2015 IPPS final rule detailed

A significant portion of updates in the Fiscal Year 2015 IPPS final rule pertain to the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program. 

 

"The IPPS rule speaks strongly about quality and with the patient care quality initiatives that CMS is driving and supporting," says Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS Trainer, past president of the California Health Information Association, and National Director of Coding Quality, Education, Systems and Support National Revenue Cycle- Kaiser Foundation Health Plan Inc. & Hospitals.

 

One example includes the addition of a third healthcare associated infection measure to calculate a hospital’s score for hospital-acquired conditions. The ACA requires CMS to reduce payment by 1% for hospitals that rank in the 25% with the highest rate of HACs.

 

A hospital’s score currently consists of two domains. The first is based on Patient Safety Indicator 90, an administrative claims based measure. The second domain is based on two healthcare-associated infection measures:

For FY 2016, a third healthcare associated infection measure, surgical site infections, will be added to the program in domain 2.  

 

Source: HCPro