Recently, as part of the IPPS FY 2011 Final Rule, CMS adopted eight of these 10 HACs for the Reporting Program. That is, the case would be paid as though the secondary diagnosis were not present. For discharges occurring on or after October 1, 2008, hospitals no longer receive additional payment for cases in which one of the selected conditions was not present on admission. On July 31, 2008, in the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2009 Final Rule, CMS selected 10 categories of conditions for a HAC payment provision. Could reasonably have been prevented through the application of evidence-based guidelines.Result in the assignment of a case to a diagnosis-related group (DRG) that has a higher payment when present as a secondary diagnosis and.Section 5001(c) of Deficit Reduction Act of 2005 defines HACs as those conditions that are: In addition to ensuring that Medicare beneficiaries have access to safe care, the incorporation of HAC measures into the Hospital Inpatient Quality Reporting Program helps CMS give hospitals a financial incentive to report the quality of their care, and help consumers make more informed decisions about their care. Several of the HACs selected by CMS are part of this list of NQF Serious Reportable Events, and many states have already taken the independent initiative to collect data on these events for hospitals in their states and report these incidents to the public. Furthermore, the National Quality Forum (NQF) published a list of Serious Reportable Events in 20, many of which are considered events that should not occur when patients receive appropriate care. The Department of Health and Human Services’ Office of the Inspector General estimates that 13.5% of hospitalized Medicare beneficiaries experienced adverse events during hospitalization. HACs are not new to the quality reporting landscape. By making HAC data transparent, CMS sheds light on those preventable events where patients are harmed while seeking care. More importantly, reporting HAC data demonstrates CMS’ committment to improve patient safety. Reporting hospital acquired condition measures is part of CMS’ efforts to incorporate patient safety measures into the Hospital Inpatient Quality Reporting Program, which rewards hospitals for reporting quality data to CMS. It also helps hospitals improve their processes for ensuring that every patient receives the best care at every encounter. Outcomes information is particularly important for Hospital Compare users because it provides useful information to help consumers decide which hospital is best for their care. Today’s addition of HAC data increases the availability of data for Hospital Compare users about the outcomes of inpatient hospital care. In 2008, CMS added 30-day mortality rates for pneumonia-related stays as well as 30-day readmission rates for all three of these conditions. CMS began reporting outcomes by showing 30-day mortality rates for inpatient hospital stays related to heart attack and heart failure that year. In 2007, CMS expanded the information on Hospital Compare to help consumers understand the outcomes of care at individual hospitals. Before 2007, this information was limited to inpatient “process of care measures,” which demonstrate how well hospitals follow generally recognized protocols believed to result in the best inpatient outcomes. HACs Add to Suite of Outcomes Measures on Hospital CompareĬMS has been reporting information about the quality of care available at America’s hospitals for several years. The new HAC data complement the inpatient clinical process and patient satisfaction measures already reported on Hospital Compare to promote increased scrutiny by hospitals of patient outcomes in the service of providing the right care for every patient, every time. This information is shared with consumers and providers to improve the quality and transparency of care by giving the American public and healthcare professionals better access to important hospital data. Catheter-associated urinary tract infectionĪs of April 2011, the Hospital Compare website includes a link to HAC rates for inpatient hospital stays.The Centers for Medicare & Medicaid Services (CMS) is publicly reporting the following eight hospital-acquired conditions (HACs) on the Hospital Compare website at. Overview of the Hospital Acquired Condition Measures
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