To: Jeffrey [email protected]] From: Alice Jacobs Sent: Tue 2/23/2010 10:04:05 PM Subject: RE: imaoe003.emz imeoe001.emz It's expensive to get sick in a hospital. It's cheaper to control infections at the point of admission. Estimated Costs of Infecticn•Derived Downstream Events C. I inn Catigy tn it Won see taw Estimate of Avtrigt attributable Cans (1 base year) 510,44316 (2005) High Estimate of enrage attributable Casts (1 bast ya at) ! $25,5463 (2002] Law minute adjusted to 2007 1 using CP1.11 $11,087 High ES tiM2 ft adjusted= 2007E using CEI-U $29,443 Adjusted= 2 007 $ using CR for Inpatient H an:rind Services $11674 Adjusted to 2007$ lain CFI for inpatient Hospital Services 134,670 CLASS! . 15,73419 (2003) $22,93919 : (2003) $ 6461 $25.949 1 7286 129,156 VAP 01519720 (1999) : $25,07216 ! (2005) 04,606 127,520 119,633 128,508 WTI , $56921 : (1996) ! $ 75818 (2002) $ 749 1 632 . 1662 : $ 1,007 CO( ------- 15.04222 : (2003) 17,17922 (2003) 15682 18,090 16,408 19,124 - Plus the hospital is covered if infections are screened at the door... EFTA_R1_01498222 EFTA02428726

Impact of Screening at Point of Admission MD we_ fnediccre stiff continue to assign a discharge to a high& paying fiTS-ORG if the selected condition is present on admission (FY 2008 PPS: 11. a) Point of Admission (P011) IC D-9-CM Official Coding Guidelines • Y • W • N • U • 1 CC0ATE4/7741. Concition present on admission Not possible to document when onset of condition occurred Not present on admission Insufficient documentation to detemlie if present on admission Exempt from P0A reporting Thanks for sharing and for thinking of me. Alice A. Jacobs, M.D. Chairman & CEO IntelligentMDx 19 Blackstone Street Cambridge, MA 02139 Phone: Fax: (617) 871-6399 Email: Visit us at www intelbgenIMOx con) EFTA_R1_0 1498223 EFTA02428727

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