We reduce the payments of subsection (d) hospitals with a Total HAC Score greater than the 75th percentile of all Total HAC Scores (that is, the worst-performing quartile) by 1 percent. How do payments change under the HAC Reduction Program?
Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia.Surgical Site Infection (SSI) (for colon and abdominal hysterectomy procedures).Catheter-Associated Urinary Tract Infection (CAUTI).Central Line-Associated Bloodstream Infection (CLABSI).We calculate the following HAI measures using data on infections taken from charts, reports, and other sources and reported to the National Healthcare Safety Network: PSI 15 - Abdominopelvic Accidental Puncture/Laceration RateĬenters for Disease Control and Prevention's National Healthcare Safety Network healthcare-associated infection (HAI) measures.PSI 14 - Postoperative Wound Dehiscence Rate.PSI 12 - Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate.PSI 11 - Postoperative Respiratory Failure Rate.PSI 10 - Postoperative Acute Kidney Injury Requiring Dialysis Rate.PSI 09 - Perioperative Hemorrhage or Hematoma Rate.PSI 08 - In Hospital Fall with Hip Fracture Rate.We calculate the CMS PSI 90 using Medicare Fee-for-service claims. The CMS PSI 90 measure includes: Patient Safety and Adverse Events Composite (CMS PSI 90) The following measures are included in the HAC Reduction Program, grouped here by category: What measures are included in the HAC Reduction Program? These hospitals have an agreement with the Centers for Medicare & Medicaid Services (CMS) and the state of Maryland. Maryland hospitals are exempt from payment reductions that come from the HAC Reduction Program.
Note: For a full description of subsection (d) hospitals, refer to the Social Security Act on the Social Security Administration’s website at.