The payer will not fund the complication forever
Extended stays from hospital-acquired infections face increasing payer scrutiny; days attributable to preventable HAI are exactly the days that get queried. The bundle compliance chart is also a billing defence.
Bundles work when they are ticked at the bedside
Central-line and catheter bundles prevent infections when each element is performed and recorded at the moment of care. The monthly compliance percentage is a lagging indicator; the bedside tick is the control.
| Item | Standard | Consequence / owner |
|---|---|---|
| Line insertion bundle | Ticked at insertion | Bedside checklist |
| Daily necessity review | Device still needed? | Rounds |
| Device-day log | Per unit, contemporaneous | Surveillance nurse |
| HAI attribution | Reviewed, classified | ICC committee |
| Extended-stay flag | HAI days identified early | Billing + clinical |
Surveillance produces the trend that matters
Device-days and infection rates, logged as they occur, show which unit and which device drive risk. The unit-level trend is actionable; the annual average is a plaque on the wall.
What to do on Monday
- Move bundle ticks to the bedside chart.
- Log device-days per unit, not per hospital.
- Flag HAI-attributable days for billing review early.
Worked examples on this page are illustrative arithmetic on stated assumptions, not measured market statistics.