Hospital-Acquired Conditions Expenditures Tool

How can your facility avoid penalties?

This tool is for facilities whose hospital-acquired condition (HAC) rates resulted in a financial penalty in the previous year via the Centers for Medicare & Medicaid Services (CMS) HAC Reduction Program. This report incorporates the facility’s preview or final HAC Reduction Program report data to provide an indication of whether user-proposed reductions in the facility’s standardized infection ratios (SIRs) would have been sufficient to have avoided the financial penalty.

View Sample Report Methodology & Limitations

Instructions:

  • Enter data from Table 1 (Performance on Total HAC Score) and Table 2 (Hospital Measure Results and Winsorized z-scores) of your facility’s Hospital-Specific Report (HSR) for the Hospital-Acquired Condition Reduction Program, and
  • Provide proposed a target SIR or target percent reduction for each HAI type applicable to your facility.
Measure SIR 5th Percentile SIR 95th Percentile SIR Winsorized SIR Mean Winsorized SIR Standard Deviation of Winsorized SIR Winsorized z-score
CLABSI
CAUTI
SSI
MRSA
CDI

Enter the value from Table 1 of your HSR.

Enter the Payment Reduction Threshold (75th Percentile) from Table 1 of your HSR.

Proposed Reductions

Enter the new target SIR or target reduction rate for each HAI.

Measure SIR Target SIR Target % Reduction
CLABSI
CAUTI
SSI
MRSA
CDI

Provide your name to use in the full report.

Provide the name of your facility to use in the full report.

Please fill out all form fields

Instructions:

  • The SIR is referred to as the Measure Result in Table 2 of your HSR (e.g., 5th percentile Measure Result).
  • The Winsorized z-score will automatically be calculated by this tool using the data you enter. It is recommended you double-check that value against the Winsorized z-score in Table 2 of your HSR to verify you have entered the data correctly.
  • If a Measure is not tracked by your facility, leave data input in that row blank.

Based on this data, your facility would have incurred a HAC Penalty.

If these proposed reductions had been in place, your facility would have incurred a HAC Penalty