CBIC certification
Legislative bill, that the mission adopt rules to establish staff qualifications including professional requirements for hospital staff, did not pass
Healthcare-Associated Infections (HAIs)
HAIs are those that develop in the hospital that were neither incubating nor present at the time of admission
40 million persons hospitalized annually in US; 5% or 2 million will develop a HAI
Morbidity and mortality (90,000 deaths)
Variable prolongation of hospital stay
Total annual hospital-related financial burden-$ billion
Cost of Infection Control
Cost of infection control borne by hospitals
Under modern payment systems, hospitals reap the financial benefits associated with decreased HAI
Fixed reimbursement based on diagnosis transfers the risk from payer to plications that slow discharge and consume resources are only partially reimbursed at best
Thus, HAIs cost hospitals money
Cost of Infection Control
In addition to the economic incentive, hospitals have a fiduciary charge to provide high-quality patient care
To the extent, HAIs are preventable, HAIs represent defects in patient care
Thus, infection control is in the enviable position of saving money while simultaneously improving the quality of care
Cost of Infection Control
Against this background, many infection control programs are neither well funded nor highly valued in their institutions
Savings due to averted infections are often poorly understood or ignored
Cost of Infection Control
Another problem is that infection control programs are not standardized
A survey of 45 university-affiliated hospitals showed a median of 1 ICP per 137 beds
NNIS hospitals have 1 ICP per 123 beds
- ICP for every 100 beds suggested by Delphi panel
Hig