/ en Mon, 28 Apr 2025 03:14:05 -0500 Tue, 06 Sep 22 11:41:08 -0500 <div class="col-md-10"> <h3><a href="/system/files/media/file/2022/09/readmissions-penalty-calculator-fy-2023-inpatient-final-rule_1.xlsx" target="_blank" title="Download the Hospital Readmissions Reduction Calculator Excel File.">Hospital Readmissions Reduction Program</a></h3> <h3><a href="/system/files/media/file/2022/09/medicare-operating-dsh-calculator-fy-2023-inpatient-pps-final-rule.xlsx" target="_blank" title="Download the Disproportionate Share Hospital Adjustment Calculator Excel File.">Disproportionate Share Hospital Adjustment</a></h3> <h3> </h3> </div> Tue, 06 Sep 2022 11:41:08 -0500 Hospital-Acquired Condition Reduction Program <p>The Centers for Medicare & Medicaid Services (CMS) Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2019. The rule affects inpatient PPS hospitals, critical access hospitals (CAHs), LTCHs and PPS-exempt cancer hospitals. The AHA will issue a separate advisory on finalized proposals related to the LTCH PPS. Provisions of the final rule will take effect Oct. 1.</p> <p>A summary of the provisions related to inpatient PPS hospitals, CAHs and PPS-exempt cancer hospitals is in the Regulatory Advisory below.</p> Thu, 23 Aug 2018 08:29:54 -0500 Hospital-Acquired Condition Reduction Program /letter/2018-06-25-aha-comments-cms-fy-2019-proposed-rule-long-term-care-hospital-pps Mon, 25 Jun 2018 14:07:15 -0500 Hospital-Acquired Condition Reduction Program /letter/2018-06-25-aha-cms-re-hospital-inpatient-prospective-payment-system-proposed-rule-fy-2019 Mon, 25 Jun 2018 13:32:31 -0500 Hospital-Acquired Condition Reduction Program /news/perspective/2018-06-15-perspective-advancing-health-america-improving-care-patients <p>For the women and men of America’s hospitals and health systems, nothing is more important than the safety of the patients for whom they are privileged to care. The hospital field has been working diligently to improve care. And last week we got more confirmation that those efforts are having an enormous impact.<br />  <br /> According to new data <a href="/news/headline/2018-06-05-hospital-acquired-conditions-fall-8-over-two-years">released</a> by the Agency for Healthcare Research and Quality, hospital-acquired conditions declined another 8% between 2014 and 2016, preventing an estimated 8,000 deaths and $2.9 billion in health care costs. HACs decreased by an estimated 350,000 over the period, including a 15% decline in infections and adverse drug events, the agency said. That’s great news for patients, providers and the health care system as a whole.<br />  <br /> AHRQ and the Centers for Medicare & Medicaid Services attributed the declines largely to the concerted efforts of the 16 Hospital Improvement Innovation Networks. These HIINs, part of CMS’s Partnership for Patients efforts, work at the regional, state, national or hospital system level to sustain and accelerate progress and momentum toward continued quality improvement, working to identify solutions already working and disseminate them to other hospitals and providers.<br />  <br /> The AHA’s Health Research & Educational Trust is proud to sponsor the largest and most diverse HIIN with more than 1,600 <a href="http://www.hret-hiin.org/about/map.dhtml">participating hospitals</a>, 34 <a href="http://www.hret-hiin.org/about/state_partners.shtml">state hospital associations</a>, and other organizations. In addition, several hospital systems and state hospital associations operate HIINs.<br />  <br /> Their success demonstrates how strategic, intentional efforts can make a big difference for patients. And we are not done, not by any means. America’s hospitals and health systems continue to work to get to zero – zero errors, zero avoidable infections. We look forward to continuing to partner to accelerate quality improvement and improve patient safety.</p> Fri, 15 Jun 2018 09:33:41 -0500 Hospital-Acquired Condition Reduction Program /2018-03-29-what-your-hospital-doing-about-1-hospital-acquired-infection Thu, 29 Mar 2018 11:44:07 -0500 Hospital-Acquired Condition Reduction Program <p>Hospital-Acquired Conditions (HAC) Penalty Calculator FY 2017<br /> Inpatient PPS Final Rule<br /> (Uses HAC List Posted by CMS in Dec. 2016)</p> Mon, 22 Jan 2018 13:46:44 -0600 Hospital-Acquired Condition Reduction Program Mon, 22 Jan 2018 13:10:28 -0600 Hospital-Acquired Condition Reduction Program <div class="outlineContent clearfix wide"> <p>AHA has created a HAC penalty calculator for hospital leaders to assess the impact of the FY 2019 Hospital-Acquired Condition (HAC) Reduction Program on their organizations. The calculator is designed so that you enter your hospital's CMS Certification Number; the calculator will then estimate your HAC penalty, if applicable.</p> <p>The FY 2018 and 2019 Final Rule calculators can be downloaded using the links below.</p> <div class="clearfix"> <p><br />  </p> <table align="center" border="0" cellpadding="10" cellspacing="0" width="55%"> <tbody> <tr> <td> <p class="table"><br /> <a href="/system/files/media/file/2019/03/fy-2019-final-hospital-acquired-conditions-hac-calculator.xlsx"><strong>Download the FY 2019 HAC Penalty Calculator</strong></a><br /> Updated March 2019</p> <hr /> <p class="table"><a href="/system/files/2018-08/180823-advisory-ipps-final.pdf"><strong>Advisory: Medicare Inpatient PPS:<br /> The Final Rule for FY 2019</strong></a><br /> August 23, 2018</p> <hr /> <p class="table"><a href="/system/files/2018-01/fy-2018-hospital-acquired-conditions-penalty-calculator.xlsx"><strong>Download the FY 2018 HAC Penalty Calculator</strong></a><br /> Updated January 2018</p> </td> </tr> </tbody> </table> <hr /> <p>Other AHA Impact Calculators:</p> <p><a href="/toolkitsmethodology/2017-12-11-hospital-readmissions-reduction-program-impact-calculator">Hospital Readmissions Reduction Program</a></p> <p><a href="/toolkitsmethodology/2017-12-11-value-based-purchasing-program-impact-calculator">Hospital Value-based Purchasing Program</a></p> <p><a href="/toolkitsmethodology/2017-12-11-medicare-dsh-calculator">Medicare Operating Disproportionate Share Hospital Payments</a></p> </div> <div class="ie"> </div> </div> Mon, 11 Dec 2017 00:00:00 -0600 Hospital-Acquired Condition Reduction Program /hospital-acquired-condition-reduction-program/ipps-hospital-acquired-condition-reduction-program <p>The Hospital-Acquired Condition Reduction Program ties performance on patient safety issues such as infections, bed sores and post-operative blood clots to payment. Under the program, the Centers for Medicare & Medicaid Services penalizes the lowest performing 25% of all hospitals each year 1% of their Medicare hospital payments. In addition to these penalties, the law requires CMS to post publicly hospitals' performance on HAC quality measures.</p><p>The AHA is committed to eliminating avoidable harm to patients. We support well-designed pay-for-performance programs, but the HAC Reduction Program is flawed.</p><ul><li>Some quality measures are inaccurate.</li><li>The program fails to to take into account patient safety improvements that hospitals have made.</li><li>The program unfairly penalizes teaching hospitals, large hospitals and small hospitals.</li></ul><p>The HAC Reduction Program needs reform to more effectively promote improvement. The program also needs better measures that accurately reflect performance on important issues.</p> Tue, 17 Oct 2017 09:50:54 -0500 Hospital-Acquired Condition Reduction Program