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Table 4 Peri-operative antibiotic compliance and cost savings to hospital

From: Description of a multidisciplinary initiative to improve SCIP measures related to pre-operative antibiotic prophylaxis compliance: a single-center success story

 

Fiscal Year 2013 (2011 data)

Fiscal Year 2014 (2012 data)

∆ Net gain/loss FY 2013 to 2014

Risk $[1]

Risk pool loss

Potential bonus[2]

Actual bonus

Net gain/loss

Risk $[3]

Risk pool loss

Potential bonus

Actual bonus

Net gain/loss

(%∆;-/+20%)

(%∆;-/+20%)

(-/+20%)

(%∆;-/+20%)

(%∆;-/+20%)

(-/+20%)

(%∆;-/+20%)

(-/+20%)

(%∆;-/+20%)

(%∆;-/+20%)

(-/+20%)

INF-1

$139,087

-$48,364

$242,033

$242,033

$193,669

$103,465

-$27,000

$248,048

$248,048

$221,048

$27,379

($111,270-$166,904)

(–35%;-$38,691-$58,037)

($193,626-$290,440)

(100%; $193,626-$290,440)

(51%; –$154,935-232,403)

($82,772-$124,158)

(–26%; –$32,400-$21,600)

($198,438-$297,658)

($198,438-$297,658)

(63%; $176,838-265,258)

(+12%; $21,903-$32,855)

INF-2

$139,087

-$72,545

$242,033

$242,033

$169,488

$103,465

-$18,000

$248,048

$24,048

$6,048

-$163,440

($111,270-$166,904)

(–52%; $-87,054-$-58,036)

($193,626-$290,440)

(100%; $193,626-$290,440)

(44%; $135,590-$203,386)

($82,772-$124,158)

(–17%; –$21,600-$14,400)

($198,438-$297,658)

(10%; $19,238-$28,858)

(2%; $4,838-$7,258)

(–42%; –$196,128-$130,752)

INF-3

$139,087

-$72,545

$242,033

$0

-$72,545

$103,465

-$18,000

$248,048

$0

-$18,000

$54,545

($111,270-$166,904)

(–52%; $-87,054-$-58,036)

($193,626-$290,440)

(0%; $0)

(–19%; –87,054-$58,036)

($82,772-$124,158)

(–17%; –$21,600-$14,400)

($198,438-$297,658)

(0%; $0)

(–5%; –$14,400-$21,600)

(+12%; $43,636-$65,454)

Total

$417,261

-$193,454

$726,099

$484,066

$290, 612

$310,395

-$63,000

$744,144

$272,096

$209,096

-$81,516

($333,809-$500,713)

(–$232,145-$154,763)

($580,879-$871,319)

($287,253-$580,879)

(+25%; $232,489-$372,474)

($248,316-$372,474)

(–$75,600-$50,400)

($595,315-$892,973)

($217,677-$326,515)

(+20%; $167,277-$250,915)

(–5%; $65,213-$97,819)

  1. [1]Includes CMS Inpatient Quality Reporting (IQR) and Value Based Purchasing (VBP) risk pool data.
  2. [2]Bonus to hospital from Mass Health's Population Management Bonus Pool.
  3. [3]Does not include National IPF quality bonus introduced in FY15 for SCIP3 only and BCBC bonus (data not made available to hospital by individual measure.
  4. Bold text is indicated to highlight titles.