CMS won't pay for these after October 1, 2008 if they were not Present On Admission (POA)
1.Foreign Object Retained After Surgery
2.Air Embolism
3.Blood Incompatibility
4.Stage III and IV Pressure Ulcers
5.Falls and Trauma
6.Catheter-Associated Urinary Tract Infection
7.Vascular Catheter-Associated Infection
8.Surgical Site Infection (Mediastinitis) after Coronary Artery Bypass Graft
9.Surgical Site Infections Following Certain Elective Procedures, including
Certain Orthopedic Surgeries, and
Bariatric Surgery
10.Certain Manifestations of Poor Control of Blood Sugar Levels
11.Deep Vein Thrombosis or Pulmonary Embolism Following:Total Knee Replacement, and Hip Replacement
Selected National Guidelines and Evidence for Prevention
The following links will take you to resources available on the Internet that describe the related national guidelines, and selected resources that describe prevention strategies. We will keep this site updated as the evidence emerges and invite you to suggest additional resources.
Foreign Object Retained After Surgery
Evidence-Based Guidelines: Safe Practices for Better Healthcare: A Consensus Report. Summary. The National Quality Forum. August 2003. Agency for Healthcare Research and Quality, Rockville, MD.
Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment, No. 43. AHRQ Publication No. 01-E058, July 2001. Agency for Healthcare Research and Quality, Rockville, MD.
Cedars-Sinai O.R. - Elimination of Retained Foreign Object Task Force
Air Embolism
Evidence-Based Guidelines: Safe Practices for Better Healthcare: A Consensus Report. Summary. The National Quality Forum. August 2003. Agency for Healthcare Research and Quality, Rockville, MD.
Mirski, Marek A. M.D., Ph.D; Lele, Abhijit Vijay M.D; Fitzsimmons, Lunei M.D.; Toung, Thomas J. K. M.D. Diagnosis and Treatment of Vascular Air Embolism. Anesthesiology. 106(1):164-177, January 2007.
Blood Incompatibility
Evidence-Based Guidelines: Safe Practices for Better Healthcare: A Consensus Report. Summary. The National Quality Forum. August 2003. Agency for Healthcare Research and Quality, Rockville, MD.
Collette Bishop Hendler, RN, MS, CCRN A Perfect Match: Preventing Blood Incompatibility Errors.
Stage III and IV Pressure Ulcers
Evidence-Based Guidelines:Pressure Ulcers in Adults: Prediction and Prevention. AHCPR Publication No. 92-0047, May 1992. Agency for Healthcare Research and Quality, Rockville, MD
Falls and Trauma
Evidence-Based Guidelines: Safe Practices for Better Healthcare: A Consensus Report. Summary. The National Quality Forum. August 2003. Agency for Healthcare Research and Quality, Rockville, MD.
Catheter-Associated Urinary Tract Infection
Evidence-Based Guidelines: Guideline for Prevention of Catheter-associated Urinary Tract Infections. Centers for Disease Control and Prevention. February 1981. Atlanta, GA.
Vascular Catheter-Associated Infection
Evidence-Based Guidelines: Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2002. Centers for Disease Control and Prevention. September 2005. Atlanta, GA.
Surgical Site Infection (Mediastinitis) after Coronary Artery Bypass Graft
Evidence-Based Guidelines: Guideline for the Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention. October 2005. Atlanta, GA.
Deep Vein Thrombosis or Pulmonary Embolism Following: Total Knee Replacement, and Hip Replacement
Evidence-Based Guidelines: Safe Practices for Better Healthcare: A Consensus Report. Summary. The National Quality Forum. August 2003. Agency for Healthcare Research and Quality, Rockville, MD.
Segal JB, Eng J, Jenckes MW, et al. Diagnosis and Treatment of Deep Venous Thrombosis and Pulmonary Embolism. Evidence Report/Technology Assessment Number 68. (Prepared by Johns Hopkins University Evidence-based Practice Center under Contract No. 290-97-0007.) AHRQ Publication No. 03-E016. Rockville, MD: Agency for Healthcare Research and Quality. March 2003.




