CHA DataSuite issued a hospital-specific analysis of the federal fiscal year (FFY) 2024 Medicare inpatient hospital-acquired condition (HAC) reduction program. The analysis is intended to provide hospitals with a preview of the potential impact of the program based on publicly available data and program rules established by the Centers for Medicare & Medicaid Services (CMS).
Hospital performance is evaluated under the FFY 2024 program in this analysis. The analysis uses the second quarter 2023 update of Care Compare for healthcare-associated infections (HAI) measures and the fourth quarter 2022 update of Care Compare for patient safety indicator-90. The analysis includes estimates and details on how HAC measures and domain scores are calculated as well as how payment penalties are determined and applied under the program.
For FFY 2023 HAC, CMS is not penalizing any hospitals due to the impact of the COVID-19 pandemic. CMS did provide a subset of data for individual measures but did not provide total HAC scores and therefore no impacts are calculated. For FFY 2024 HAC, performance periods are impacted by the extraordinary circumstances exception granted by CMS in response to the public health emergency. As a result, no claims data or chart-abstracted data reflecting services provided in calendar years 2020 or 2021 for HAI measures will be used in calculations for the HAC program.
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