Hospital Acquired Conditions Reduction Program National

$179 / year

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.

Complexity

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.

Date Created

2014-10-22

Last Modified

2016-05-04

Version

2016-05-04

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

NameDescriptionTypeConstraints
Hospital_NameIdentifies hospitalstringrequired : 1
Provider_IDNumerical Code assigned to providerintegerrequired : 1 level : Nominal
State_AbbreviationU.S. States or districts (two-letter code of the state)stringrequired : 1
Fiscal_YearIdentifies yeardaterequired : 1
Domain_1_ScoreEquals points assigned to hospital based on the decile in which hospital’s Agency for Healthcare Research and Quality (AHRQ) PSI 90 Composite value fallsintegerlevel : Ratio
Domain_1_Score_FootnoteFootnote Values for Domain 1 score.integerlevel : Nominal
Domain_1_Start_DateStart date for Medicare Fee-for-Service claims performance perioddaterequired : 1
Domain_1_End_DateEnd date for Medicare Fee-for-Service claims performance perioddaterequired : 1
AHRQ_PSI_90_ScoreAgency 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 claimsintegerlevel : Ratio
AHRQ_PSI_90_Score_FootnoteFootnote Values for Agency for Healthcare Research and Quality Patient Safety Indicators 90 score.integerlevel : Nominal
Domain_2_ScoreMeasure scores of the three Center for Disease Control measures (CLABSI, CAUTI, and SSI)numberlevel : Ratio
Domain_2_Score_FootnoteFootnote Values for Domain 2 score.integerlevel : Nominal
CLABSI_ScoreNumber of Central Line-Associated Bloodstream Infections (CLABSI)integerlevel : Ratio
CLABSI_Score_FootnoteFootnote Values for CLABSI score.integerlevel : Nominal
CAUTI_ScoreNumber of Catheter-Associated Urinary Tract Infections (CAUTI)integerlevel : Ratio
CAUTI_Score_FootnoteFootnote Values for CAUTI score.integerlevel : Nominal
SSI_ScoreNumber of Surgical Site Infections (SSI) (colon and hysterectomy)integerlevel : Ratio
SSI_Score_FootnoteFootnote Values for SSI score.integerlevel : Nominal
Domain_2_Start_DateStart date for infections claims occurrence perioddaterequired : 1
Domain_2_End_DateEnd date for infections claims occurrence perioddaterequired : 1
Total_HAC_ScoreIdentifies hospital acquired condition (HAC) performance scorenumberlevel : Ratio
Total_HAC_Score_FootnoteAn ancillary piece of information for Total HAC score.integerlevel : Nominal
Hospital_NameProvider_IDState_AbbreviationFiscal_YearDomain_1_ScoreDomain_1_Score_FootnoteDomain_1_Start_DateDomain_1_End_DateAHRQ_PSI_90_ScoreAHRQ_PSI_90_Score_FootnoteDomain_2_ScoreDomain_2_Score_FootnoteCLABSI_ScoreCLABSI_Score_FootnoteCAUTI_ScoreCAUTI_Score_FootnoteSSI_ScoreSSI_Score_FootnoteDomain_2_Start_DateDomain_2_End_DateTotal_HAC_ScoreTotal_HAC_Score_Footnote
LEVI HOSPITAL40132AR20162012-07-012014-06-302013-01-012014-12-31
FAIRBANKS150179IN201662012-07-012014-06-3062013-01-012014-12-316
GLENBEIGH360245OH201662012-07-012014-06-3062013-01-012014-12-316
JAY HOSPITAL100048FL201662012-07-012014-06-3062013-01-012014-12-316
CAPITAL HOSPICE490129VA20162012-07-012014-06-302013-01-012014-12-31
COLUMBIA CENTER520195WI20162012-07-012014-06-302013-01-012014-12-31
OASIS HOSPITAL30131AZ201612012-07-012014-06-3012013-01-012014-12-311
CENTRA490021VA201672012-07-012014-06-30788972013-01-012014-12-317.75
MAYHILL HOSPITAL670010TX20162012-07-012014-06-302013-01-012014-12-31
CITIZENS BMC10101AL201692012-07-012014-06-3091112013-01-012014-12-313