{
 "id": "cms:01edb62e-5c45-4f43-8c91-16cba21cbb74",
 "slug": "deficit-reduction-act-hospital-acquired-condition-measures",
 "source": "data.cms.gov",
 "title": "Deficit Reduction Act Hospital-Acquired Condition Measures",
 "summary": "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 -...",
 "description": "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 - foreign object retained after surgery, blood incompatibility, air embolism, and falls and trauma - for Medicare fee-for-service discharges. The Publicly Reported DRA HAC Measures are reported only for informational and quality improvement purposes; the results of the measure calculations do not affect payment and are not a part of the HAC Reduction Program.",
 "aliases": [],
 "keywords": [
  "Medicare",
  "Original Medicare",
  "Health Care Use & Payments",
  "Safety of Care"
 ],
 "themes": [
  "Medicare"
 ],
 "topics": [
  "hospitals",
  "quality",
  "spending-utilization"
 ],
 "category": "quality-of-care",
 "publisher": "Office of Enterprise Data and Analytics (OEDA)",
 "contact": "drahac@mathematica-mpr.com",
 "landing_url": "https://data.cms.gov/quality-of-care/deficit-reduction-act-hospital-acquired-condition-measures",
 "csv_url": "https://data.cms.gov/sites/default/files/2025-08/8c6e6d4f-0a74-49bc-b0d9-bfc06c1cff01/HAC%20MEASURE%20PROVIDER%20FILE%202025.csv",
 "api_url": "https://data.cms.gov/data-api/v1/dataset/01edb62e-5c45-4f43-8c91-16cba21cbb74/data",
 "api_kind": "cms-data-api",
 "preview_url": "https://data.cms.gov/data-api/v1/dataset/01edb62e-5c45-4f43-8c91-16cba21cbb74/data?size=10",
 "dictionary_url": "https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-data-dictionary",
 "dictionary_kind": "page",
 "methodology_urls": [
  "https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-methodology"
 ],
 "state_column": null,
 "row_count": 12120,
 "posted": "2025-09-04",
 "modified": "2025-09-04",
 "period_start": "2015-01-01",
 "period_end": "2025-12-31",
 "latest_period": "2025-01-01 to 2025-12-31",
 "cadence": "annually",
 "next_update": null,
 "versions": [
  {
   "label": "2025-01-01",
   "uuid": "01edb62e-5c45-4f43-8c91-16cba21cbb74",
   "posted": "2025-09-04",
   "period_start": "2025-01-01",
   "period_end": "2025-12-31"
  },
  {
   "label": "2024-01-01",
   "uuid": "4992c1c4-db78-466c-93cc-b796076e9686",
   "posted": "2024-08-29",
   "period_start": "2024-01-01",
   "period_end": "2024-12-31"
  },
  {
   "label": "2023-01-01",
   "uuid": "a15892f9-ee64-4fb6-9436-a11ad00a01b8",
   "posted": "2023-08-29",
   "period_start": "2023-01-01",
   "period_end": "2023-12-31"
  },
  {
   "label": "2022-12-31",
   "uuid": "dca0e636-de68-4902-af94-0ec30b3f2894",
   "posted": "2022-09-26",
   "period_start": "2022-01-01",
   "period_end": "2022-12-31"
  },
  {
   "label": "2021-12-31",
   "uuid": "3d467162-df90-46f1-801b-6d5fc796521c",
   "posted": "2021-09-20",
   "period_start": "2021-01-01",
   "period_end": "2021-12-31"
  },
  {
   "label": "2020-08-12",
   "uuid": "e44ef8de-3ac4-451a-bc92-5aae04aeed41",
   "posted": "2021-05-20",
   "period_start": "2020-01-01",
   "period_end": "2020-12-31"
  },
  {
   "label": "2019-07-31",
   "uuid": "3c2e3f06-2be2-49f0-92e4-0dc48b880746",
   "posted": "2020-10-08",
   "period_start": "2019-01-01",
   "period_end": "2019-12-31"
  },
  {
   "label": "2018-08-22",
   "uuid": "705b4fb5-1f6f-4d66-86c5-4acc3bf74218",
   "posted": "2020-10-08",
   "period_start": "2018-01-01",
   "period_end": "2018-12-31"
  },
  {
   "label": "2017-08-07",
   "uuid": "6dcdc8a1-8dab-4a89-ae1d-bbb324cba3f8",
   "posted": "2020-10-08",
   "period_start": "2017-01-01",
   "period_end": "2017-12-31"
  },
  {
   "label": "2016-07-29",
   "uuid": "94c8f101-e873-4688-85a5-3e2ecd9ce320",
   "posted": "2020-10-08",
   "period_start": "2016-01-01",
   "period_end": "2016-12-31"
  },
  {
   "label": "2015-08-16",
   "uuid": "d5c2ce96-a45a-4205-8f1a-597d7d3b6557",
   "posted": "2020-10-08",
   "period_start": "2015-01-01",
   "period_end": "2015-12-31"
  }
 ],
 "columns": [
  {
   "name": "Provider_ID",
   "label": "Provider ID",
   "type": "string",
   "meaning": "Indicates the provider's CCN ID (6-digit format).",
   "source": "cms-dictionary"
  },
  {
   "name": "Measure",
   "label": "DRA HAC Measure",
   "type": "string",
   "meaning": "Indicates the measure name for the specific DRA HAC measure. There are four DRA HAC measures: \"Foreign Object Retained After Surgery;\" \"Air Embolism;\" \"Blood Incompatibility;\" and \"Falls and Trauma (includes fractures, dislocations, intracranial injuries, crushing injuries, burns, other injuries).\"",
   "source": "cms-dictionary"
  },
  {
   "name": "Rate",
   "label": "DRA HAC Measure Rate",
   "type": "number",
   "meaning": "Indicates the provider's DRA HAC measure rate result, for all four DRA HAC measures. All four DRA HAC measures' rates are reported as observed rates per 1,000 discharges.",
   "source": "cms-dictionary"
  },
  {
   "name": "Footnote",
   "label": "DRA HAC Measure Rate Footnote",
   "type": "string",
   "meaning": "Indicates the provider's DRA HAC measure rate result's footnote, for all four DRA HAC measures. Available footnote values include: \"23,\" which indicates: \"The data are based on claims that the hospital or facility submitted to CMS. The hospital or facility has reported discrepancies in their claims data.\"",
   "source": "cms-dictionary"
  },
  {
   "name": "Start_Quarter",
   "label": "DRA HAC Measure Start Quarter",
   "type": "string",
   "meaning": "Indicates the first quarter of the DRA HAC measure's discharge period, for all four DRA HAC measures.",
   "source": "cms-dictionary"
  },
  {
   "name": "End_Quarter",
   "label": "DRA HAC Measure End Quarter",
   "type": "string",
   "meaning": "Indicates the last quarter of the DRA HAC measure's discharge period, for all four DRA HAC measures.",
   "source": "cms-dictionary"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/government-works",
 "detail_key": "01edb62e-5c45-4f43-8c91-16cba21cbb74|2025-09-04",
 "checked": "2026-10-25",
 "source_name": "data.cms.gov"
}