Others titles
- HAC Reduction Program
- Medicare HAC Penalties
- Medicare HAC Quality Measures
- Medicare Hospital Acquired Conditions Quality Measures
- Medicare Hospital Acquired Conditions Penalties
- Hospital Quality Initiative
Keywords
- Hospital Acquired Condition
- HAC
- Quality Measures Penalties
- Healthcare Quality
- Medicare Pay for Performance
- Hospital Specific Reports
- Hospital Performance
- Hospital Compare
- Linking Quality to Payment
Hospital Acquired Conditions Reduction Program National
This dataset identifies hospitals that are subject to a payment reduction based on rank with respect to Hospital Acquired Conditions (HAC) quality measures. The Affordable Care Act established the HAC Reduction Program to incentivize hospitals to reduce HACs. Hospitals that rank in the worst-performing 25 percent of all subsection (d) hospitals. These hospitals may have their payments reduced by 99 percent of what would have been paid for such discharges.
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Description
The Hospital Acquired Conditions Reduction Program is a Medicare pay-for-performance program that supports the Centers for Medicare & Medicaid Services’ long-standing effort to link Medicare payments to healthcare quality provided in the inpatient hospital setting based on quality measures.
The quality measure includes:
– The Agency for Healthcare Research Quality (AHRQ) Patient Safety Indicator (PSI) 90 Composite measure score
– The Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) Central-line Associated Bloodstream Infection (CLABSI) measure score
– Catheter Associated Urinary Tract Infection (CAUTI) measure score
– Surgical Site Infection (SSI) (colon and hysterectomy) measure score
– Domain 1 and Domain 2 scores
– Total HAC score
The calculations for the FY 2016 HAC Reduction Program are based on a 2-year period. The PSI 90 Composite is calculated using hospitals’ Medicare Fee-for-Service claims data from July 1, 2012 through June 30, 2014. The CLABSI, CAUTI, and SSI measures are calculated from hospitals’ chart-abstracted surveillance data from January 1, 2013 through December 31, 2014.
About this Dataset
Data Info
Date Created | 2014-10-22 |
---|---|
Last Modified | 2023-01-17 |
Version | 2023-01-17 |
Update Frequency |
Annual |
Temporal Coverage |
N/A |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare & Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Hospital Acquired Condition, HAC, Quality Measures Penalties, Healthcare Quality, Medicare Pay for Performance, Hospital Specific Reports, Hospital Performance, Hospital Compare, Linking Quality to Payment |
Other Titles | HAC Reduction Program, Medicare HAC Penalties, Medicare HAC Quality Measures, Medicare Hospital Acquired Conditions Quality Measures, Medicare Hospital Acquired Conditions Penalties, Hospital Quality Initiative |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Hospital_Name | Identifies hospital | string | required : 1 |
Provider_ID | Numerical Code assigned to provider | integer | level : Nominalrequired : 1 |
State_Abbreviation | U.S. States or districts (two-letter code of the state) | string | required : 1 |
Fiscal_Year | Identifies year | date | required : 1 |
PSI_90_Start_Date | Start date for Patient Safety Indicators (PSI). | date | required : 1 |
PSI_90_End_Date | End date for Patient Safety Indicators (PSI) | date | required : 1 |
PSI_90_Score | Agency for Healthcare Research and Quality (AHRQ) weighted average of the risk-and reliability-adjusted versions of the eight Patient Safety Indicators (PSI). calculated using hospitals’ Medicare fee-for-service claims | number | level : Ratio |
PSI_90_Score_Footnote | Footnote Values for Agency for Healthcare Research and Quality Patient Safety Indicators 90 score. | integer | level : Nominal |
CLABSI_Score | Number of Central Line-Associated Bloodstream Infections (CLABSI) | number | level : Ratio |
CLABSI_Score_Footnote | Footnote Values for CLABSI score. | integer | level : Nominal |
CAUTI_Score | Number of Catheter-Associated Urinary Tract Infections (CAUTI) | number | level : Ratio |
CAUTI_Score_Footnote | Footnote Values for CAUTI score. | integer | level : Nominal |
SSI_Score | Number of Surgical Site Infections (SSI) (colon and hysterectomy) | number | level : Ratio |
SSI_Score_Footnote | Footnote Values for SSI score. | integer | level : Nominal |
MRSA_Score | Number of Methicillin-resistant Staphylococcus aureus infection. | number | level : Nominal |
MRSA_Footnote | Footnote Values for MRSA score. | integer | level : Nominal |
CDI_Score | Number of Clostridioides difficile infections. | number | level : Nominal |
CDI_Footnote | Footnote Values for CDI score. | integer | level : Nominal |
HAI_Measures_Start_Date | Start date for infections claims occurrence period | date | required : 1 |
HAI_Measures_End_Date | End date for infections claims occurrence period | date | required : 1 |
Total_HAC_Score | Identifies hospital acquired condition (HAC) performance score | number | level : Ratio |
Total_HAC_Score_Footnote | An ancillary piece of information for Total HAC score. | integer | level : Nominal |
Is_Payment_Reduction | Indicates whether the reimbursement reduce by CMS. | boolean | - |
Payment_Reduction_Footnote | Footnote for reimbursement reduction by CMS. | string | - |
Data Preview
Hospital Name | Provider ID | State Abbreviation | Fiscal Year | PSI 90 Start Date | PSI 90 End Date | PSI 90 Score | PSI 90 Score Footnote | CLABSI Score | CLABSI Score Footnote | CAUTI Score | CAUTI Score Footnote | SSI Score | SSI Score Footnote | MRSA Score | MRSA Footnote | CDI Score | CDI Footnote | HAI Measures Start Date | HAI Measures End Date | Total HAC Score | Total HAC Score Footnote | Is Payment Reduction | Payment Reduction Footnote |
SOUTHEAST HEALTH MEDICAL CENTER | 10001 | AL | 2023 | 5 | 0.47600000000000003 | 0.306 | 0.8220000000000001 | 0.912 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | ||||||||
MARSHALL MEDICAL CENTERS | 10005 | AL | 2023 | 5 | 3.3110000000000004 | 2.35 | 0.35600000000000004 | 0.0 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | ||||||||
NORTH ALABAMA MEDICAL CENTER | 10006 | AL | 2023 | 5 | 0.507 | 0.602 | 0.75 | 1.64 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | ||||||||
MIZELL MEMORIAL HOSPITAL | 10007 | AL | 2023 | 5 | 13.0 | 13.0 | 13.0 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | |||||||||
CRENSHAW COMMUNITY HOSPITAL | 10008 | AL | 2023 | 5 | 13.0 | 13.0 | 12.0 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | |||||||||
ST. VINCENT'S EAST | 10011 | AL | 2023 | 5 | 0.728 | 0.927 | 0.47200000000000003 | 1.3459999999999999 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | ||||||||
DEKALB REGIONAL MEDICAL CENTER | 10012 | AL | 2023 | 5 | 13.0 | 0.368 | 0.0 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | |||||||||
SHELBY BAPTIST MEDICAL CENTER | 10016 | AL | 2023 | 5 | 0.429 | 0.58 | 0.273 | 1.6640000000000001 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | ||||||||
CALLAHAN EYE HOSPITAL | 10018 | AL | 2023 | 5 | 18.0 | 18.0 | 12.0 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 | |||||||||
HELEN KELLER HOSPITAL | 10019 | AL | 2023 | 5 | 2.523 | 0.484 | 0.0 | 4.494 | 5 | 5 | 2021-01-01 | 2021-12-31 | 0 | 5 | 5 |