In reply: Evans and colleagues present their critique of my proposition1 to use incentives based on adverse events recorded in routine data as an alternative — it is not. Routine data, audits and registries all have a place in the quest to improve safety of care in hospitals.
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Designing incentives for good-quality hospital care
Stephen J Duckett
Med J Aust 2012; 197 (10): 554.
Lee GM, Hartmann CW, et al. Perceived impact of the Medicare policy to adjust payment for health care-associated infections. Am J Infect Control 2012; 40: 314-319.
McHugh MK, Van Dyke, et al. Medicare’s payment policy for hospital-acquired conditions. Med Care Res Rev 2011; 68: 667-682.
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