The Deficit Reduction Act (DRA) Hospital-Acquired Condition (HAC) measures are solely reported for hospitals’ information and quality improvement purposes and are not a part of the HAC Reduction Program.
Under the DRA HAC payment provision, established by Section 5001(c) of the DRA of 2005, hospitals no longer receive additional payment for cases in which one of the selected conditions occurred but was not present on admission (POA). That is, the case is paid as though the condition were not present. The DRA HAC-POA payment provision is applicable for secondary diagnosis code reporting only, as the selected conditions are designated as a complication or comorbidity (CC) or a major complication or comorbidity (MCC) when reported as a secondary diagnosis.
Centers for Medicare and Medicaid Services (CMS) calculates and reports rates for four of the conditions included in the DRA HAC payment provision; this is referred to as DRA HAC Reporting. The public reporting of the DRA HAC measures is distinct from the HAC Reduction Program, which was established by Section 3008 of the Affordable Care Act of 2010. The DRA HAC measures are not a part of the HAC Reduction Program and are only reported for information and quality improvement purposes.
CMS is publicly reporting the DRA HAC measures to identify complications and undesirable conditions patients experience in hospital settings that hospital-level changes can reasonably prevent. Improving patient safety is one of the ultimate goals of quality improvement. The DRA HAC measures remain an important aspect of CMS’s commitment to patient safety.