![]() This measure reports the hospital-level, risk-standardized rate of unplanned all-cause readmission after admission for any condition within 30 days of hospital discharge. This was modified by the American Recovery and Reinvestment Act of 2009 and the Affordable Care Act of 2010, which provided that beginning in fiscal year (FY) 2015, the reduction would be by one-quarter of such applicable annual payment rate update if all Hospital Inpatient Quality Reporting Program requirements are not met.Īdditional information on the Hospital Inpatient Quality Reporting Program can be found at the links listed below. We developed a hospital-wide 30-day readmission measure. The Deficit Reduction Act of 2005 increased that reduction to 2.0 percentage points. Initially, the MMA provided for a 0.4 percentage point reduction in the annual market basket (the measure of inflation in costs of goods and services used by hospitals in treating Medicare patients) update for hospitals that did not successfully report. This section of the MMA authorized CMS to pay hospitals that successfully report designated quality measures a higher annual update to their payment rates. The Hospital Inpatient Quality Reporting Program was originally mandated by Section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. These readmission rates reflect Medicare inpatient fee-for-service (FFS) patients only and do not include patients enrolled in Medicare Advantage (MA) Plans. Data for selected measures are also used for paying a portion of hospitals based on the quality and efficiency of care, including the Hospital Value-Based Purchasing Program, Hospital-Acquired Condition Reduction Program, and Hospital Readmissions Reduction Program. CMS calculates hospital readmissions rates on a rolling 3-year aggregate basis and updates are published on Hospital Compare annually. The data collected through the program are available to consumers and providers on the Care Compare website at. It is also intended to encourage hospitals and clinicians to improve the quality and cost of inpatient care provided to all patients. 1 - 3 The avalanche created by the 1999 Institute of Medicine (IOM) report To Err Is Human and the Patient Safety and Quality Improvement Act of 2005, which became a law under the Bu. Under the Hospital Inpatient Quality Reporting Program, CMS collects quality data from hospitals paid under the Inpatient Prospective Payment System, with the goal of driving quality improvement through measurement and transparency by publicly displaying data to help consumers make more informed decisions about their health care. Transparency pertaining to quality of care data as captured through measurement and reporting is a growing issue for hospitals and health services organizations. ![]()
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