HAC Provider Level Measure Rates for Four Conditions

$179 / year

This dataset presents hospital-level measures rates of four conditions included in the Deficit Reduction Act (DRA) Hospital-Acquired Condition (HAC) payment provision – foreign object retained after surgery, blood incompatibility, air embolism, and falls and trauma – for Medicare fee-for-service discharges from October 1, 2015 through June 30, 2017.

Complexity

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.

Date Created

2018-08-23

Last Modified

2018-08-23

Version

2018-08-23

Update Frequency

Annual

Temporal Coverage

2015-2017

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

HAC Provider, Hospital Acquired Condition, Hospital Condition, Measure Rates, Hospital Measure Rates, Hospital Level Measure Rates, HAC Payment, DRA HAC Measures, Hospital Patient Case

Other Titles

Deficit Reduction Act, Patients Medical Conditions

NameDescriptionTypeConstraints
Provider_IDYear of Locality County Crosswalk (2017 and 2018)integerlevel : Nominal
MeasureDRA HAC measures to identify complications and undesirable conditions patients experience in hospital settings that hospital-level changes can reasonably.string-
RateRates for four of the conditions included in the DRA HAC payment provisionnumberlevel : Ratio
FootnoteThe Footnote describes an additional piece of information given separately for the compiled data for the first quarter measure score.integerlevel : Ratio
Provider_IDMeasureRateFootnote
10001Air Embolism
10005Air Embolism
10006Air Embolism
10007Air Embolism
10008Air Embolism
10011Air Embolism
10012Air Embolism
10016Air Embolism
10018Air Embolism
10019Air Embolism