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Avera Health Quality Report

Hospital Acquired Conditions

Hospital Acquired Conditions

Beginning in FY 2015, the Hospital-Acquired Condition (HAC) Reduction Program, mandated by the Affordable Care Act, requires the Center for Medicare and Medicaid (CMS) to reduce hospital payments by 1 percent for hospitals that rank among the lowest-performing 25 percent with regard to HACs.

Hospital-Acquired Conditions are defined as conditions that patients acquire while receiving treatment for another condition in an acute care health setting.

Readmissions

Readmission Reduction Program

Section 3025 of the Affordable Care Act added section 1886(q) to the Social Security Act establishing the Hospital Readmissions Reduction Program, which requires CMS to reduce payments to IPPS hospitals with excess readmissions, effective for discharges beginning on October 1, 2012.

The Hospital Readmissions Reduction Program (HRRP) is an important part of CMS's continued efforts to link payment to the quality of hospital care. HRRP provides a strong financial incentive for hospitals that improve communication and care coordination efforts, and better engage patients and caregivers in post-discharge planning.

Value Based Purchasing

Value Based Purchasing

Hospital Value-Based Purchasing (VBP) is part of the Centers for Medicare & Medicaid Services' (CMS') long-standing effort to link Medicare's payment system to a value-based system to improve healthcare quality, including the quality of care provided in the inpatient hospital setting.

The program attaches value-based purchasing to the payment system that accounts for the largest share of Medicare spending, affecting payment for inpatient stays in over 3,500 hospitals across the country.

Hospitals will be paid for inpatient acute care services based on the quality of care, not just quantity of services they provide.

Infection Control

Infection Control

Infection control works to identify, prevent and control infections. We work to evaluate all infections, regardless of where or how the infection began; to ensure patient, client and resident safety; and to enhance the well-being and safety of our visitors, physicians, volunteers and employees.

Working to prevent and control infections

All persons who enter a facility where sick persons are cared for are at risk for development of infections. Avera works every day to collect and analyze infection-related data for all types of infections that occur within health care facilities. These infections may be present before, during or after a patient visit. Once infections are identified and studied, the information is used to help us make patient care decisions that will help to prevent future infections.

Infection Control works closely with medical staffs and the Department of Public Health to identify all situations that might contribute to development of infection in patients, clients, residents, visitors and staff.

We also utilize premier infection control computer software to enter, collate and analyze the occurrence of infections in healthcare setting. This specialized software allows us to track and trend infections over multiple years.

Infection Control employs certified and specifically-trained registered nurses who understand how infections occur, in what populations, how to analyze them, and how to track trends.

Antibiotic Stewardship

Avera Endorses Antimicrobial Stewardship Across Continuums

Live Better. Live Balanced. Avera.

Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

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