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Safeguarding Quality: Building the Business Case to Prevent Nursing-Sensitive Hospital-Acquired Conditions

Virkstis, Katherine L. ND; Westheim, Jared BA; Boston-Fleischhauer, Carol RN, MSN, JD; Matsui, Paul N. BA; Jaggi, Tonushree BA

Journal of Nursing Administration: July-August 2009 - Volume 39 - Issue 7/8 - p 350-355
doi: 10.1097/NNA.0b013e3181ae97f5

In the wake of recent changes by the Centers for Medicare and Medicaid Services to the Inpatient Prospective Payment System and a profoundly weakening economic climate, concern about preventable, hospital-acquired conditions (HACs) has captured the attention of healthcare executives nationwide. Despite the rapidly growing concern about reimbursement at risk, however, data suggest that the greatest financial opportunity for all HACs is to prevent them from happening in the first place. Based on analysis conducted by the Nursing Executive Center's Data and Analytics Group, the authors quantify reimbursement at risk due to HACs and calculate the cost-savings opportunity, building the business case for investment to prevent nursing-sensitive HACs.

Authors' Affiliation: Consultant (Dr Virkstis), Analyst (Mr Westheim), Senior Director (Dr Boston-Fleischhauer), Managing Director (Mr Matsui), and Practice Manager (Ms Jaggi), Nursing Executive Center, The Advisory Board Company, Washington, District of Columbia.

The Nursing Executive Center is a member-driven organization dedicated to surfacing and disseminating innovative strategies and best practices for addressing the most pressing challenges facing hospital-based nurse executives and their leadership teams.

Corresponding author: Dr Virkstis, Nursing Executive Center, The Advisory Board Company, 2445 M St NW, Washington, DC 20037 (

© 2009 Lippincott Williams & Wilkins, Inc.