Multiple new quality reporting measures for hospitals are among the provisions in the final rule for Medicare inpatient prospective payment systems at acute care and long-term care facilities during fiscal 2013, which starts Oct. 1, 2012.
The Centers for Medicare and Medicaid Services has issued the rule, available here, and being published in the Federal Register on Aug. 31. The rule starts to really kick in value-based payments--and penalties--fueled by new data collection and reporting requirements. Payment provisions reward hospitals for lower rates of central line-associated bloodstream infections. But payments are reduced to hospitals with excessive readmission rates of patients treated for a heart attack, heart failure or pneumonia.
New Inpatient Quality Reporting provisions include measures for perinatal care and readmissions of these patients, readmissions related to hip and knee replacement surgeries, overall readmissions, hospital use of surgery checklists, and care transitions. The rule also adopts new quality reporting measures for acute care hospitals in FY 2015 and 2016, for long-term care hospitals in FY2016, as well as new requirements for the Ambulatory Surgical Center Quality Reporting Program.
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