IPPS Proposed Rule Adds Readmission Measures, HAC Timeline

Cheryl Clark, for HealthLeaders Media , April 29, 2013

However, the AHA said that while it appreciated CMS' efforts to clarify "when an inpatient admission is appropriate—such as for a patient on observation status—we are concerned that this could be applied in a way that undermines medical judgment. We are also disappointed that CMS has proposed payment reductions in applying this policy. Hospitals always strive to provide the right care at the right time in the right setting.

Premier Healthcare Alliance's president Blair Childs said in a statement that Premier is pleased that CMS is broadening the number of conditions that would be exempt from the readmissions penalty "since these readmissions are not the result of gaps in care or poor quality," and will "result in a more accurate payment calculation.

However, he added, Premier is disappointed that CMS failed to introduce a socioeconomic risk adjustment in the readmissions algorithm. Research shows that socioeconomic factors "are more closely linked to high readmissions than poor quality of care, hospitals that serve high percentages of lower income patients will be disproportionately penalized for circumstances beyond their control."

Childs added that CMS inclusion of rates of central line-associated blood stream infections, catheter-associated urinary tract infections and AHRQ patient safety indicators "in both the value-based purchasing and the hospital acquired condition reduction programs, with additional overlaps in measured conditions proposed for the future," the proposed rule amounts to a "triple dip" into hospital payments, a three-time penalty for the same infection.

CMS has posted a searchable fact sheet for further information about the proposed rule.


Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
Twitter
1 | 2 | 3 | 4 | 5

Comments are moderated. Please be patient.


MOST POPULAR

" style="font-family:inherit">Physician's Scathing Remarks Humiliate Patient, Cost Hospital
  • Alternative Staffing Arrangements
  • " style="font-family:inherit">The Perils of Cut-and-Paste Documentation
  • CMS Predictive Readmission Models 'Not Very Good'
  • Alternative Staffing Arrangements
  • Aging Doctors: Time for Mandatory Competency Testing?
  • Evidence-Based Practice and Nursing Research: Avoiding Confusion
  • SPONSORED REPORTS
    SPONSORED HEADLINES

    SIGN UP

    FREE e-Newsletters Join the Council Subscribe to HL magazine

    SPONSORSHIP & ADVERTISING

    100 Winners Circle Suite 300
    Brentwood, TN 37027

    800-727-5257

    About | Advertise | Terms of Use | Privacy Policy | Reprints/Permissions | Contact
    © HealthLeaders Media 2014 a division of BLR All rights reserved.