![]() HAPU incidence in administrative data declined, but 96 percent of the change was due to a decline in the incidence of less severe HAPUs. The HAPU incidence we found was approximately one-twentieth of that found in chart-based surveillance review data. We assessed HAPU incidence, severity, and trends using administrative data for 2009–14 from three states. These programs measure and penalize only for more severe ulcers (stage 3 or 4 or unstageable), which are much more costly than less severe cases (stage 1 or 2). ![]() Yet it remains unclear whether the administrative data used to implement three Medicare value-based purchasing programs that target HAPUs indicate similar improvements, and how success varied by HAPU severity. Jennifer Meddings ( ) is an associate professor in the Division of General Medicine, Department of Internal Medicine, and the Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan Medical School.Ĭhart-based surveillance reviews indicate that the incidence of hospital-acquired pressure ulcers (HAPUs) declined 23 percent during 2010–14, equating to an estimated savings of $1 billion during that period.Laura Petersen is a project manager in the Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School.is chief of the Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School, and the Department of Health Management and Policy, University of Michigan School of Public Health. Ashley Snyder is a statistician in the Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School.Shawna Smith is a research assistant professor in the Division of General Medicine, Department of Internal Medicine, and in the Department of Psychiatry, University of Michigan Medical School, in Ann Arbor.
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