
HACs occur when patients in an acute care setting acquire specific conditions while receiving treatment for a different condition. HACs are considered secondary to the primary reason patients are hospitalized.
The Affordable Care Act requires that the Centers for Medicare & Medicaid (CMS) reduce hospital payments related to HACs beginning in FY 2015. Payments will be reduced by 1 percent for hospitals that rank amongst the lowest performing 25 percent.
While HACs dropped by approximately 17 percent from 2010-2013, which translated into an estimated savings of roughly $12 billion and 50,000 fewer deaths, it was not enough of a reduction to prevent CMS from imposing fines and penalties.
As Health IT Outcomes notes, "The HAC program requires that hospitals be scored across two measurement domains: a composite patient-safety measure (35 percent) developed by the Agency for Healthcare Research and Quality, with eight indicators such as postoperative hip fracture rate and accidental puncture rate; and a set of two hospital-acquired infection measures (65 percent) complied from data reported to the National Healthcare Safety Network, the Centers for Disease Control and Prevention's online infection reporting system."
The indicators/measures include:
- Pressure Ulcer
- Iatrogenic Pneumothorax
- Central Venous Catheter-Related Bloodstream Infections
- Postoperative Hip Fracture
- Perioperative Pulmonary Embolism or Deep Vein Thrombosis
- Postoperative Sepsis
- Postoperative Wound Dehiscence
- Accidental Puncture or Laceration
- Catheter-Associated Urinary Tract Infections
Infection Control Consulting Services remains at the forefront of HAI reduction and prevention, providing services to the acute care hospital sector including, but not limited to the following:
- On-site visits to determine workflow, conduct gap analyses and observe "best practices" for the purpose of identifying areas that could be improved upon.
- Providing guidance for compliance with regulatory and accreditation agencies including developing infection prevention plans, risk assessments, policy and procedure updates, etc.