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New Medicare Payment Rules: Danger or Opportunity for Nursing?

Kurtzman, Ellen T. MPH, RN; Buerhaus, Peter I. PhD, RN, FAAN

AJN, American Journal of Nursing: June 2008 - Volume 108 - Issue 6 - p 30–35
doi: 10.1097/01.NAJ.0000324370.71532.b7
FEATURE
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On October 1 the Centers for Medicare and Medicaid Services (CMS) will eliminate additional Medicare payments for eight preventable hospital-acquired conditions. The new payment rule, known as CMS–1533–FC, is part of a broad effort to refine Medicare's prospective-payment system and improve care quality, and it also gives nurses a tool with which to alter their economic relationship to hospitals. This article describes the new CMS rule, spells out its potential impact, and recommends how nurses can use the rule change to demonstrate their economic value to hospitals.

Come October, Medicare will stop making additional payments for the treatment of eight preventable, hospital-acquired conditions. It's a chance for nurses to further demonstrate their economic value.

Ellen T. Kurtzman is assistant research professor, Department of Nursing Education, School of Medicine and Health Sciences, George Washington University, in Washington, DC. Peter I. Buerhaus is Valere Potter Distinguished Professor of Nursing, Vanderbilt University School of Nursing, and director of the Center for Interdisciplinary Health Workforce Studies, Institute for Medicine and Public Health, Vanderbilt University Medical Center, in Nashville, TN.

Kurtzman has received a grant from the Robert Wood Johnson Foundation, a part of which supported the research for and writing of this article. Contact author: Ellen T. Kurtzman, hspetk@gwumc.edu.

In October Medicare will no longer make additional payments for the treatment of eight preventable hospital-acquired conditions. It's a chance for nurses to further demonstrate their worth.

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© 2008 Lippincott Williams & Wilkins, Inc.