Maintenance downtime scheduled for June 24 - June 27
The QualityNet Secure Portal will be unavailable from 8 p.m. EDT on Friday, June 24, through 6 a.m. EDT on Monday, June 27, to allow for scheduled maintenance. This may affect submissions to the data warehouses and use of QualityNet applications.
Hospital Readmissions Reduction Program
Section 3025 of the 2010 Affordable Care Act (Public Law 111-148) requires the Secretary of the Department of Health and Human Services to establish a Hospital Readmissions Reduction Program whereby the Secretary reduces Inpatient Prospective Payment System (IPPS) payments to hospitals for excess readmissions beginning on or after October 1, 2012 (Fiscal Year [FY] 2013). The Centers for Medicare & Medicaid Services (CMS) adopted and publicly reported the following 30-day risk standardized readmission measures to comply with these requirements.
|Effective Program Year||Finalized in IPPS Rule||30-day Risk Standardized Readmission Measures|
|FY 2013 and FY 2014||FY 2012||
|FY 2015 and FY 2016||FY 2014||
|FY 2017||FY 2015||
Fiscal Year 2017 Hospital Readmissions Reduction Program
The FY 2017 Hospital Readmissions Reduction Program calculates Excess Readmission Ratios for six measures (AMI, HF, Pneumonia, COPD, CABG, and THA/TKA) to determine the payment adjustment factors for eligible hospitals. Hospitals have an opportunity to review their data to ensure that the Excess Readmission Ratios were calculated correctly. See the Review and Corrections page for more information on this process.
CMS releases hospitals’ Excess Readmission Ratios in the Inpatient Prospective Payment System/ Long-Term Care Hospital Prospective Payment System (IPPS/LTCH PPS) Final Rule, typically published in early August. CMS also plans to report the Excess Readmission Ratios for the risk-standardized readmission measures for the Hospital Readmissions Reduction Program on Hospital Compare later this year.