Featured Research

from universities, journals, and other organizations

Hospital report cards for hospital-acquired bedsores: How good are the grades?

Date:
October 14, 2013
Source:
University of Michigan Health System
Summary:
Hospital bedsore rates varied widely based on how the data was collected, unfairly making some hospitals appear to fare better or worse than others.

The data Medicare uses to publicly report hospital rates of patients developing pressure ulcers (or bedsores) is not an accurate source for comparing hospitals on how well they prevent the condition, says a new University of Michigan study.

Related Articles


Bedsores are skin wounds often caused by pressure against the skin when staying in one position for too long. They are among many common hospital-acquired conditions Medicare's Hospital Compare website reports in an effort to help consumers compare the quality of their care at different hospitals.

Hospital bedsore rates varied widely based on how the data was collected, unfairly making some hospitals appear to fare better or worse than others, according to the findings that appear in the Annals of Internal Medicine.

"We found drastic differences in performance for bedsore rates depending on which type of data was reviewed -- hospitals could be graded as either superior or below average depending on the type of data used," says lead author Jennifer Meddings, M.D., M.Sc., an assistant professor in the Department of Internal Medicine, Division of General Medicine at the U-M Medical School and member of the U-M Institute for Healthcare Policy and Innovation.

"This raises significant concerns about how accurately hospitals are being compared to each other, as this information is reported to the public and may lead to financial penalties for hospitals that seem to be doing poorly."

Overall, bedsore rates were about 10 times lower when they were based on billing data compared to rates calculated from bedside exams by nurses. In bedside exams, trained teams of independent nurses record rates by periodically evaluating patients for bedsores through a comprehensive skin exam. In contrast, hospital-acquired pressure ulcer cases are identified by hospital coders generating billing data based on how physicians and wound care teams describe wounds in their medical record notes.

"Our findings provide a strong case for removing hospital rates for pressure ulcers from the Medicare's Hospital Compare website in order to prevent comparisons that may be misleading to patients and policymakers," says Meddings.


Story Source:

The above story is based on materials provided by University of Michigan Health System. Note: Materials may be edited for content and length.


Journal Reference:

  1. Jennifer A. Meddings. Hospital Report Cards for Hospital-Acquired Pressure Ulcers: How Good Are the Grades? Annals of Internal Medicine, 2013; 159 (8): 505 DOI: 10.7326/0003-4819-159-8-201310150-00003

Cite This Page:

University of Michigan Health System. "Hospital report cards for hospital-acquired bedsores: How good are the grades?." ScienceDaily. ScienceDaily, 14 October 2013. <www.sciencedaily.com/releases/2013/10/131014221455.htm>.
University of Michigan Health System. (2013, October 14). Hospital report cards for hospital-acquired bedsores: How good are the grades?. ScienceDaily. Retrieved December 18, 2014 from www.sciencedaily.com/releases/2013/10/131014221455.htm
University of Michigan Health System. "Hospital report cards for hospital-acquired bedsores: How good are the grades?." ScienceDaily. www.sciencedaily.com/releases/2013/10/131014221455.htm (accessed December 18, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, December 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

UN: Up to One Million Facing Hunger in Ebola-Hit Countries

UN: Up to One Million Facing Hunger in Ebola-Hit Countries

AFP (Dec. 17, 2014) Border closures, quarantines and crop losses in West African nations battling the Ebola virus could lead to as many as one million people going hungry, UN food agencies said on Wednesday. Duration: 00:52 Video provided by AFP
Powered by NewsLook.com
When You Lose Weight, This Is Where The Fat Goes

When You Lose Weight, This Is Where The Fat Goes

Newsy (Dec. 17, 2014) Can fat disappear into thin air? New research finds that during weight loss, over 80 percent of a person's fat molecules escape through the lungs. Video provided by Newsy
Powered by NewsLook.com
Why Your Boss Should Let You Sleep In

Why Your Boss Should Let You Sleep In

Newsy (Dec. 17, 2014) According to research out of the University of Pennsylvania, waking up for work is the biggest factor that causes Americans to lose sleep. Video provided by Newsy
Powered by NewsLook.com
Flu Outbreak Closing Schools in Ohio

Flu Outbreak Closing Schools in Ohio

AP (Dec. 17, 2014) A wave of flu illnesses has forced some Ohio schools to shut down over the past week. State officials confirmed one pediatric flu-related death, a 15-year-old girl in southern Ohio. (Dec. 17) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins