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.