Hospital-Acquired Condition Reduction Program
In October 2014, CMS began reducing Medicare payments for subsection (d) hospitals that rank in the worst-performing quartile of subsection (d) hospitals with respect to hospital-acquired conditions (HACs). For the FY 2018 HAC Reduction Program, the worst-performing quartile is identified by calculating a Total HAC Score based on hospitals’ performance on six quality measures: the Recalibrated Patient Safety Indicators (PSI) 90 Composite, which is calculated using recalibrated version 6.0.2 of the PSI software, and the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) Central Line-Associated Bloodstream Infection (CLABSI), Catheter-Associated Urinary Tract Infection (CAUTI), Surgical Site Infection (SSI) (Colon Surgery and Abdominal Hysterectomy), Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia, and Clostridium difficile Infection (CDI) measures. Hospitals with a Total HAC Score greater than the 75th percentile of the Total HAC Score distribution will be subject to a payment reduction.
Hospital-Acquired Condition Reduction Program data
** - This value was calculated using data reported by the hospital in compliance with the requirements outlined for this program and does not take into account information that became available at a later date.
a = Maryland hospitals are waived from receiving payment adjustments under the Program.