17 DRA HAC Measures

The Publicly Reported Deficit Reduction Act (DRA) Hospital-Acquired Condition (HAC) Measures data provides information on hospital-level measures rates for four of the HACs included in the DRA HAC payment provision for Medicare fee-for-service discharges:

Foreign Object Retained After Surgery
Blood Incompatibility
Air Embolism
Falls and Trauma

The Publicly Reported DRA HAC Measures are for informational and quality improvement purposes only; the results do not affect payment and are not a part of the HAC Reduction Program.

Metadata

       [ROWS] 12256 
      [PAGES] 3 
     [FIELDS] 6 
   [MODIFIED] 2024-08-29 
[PERIODICITY] Annually [R/P1Y] 
   [TEMPORAL] 2015-01-01 • 2024-12-31 
 [DICTIONARY] https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-data-dictionary 
       [SITE] https://data.cms.gov/quality-of-care/deficit-reduction-act-hospital-acquired-condition-measures 
 [REFERENCES] https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-methodology 
  [RESOURCES] https://data.cms.gov/data-api/v1/dataset-resources/01edb62e-5c45-4f43-8c91-16cba21cbb74 
   [DOWNLOAD] https://data.cms.gov/sites/default/files/2024-08/17fde1a0-9199-422c-8d6c-f9155ff47efb/HAC_MEASURE_PROVIDER_FILE_2024.csv

Resources

[CSV] 922K 2024 DRA HAC Measures
[PDF] 140K 2024 DRA HAC Measures Methodology
[PDF] 117K 2024 DRA HAC Measures Data Dictionary

Dictionary

Provider_ID
Provider's CCN.

Measure
DRA HAC measure name: Foreign Object
Retained After Surgery, Air Embolism, Blood
Incompatibility, or Falls and Trauma (incl.
fractures, dislocations, intracranial injuries,
crushing injuries, burns, other injuries).

Rate
DRA HAC measure rate result, reported as observed
rates per 1,000 discharges.

Footnote
Rate footnote: Data based on facility claims
submitted to CMS with reported discrepancies.

Start_Quarter
First Quarter of the DRA HAC measure's discharge
period.

End_Quarter
Last quarter of the DRA HAC measure's discharge
period.

Data

# A tibble: 2,048 × 6
   Provider_ID Measure       Rate Footnote Start_Quarter End_Quarter
                                      
 1 010001      Falls and T… 0.336 NA       3Q2021        2Q2023     
 2 010005      Falls and T… 0.319 NA       3Q2021        2Q2023     
 3 010006      Falls and T… 0.289 NA       3Q2021        2Q2023     
 4 010011      Falls and T… 1.27  NA       3Q2021        2Q2023     
 5 010016      Falls and T… 0.319 NA       3Q2021        2Q2023     
 6 010019      Falls and T… 0.301 NA       3Q2021        2Q2023     
 7 010023      Falls and T… 0.185 NA       3Q2021        2Q2023     
 8 010033      Falls and T… 0.68  NA       3Q2021        2Q2023     
 9 010035      Foreign Obj… 0.213 NA       3Q2021        2Q2023     
10 010035      Falls and T… 0.426 NA       3Q2021        2Q2023     
# ℹ 2,038 more rows

obs: 2048 
cols: 6 

----- Numeric -----
   col n_missng p_complt n_unique mean    p0  p25  p50  p75 p100
1 Rate        0        1     1016 0.64 0.019 0.24 0.44 0.74 71.4
  iqr  sd  hist
1 0.5 1.7 ▇▁▁▁▁

----- Categorical -----
            col n_missng p_complt n_unique n_levels          min
1   Provider_ID        0        1     1818       NA       010001
2       Measure        0        1        4        4 Air Embolism
3      Footnote     2039   0.0044        1       NA           23
4 Start_Quarter        0        1        1       NA       3Q2021
5   End_Quarter        0        1        1       NA       2Q2023
                                    max
1                                670132
2 Foreign Object Retained After Surgery
3                                    23
4                                3Q2021
5                                2Q2023

Distribution

Measure                               | Variable | Mean |   SD
--------------------------------------------------------------
Air Embolism                          |     Rate | 0.23 | 0.58
Blood Incompatibility                 |     Rate | 0.19 | 0.25
Falls and Trauma                      |     Rate | 0.70 | 1.80
Foreign Object Retained After Surgery |     Rate | 0.22 | 0.38

Measure                               |  IQR |         Range
------------------------------------------------------------
Air Embolism                          | 0.07 |  [0.05, 2.89]
Blood Incompatibility                 | 0.06 |  [0.02, 0.84]
Falls and Trauma                      | 0.49 | [0.07, 71.43]
Foreign Object Retained After Surgery | 0.13 |  [0.02, 4.05]

Measure                               | Skewness | Kurtosis |    n | n_Missing
------------------------------------------------------------------------------
Air Embolism                          |     4.74 |    22.62 |   23 |         0
Blood Incompatibility                 |     2.24 |     4.62 |   11 |         0
Falls and Trauma                      |    33.99 |  1323.95 | 1792 |         0
Foreign Object Retained After Surgery |     7.16 |    62.46 |  222 |         0