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More than half of hospitals penalized under the Hospital-Acquired Condition Reduction Program in fiscal year 2015 will be penalized again in FY 2016, the Centers for Medicare & Medicaid Services reported.
The program, instituted as part of the Affordable Care Act, penalizes the lowest quartile of qualifying non-Maryland hospitals with the worst risk-adjusted HAC quality measures by reducing payments related to those discharges by 1%. Maryland hospitals are currently excluded from the program because of insufficient data.
The CMS reported that in FY2016, 758 out of the 3,308 hospitals subject to the program will face the payment reduction, up from 724 in FY 2015. “Out of the 758 hospitals in the worst performing quartile in FY 2016, approximately 53.7 percent were also in the worst performing quartile in FY 2015,” the agency said in a fact sheet.*
In general, the average performance improved on two of the three measures in both years of the program: the mean Patient Safety Indicator 90 Composite Index Value (tracking pressure ulcer, iatrogenic pneumothorax, central venous catheter-related bloodstream infections, postoperative hip fractures, perioperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, postoperative wound dehiscence, and accident puncture or laceration) and the mean Central Line-Associated Blood Stream Infection Standardized Infection Ratio (SIR), the agency noted. The mean Catheter-Associated Urinary Tract Infection SIR increased slightly. A fourth measure, the mean Surgical Site Infection SIR, was added as measure for fiscal 2016.
*CORRECTION, 1/7/2016: An earlier version of this article did not clearly state the percentage of hospitals that were also in the worst performing quartile in FY 2015.
More than half of hospitals penalized under the Hospital-Acquired Condition Reduction Program in fiscal year 2015 will be penalized again in FY 2016, the Centers for Medicare & Medicaid Services reported.
The program, instituted as part of the Affordable Care Act, penalizes the lowest quartile of qualifying non-Maryland hospitals with the worst risk-adjusted HAC quality measures by reducing payments related to those discharges by 1%. Maryland hospitals are currently excluded from the program because of insufficient data.
The CMS reported that in FY2016, 758 out of the 3,308 hospitals subject to the program will face the payment reduction, up from 724 in FY 2015. “Out of the 758 hospitals in the worst performing quartile in FY 2016, approximately 53.7 percent were also in the worst performing quartile in FY 2015,” the agency said in a fact sheet.*
In general, the average performance improved on two of the three measures in both years of the program: the mean Patient Safety Indicator 90 Composite Index Value (tracking pressure ulcer, iatrogenic pneumothorax, central venous catheter-related bloodstream infections, postoperative hip fractures, perioperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, postoperative wound dehiscence, and accident puncture or laceration) and the mean Central Line-Associated Blood Stream Infection Standardized Infection Ratio (SIR), the agency noted. The mean Catheter-Associated Urinary Tract Infection SIR increased slightly. A fourth measure, the mean Surgical Site Infection SIR, was added as measure for fiscal 2016.
*CORRECTION, 1/7/2016: An earlier version of this article did not clearly state the percentage of hospitals that were also in the worst performing quartile in FY 2015.
More than half of hospitals penalized under the Hospital-Acquired Condition Reduction Program in fiscal year 2015 will be penalized again in FY 2016, the Centers for Medicare & Medicaid Services reported.
The program, instituted as part of the Affordable Care Act, penalizes the lowest quartile of qualifying non-Maryland hospitals with the worst risk-adjusted HAC quality measures by reducing payments related to those discharges by 1%. Maryland hospitals are currently excluded from the program because of insufficient data.
The CMS reported that in FY2016, 758 out of the 3,308 hospitals subject to the program will face the payment reduction, up from 724 in FY 2015. “Out of the 758 hospitals in the worst performing quartile in FY 2016, approximately 53.7 percent were also in the worst performing quartile in FY 2015,” the agency said in a fact sheet.*
In general, the average performance improved on two of the three measures in both years of the program: the mean Patient Safety Indicator 90 Composite Index Value (tracking pressure ulcer, iatrogenic pneumothorax, central venous catheter-related bloodstream infections, postoperative hip fractures, perioperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, postoperative wound dehiscence, and accident puncture or laceration) and the mean Central Line-Associated Blood Stream Infection Standardized Infection Ratio (SIR), the agency noted. The mean Catheter-Associated Urinary Tract Infection SIR increased slightly. A fourth measure, the mean Surgical Site Infection SIR, was added as measure for fiscal 2016.
*CORRECTION, 1/7/2016: An earlier version of this article did not clearly state the percentage of hospitals that were also in the worst performing quartile in FY 2015.
