hospital acquired conditions (hacs)
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Hospital Acquired Conditions (HACs). Overview. - PowerPoint PPT PresentationTRANSCRIPT
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Hospital Acquired Conditions
(HACs)
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Overview
• The Deficit Reduction Act of 2005 (DRA) requires a quality adjustment in Medicare Severity Diagnosis Related Group (MS-DRG) payments for certain hospital-acquired conditions. CMS has titled the provision “Hospital-Acquired Conditions and Present on Admission Indicator Reporting” (HAC & POA).
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HACs continued
1. Are high cost or high volume or both2. Result in the assignment of a case to an MS-
DRG (Medicare Severity – Diagnosis Related Group) that has a higher payment when present as a secondary diagnosis
3. Could reasonably have been prevented through the application of evidence-based guidelines
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What’s All The Fuss About?
• On October 1, 2007, all Inpatient Prospective Payment System (IPPS) Hospitals were required to begin submitting Present on Admission (POA) Indicator information for all primary and secondary diagnoses.
• Beginning April 1, 2008, claims that were submitted for payment that do not contain proper reporting of the POA Indicator are being RETURNED.
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What’s All The Fuss About?
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Famous 3’s
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Three Categories of HACs:1. Never Events / Rare Occurrences2. Infection Prevention3. Patient Safety
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Never Events / Rare Occurrences
• Delivery incompatible blood products• Foreign object left in during surgery• Air embolism
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Infection Prevention
• Catheter-Associated Urinary Tract Infection (CAUTI)
• Vascular Catheter-Associated Infections• Surgical Site Infection, Mediastinitis, following
Coronary Artery Bypass Graft (CABG)• Surgical Site Infection following Bariatric
Surgery for Obesity (Laparoscopic Gastric Bypass, Gastroenterostomy, Laparoscopic Gastric Restrictive Surgery)
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Patient Safety
• Falls and Trauma (Fracture, Dislocation, Intracranial Injury, Crushing Injury, Burn, etc.)
• Pressure Ulcers• Manifestations of Poor Glycemic Control
(Diabetic Ketoacidosis, Nonketotic Hyperosmolar Coma, Hypoglycemic Coma, Secondary Diabetes with Ketoacidosis, and Secondary Diabetes with Hyperosmolarity)
• Deep Vein Thrombosis (DVT) and Pulmonary Embolism (following Total Hip and Knee Replacements)
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Is It Good That We Monitor HACs?
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Remember the Famous 3’s?
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Hear No Evil Speak No Evil
See No Evil