Elective Primary Total Hip Arthroplasty and/or Total Knee Arthroplasty (THA/TKA).Coronary Artery Bypass Graft (CABG) Surgery.Chronic Obstructive Pulmonary Disease (COPD).We calculate an ERR for each condition or procedure included in the program: The ERR measures a hospital’s relative performance and is a ratio of the predicted-to-expected readmissions rates. We use the excess readmission ratio (ERR) to assess hospital performance. What measures are included in the Hospital Readmissions Reduction Program?
Section 1886(d)(1)(B) of the Social Security Act defines applicable hospitals under HRRP.ĬMS exempts Maryland hospitals from HRRP payment reductions because an agreement between CMS and Maryland. What are applicable Hospital Readmissions Reduction Program hospitals? This gives us an opportunity to improve the quality of care and save taxpayer dollars by incentivizing providers to reduce excess readmissions. Research shows that hospital readmission rates differ across the nation. HRRP, along with the Hospital Value Based Purchasing (Hospital VBP) and Hospital-Acquired Condition (HAC) Reduction Programs, is a major part of how we add quality measurement, transparency, and improvement to value-based payment in the inpatient care setting. We’ve included measures of conditions and procedures that make a big difference in the lives of large numbers of people with Medicare. CMS incentivizes hospitals to improve communication and care coordination efforts to better engage patients and caregivers on post-discharge planning. HRRP improves Americans’ health care by linking payment to the quality of hospital care. Why is the Hospital Readmissions Reduction Program important? Section 1886(q) of the Social Security Act sets forth the statutory requirements for HRRP, which required the Secretary of the Department of Health and Human Services to establish HRRP starting Octo(i.e., Federal Fiscal Year 2013). HRRP is a Medicare value-based purchasing program that encourages hospitals to improve communication and care coordination to better engage patients and caregivers in discharge plans and, in turn, reduce avoidable readmissions. Hospital Readmissions Reduction Program (HRRP) What is the Hospital Readmissions Reduction Program?
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