IPPS Proposed Rules Clarify Readmissions Penalties
Proposed Changes to the Hospital Inpatient Quality Reporting Program
The number of measures for reporting from 72 to 59 for the FY 2015 payment determination, and 60 for the FY 2016 payment determination would be reduced.
CMS proposed to add surgical site infection following cardiac implantable electronic device and iatrogenic pneumothorax with venous catheterization as conditions subject to the HAC payment provisions for FY 2013.
Future Hospital Value Based Purchasing Incentive Program
Starting with payments on Oct. 1, 2014, or FY 2015, CMS intends to add a provision for risk-adjusted efficiency or spending per beneficiary. The period for which costs will be assessed will be from three days prior to the inpatient admission to 30 days after discharge.
A new outcome measure would reward hospitals for avoiding central line-associated bloodstream infections or CLABSI.
CMS proposes to add perinatal care measures and readmission measures, including readmissions related to hip and knee replacement procedures as well as a measure to reward surgical teams that use checklists to reduce surgical errors.
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