Re­port called out­dated

Health groups say CDC of­fers bet­ter data

Modern Healthcare - - Cover Story - Mau­reen McKin­ney

As the CMS pro­poses a boost in the amount of qual­ity mea­sures re­ported by Medi­care providers, some groups are crit­i­ciz­ing a re­cent re­port from a branch of HHS for its ap­proach in eval­u­at­ing qual­ity of care.

The ob­ject of the groups’ ire is the Agency for Health­care Re­search and Qual­ity’s Na­tional Health­care Qual­ity Re­port, re­leased April 13, which pointed to jumps in the rates of post­op­er­a­tive sep­sis and post­op­er­a­tive catheter-as­so­ci­ated uri­nary tract in­fec­tions as ev­i­dence that ef­forts to curb health­car­e­as­so­ci­ated in­fec­tions have been un­suc­cess­ful (April 19, p. 12).

In a state­ment is­sued jointly by the So­ci­ety for Health­care Epi­demi­ol­ogy of Amer­ica, the In­fec­tious Dis­eases So­ci­ety of Amer­ica and the As­so­ci­a­tion for Pro­fes­sion­als in In­fec­tion Con­trol and Epi­demi­ol­ogy, the groups called the re­port in­ac­cu­rate and out­dated, and took par­tic­u­lar is­sue with AHRQ’s use of ad­min­is­tra­tive cod­ing data to de­ter­mine in­ci­dences of health­care-as­so­ci­ated in­fec­tions. “The in­for­ma­tion in the re­port is based on ad­min­is­tra­tive data and al­go­rithms that have never been val­i­dated,” Neil Fish­man said in an in­ter­view. Fish­man is pres­i­dent of the So­ci­ety for Health­care Epi­demi­ol­ogy of Amer­ica and di­rec­tor of the depart­ment of health­care epi­demi­ol­ogy and in­fec­tion con­trol for the Uni­ver­sity of Penn­syl­va­nia Health Sys­tem, Philadel­phia.

In the state­ment, the groups cited sev­eral re­cent stud­ies that showed ad­min­is­tra­tive data to be of lit­tle value in iden­ti­fy­ing health­care-

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