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Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy for Preventable Hospital-Acquired Conditions in Rural and Nonrural US Hospitals

Bae, Sung-Heui PhD, MPH, RN; Yoder, Linda H. PhD, MBA, RN, AOCN, FAAN

doi: 10.1097/NCQ.0000000000000119

Preventable adverse patient outcomes and hospital characteristics in rural versus nonrural US hospitals under the new Centers for Medicare & Medicaid Services reimbursement policy were examined using the American Hospital Association Annual Survey and Hospital Compare data. Under the new Centers for Medicare & Medicaid Services policy, rural hospitals tended to have fewer hospital-acquired conditions than nonrural hospitals except for patient falls. Case mix was consistently related to falls after controlling for hospital characteristics.

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School of Nursing, University of Texas at Austin.

Correspondence: Sung-Heui Bae, PhD, MPH, RN, School of Nursing, University of Texas at Austin, 1710 Red River St, Austin, TX 78701 (

The Summer Research Assignments grant and The Ed and Molly Smith Centennial Fellowship at The University of Texas at Austin provided the funding for this research.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: February 6, 2015

Published ahead of print: March 12, 2015

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