CMS Changes in Reimbursement for HAIs: Setting A Research Agenda

描述（由申请人提供）：本申请请求支持将于2009年4月24日在纽约市纽约科学院举行的研究开发会议。这次为期一天的会议的目的是制定一个研究议程，以评估最近医疗保险和医疗补助服务中心（CMS）对医院相关感染的报销政策变化的影响。虽然这次会议是专门针对感染，许多问题和讨论的问题，以及由此产生的研究议程，是发达国家可能会转移到其他医院获得性条件。我们将汇集约30名在制定卫生政策，制定实践指南和为患者安全和感染预防和控制提供指导方面有影响力的国家专家和研究人员，讨论医院的潜在反应以及如何最好地评估这一政策变化的影响。我们的主要发言人包括：1）CMS代表，他将提供政策变化的概述，选择特定条件和预期变化的理由; 2）CDC代表，他将提供过程和测量问题的概述，这些问题在考虑需要做什么研究时很重要; 3）一名健康经济学家，他将讨论医院的激励措施和流程中的潜在变化，包括与最佳实践不兼容的意外结果;组织行为学专家，将讨论与结构和过程相关的问题，这些问题会导致积极的系统性变革，从而促进预期的质量结果。 公共卫生相关性： 本次会议的目的是制定一个研究议程，以评估最近医疗保险和医疗补助服务中心（CMS）对医院相关感染（HAI）报销政策的变化的影响，这是医院获得性疾病（HAC）的很大一部分，对公众的健康有重大影响。召集一个国家专家小组讨论这些问题，并阐明一个研究议程，以评价政策变化，这是了解其影响的第一步。

DESCRIPTION (provided by applicant): This application is requesting support for a research development conference to be held in New York City at the New York Academy of Sciences on April 24th, 2009. The aim of this one day conference is to develop a research agenda to assess the impact of the recent changes in the Centers for Medicare & Medicaid Services (CMS) reimbursement policies for hospital associated infections. While this conference is specific to infections, many of the issues and questions that are discussed as well as the resulting research agenda that is developed are likely to be transferable to other hospital-acquired conditions. Framed using the concepts of structure, process and outcomes we will bring together about 30 national experts and researchers who are influential in setting health policy, developing practice guidelines and providing direction for patient safety and infection prevention and control to discuss the potential responses by hospitals and how best to assess the impact of this policy change. Our key speakers include 1) a CMS representative who will provide an overview of the policy changes, the rationale for picking the specific conditions and the expected changes; 2) a CDC representative who will provide an overview of process and measurement issues that are important when considering what research needs to be done; 3) a health economist who will discuss the hospital incentives and potential changes in processes including unanticipated outcomes not compatible with best practices; and 4) an organizational behavior expert who will discuss issues related to structures and processes that lead to positive systematic changes that promote the desired quality outcomes. PUBLIC HEALTH RELEVANCE: Project Narrative The purpose of this conference is to develop a research agenda to assess the impact of the recent changes in Centers for Medicare & Medicaid Services (CMS) reimbursement policies for hospital associated infections (HAI), which are a large portion of hospital acquired conditions (HAC), and have significant impact on the health of the public. Convening a group of national experts to discuss the issues and articulate a research agenda to evaluate the policy change is a first step in gaining knowledge regarding its impact.