Starting in 2015, the Center for Medicare and Medicaid Services will reduce reimbursements to hospitals where patients are most likely to acquire an infection or sustain an injury. The Hospital-Acquired Condition Reduction Program (pdf), mandated by the Affordable Care Act, gives hospitals a score on a 10-point scale based on their rates of patient falls, blood clots, and catheter and bladder infections, and other indicators. Hospitals that score 7 or above will lose 1 percent of each Medicare payment for a year.
Two Oregon hospitals were on a preliminary list of institutions likely to be penalized: Asante Ashland Community Hospital and Silverton Hospital. Medicare will release final scores later this year, taking into account patient infections and injuries from early 2012 through the end of 2013.
Do you work in a hospital? Have you recently been a patient? What do you think about this approach to improving patient outcomes?
- Joseph Huang: Chief medical and quality officer, Silverton Hospital
- Lisa McGiffert: Manager of Consumers Union’s Safe Patient Project