Hospital-Acquired Condition Reduction Program

E500289

Medicare quality initiative hospital quality reporting program pay-for-performance program

The Hospital-Acquired Condition Reduction Program is a U.S. Medicare quality initiative that financially penalizes hospitals with high rates of preventable patient harms, such as infections and complications, to incentivize improved patient safety.

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Statements (50)

Predicate	Object
instanceOf	Medicare quality initiative ⓘ hospital quality reporting program ⓘ pay-for-performance program ⓘ
administeredBy	CMS NERFINISHED ⓘ Centers for Medicare & Medicaid Services NERFINISHED ⓘ
appliesTo	Medicare-participating hospitals ⓘ acute care hospitals ⓘ
country	United States of America ⓘ surface form: United States
evaluationMethod	comparison of hospitals’ HAC scores ⓘ risk-adjusted quality measures ⓘ
firstPaymentAdjustmentFiscalYear	2015 ⓘ
goal	improve quality of care for Medicare beneficiaries ⓘ reduce costs associated with preventable complications ⓘ
implementedBy	Centers for Medicare & Medicaid Services NERFINISHED ⓘ
incentiveMechanism	financial penalties ⓘ
legalBasis	Affordable Care Act NERFINISHED ⓘ Patient Protection and Affordable Care Act NERFINISHED ⓘ Section 3008 of the Affordable Care Act ⓘ
monitors	rates of hospital-acquired conditions over time ⓘ
payer	Medicare NERFINISHED ⓘ
paymentAdjustmentType	downward payment adjustment ⓘ
paymentSystem	Medicare Inpatient Prospective Payment System NERFINISHED ⓘ
penalizes	hospitals in the worst-performing quartile ⓘ hospitals with high rates of hospital-acquired conditions ⓘ
penaltyAppliesTo	all Medicare discharges in the applicable fiscal year ⓘ
penaltyMagnitude	1 percent reduction in Medicare inpatient payments ⓘ
purpose	improve patient safety in hospitals ⓘ incentivize quality improvement ⓘ reduce hospital-acquired conditions ⓘ reduce preventable patient harms ⓘ
relatedTo	Hospital Readmissions Reduction Program NERFINISHED ⓘ Hospital Value-Based Purchasing Program NERFINISHED ⓘ
sector	healthcare quality ⓘ
startDate	2014 ⓘ
targets	Clostridioides difficile infections ⓘ catheter-associated urinary tract infections ⓘ central line-associated bloodstream infections ⓘ complications of care ⓘ healthcare-associated infections ⓘ hospital-acquired conditions ⓘ hospital-acquired infections ⓘ methicillin-resistant Staphylococcus aureus bacteremia ⓘ patient safety indicators ⓘ surgical site infections ⓘ
usesDataSource	Medicare claims data ⓘ NHSN data ⓘ National Healthcare Safety Network data ⓘ
usesMeasureDomain	PSI 90 composite ⓘ Patient Safety and Adverse Events Composite NERFINISHED ⓘ healthcare-associated infection measures ⓘ

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Center for Clinical Standards and Quality → overseesProgram → Hospital-Acquired Condition Reduction Program ⓘ