10 quality provisions in the FY 2014 HIPPS rule to know

CMS’ final rule for the Hospital Inpatient Prospective Payment System in fiscal year 2014 includes several changes related to quality and patient safety.

Here are some of the major quality- and safety-related provisions in the final rule, based on a CMS fact sheet:

1. CMS will implement the Hospital-Acquired Condition Reduction Program in FY 2015. Under this program, hospitals in the lowest quartile for medical errors or hospital-acquired infections will receive a 1 percent penalty on reimbursement.

Performance will be based on two domains included in the Inpatient Quality Reporting program. The first is a composite that includes eight individual measures, including pressure ulcer rate, postoperative hip fracture rate and postoperative sepsis rate. The second domain will include central line-associated blood stream infections and catheter-associated urinary tract infections for FY 2015. CMS will add surgical site infections to this domain in FY 2016 and methicillin-resistant Staphylococcus aureus and Clostridium difficile in FY 2017.

2. The maximum penalty under the Hospital Readmissions Reduction Program will be increased from 1 percent to2 percent for FY 2014.

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