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.


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.

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United States


John Snow Labs; Centers for Medicare & Medicaid Services;

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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

Hospital_NameIdentifies hospitalstringrequired : 1
Provider_IDNumerical Code assigned to providerintegerlevel : Nominal required : 1
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
MRSA_ScoreNumber of Methicillin-resistant Staphylococcus aureus infection.integerlevel : Nominal
MRSA_FootnoteFootnote Values for MRSA score.integerlevel : Nominal
CDI_ScoreNumber of Clostridioides difficile infections.integerlevel : Nominal
CDI_FootnoteFootnote Values for CDI 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
Is_Payment_ReductionIndicates whether the reimbursement reduce by CMS.boolean-
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 FootnoteMRSA ScoreMRSA FootnoteCDI ScoreCDI FootnoteDomain 2 Start DateDomain 2 End DateTotal HAC ScoreTotal HAC Score FootnoteIs Payment Reduction
BETHESDA NORTH360179OH201912015-10-012017-06-3010-1-12002016-01-012017-12-310False
UNIVERSITY MEDICAL CENTER450686TX201902015-10-012017-06-3000000012016-01-012017-12-310False
BROOKWOOD BAPTIST MEDICAL CENTER10139AL201902015-10-012017-06-300020-10-12016-01-012017-12-310False
SAINT THOMAS WEST HOSPITAL440082TN2019-12015-10-012017-06-30-10001102016-01-012017-12-310False
CJW MEDICAL CENTER490112VA201922015-10-012017-06-3020010-102016-01-012017-12-311True
YAVAPAI REGIONAL MEDICAL CENTER30012AZ2019-12015-10-012017-06-30-10-100-112016-01-012017-12-310False
ADVOCATE SOUTH SUBURBAN HOSPITAL140250IL201902015-10-012017-06-3000-100-122016-01-012017-12-310False
WYOMING MEDICAL CENTER530012WY2019-12015-10-012017-06-30-1-1-1-110-12016-01-012017-12-31-1False
HOLYOKE MEDICAL CENTER220024MA2019-12015-10-012017-06-30-1-1-11-10-12016-01-012017-12-31-1False
SAINT JOSEPH LONDON180011KY2019-12015-10-012017-06-30-1000-1102016-01-012017-12-310False