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The True Cost Of A Poor Infection Prevention Policy
Every year, around 2 million Americans suffer from hospital-acquired infections (HAIs), a statistic from the Centers for Disease Control and Prevention (CDC) reveals. According to this InfectionControl.tips article, these infections contribute significantly to a whopping $4.5 billion in annual healthcare costs in the U.S. What's even more alarming is that the majority of these infections are preventable with proper infection control practices in place. Let’s explore the financial ramifications of inadequate infection prevention policies.
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**Medicare Reimbursement**
In an effort to mitigate the financial strain caused by HAIs, the U.S. government has implemented quality care measures linked to Medicare reimbursements. Hospitals are now required to disclose their HAI data, and those with subpar performance face cuts in Medicare payments. The aim is to encourage underperforming hospitals to enhance their infection prevention standards through financial incentives. However, research suggests that payment penalties alone haven't led to a significant drop in infection rates. In fact, a study conducted by Stanford University found that some hospitals are resorting to “up-coding†— falsely claiming that patients were already infected upon admission. This not only misrepresents infection rates but also inflates hospital costs.
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**Length of Hospital Stay**
HAIs are closely tied to longer hospital stays and higher costs. On average, a patient without an HAI spends about 5 days in the hospital, while those with an HAI typically remain hospitalized for an additional 3 to 15 days. These extra days can result in an additional $60,000 in hospital expenses. Since Medicare doesn’t cover treatment for HAIs, these costs must be absorbed by the hospital itself. Studies predict that Medicare penalties could cost underperforming hospitals over $1 million annually. Unfortunately, the current approach hasn't been as effective as hoped, leading to questions about its long-term sustainability.
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**Insurance Costs**
Hospital stays make up a substantial portion—60 to 80%—of a patient's annual insurance claims expenses, according to a study on the cost of HAIs to insurers. Researchers found that preventing just one case of infection could save hospitals approximately $15,000. If every hospital in the U.S. managed to prevent a single infection each year, it could reduce overall insurance claims expenses by $52 million. While the numbers are promising, implementing these changes requires consistent effort across the healthcare system.
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**The Path Forward**
Current surveillance data shows that only 40% of healthcare workers consistently follow recommended hand hygiene protocols, including the use of disposable hand protection. Promoting better infection prevention involves combining strong hand hygiene practices with high-quality protective products. By prioritizing both, we can create a safer environment for both patients and healthcare workers.
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**The Ventyvâ„¢ Solution**
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